Medical necessity and documentation education with every level of care determination.


Are your quality scores reflecting the high-quality care you provide? Uncover insights from your data with our proprietary analytical program.


We are the trusted choice of health systems for comprehensive CDI and revenue cycle solutions.

How We Work

We break down departmental silos in hospital organizations through the unification of clinical documentation across quality, utilization, denials and CDI.

See Our Services

Our Services

Our complete educational solutions span the entire revenue cycle, enabling hospital organizations to survive and thrive in the Medicare pay-for-performance era.

Physician Advisor Programs


  • Patient Safety Indicators
  • Hospital Acquired Conditions
  • Mortality Risk Adjustment Optimization


  • Status Assignment
  • Medical Necessity
  • Extended Stay Reviews


  • Peer to Peer Support
  • Appeals Support
  • Contract Review


  • Documentation Education
  • Case Reviews
  • Query Support

LTAC Documentation

IRF Education


Speaking & Education

Our physician advisors are available to speak nationwide on a variety of clinical documentation education and quality topics.

Brundage Workforce Solutions

Excellence in Revenue Cycle Staffing

CDI Program

Does your CDI program lack the impact needed to truly drive physician documentation improvement?

Case Management

Is your case management department experiencing turnover or dysfunction that is impacting the quality of physician advisor services?


Is your health system struggling to find quality talent to support your high-functioning team and process?

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Client Testimonials

Most recent from our blog

March 5, 2020 in CDI

Know the New Pediatric Sepsis Criteria

The SCCM and ESICM have published “Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-associated Organ Dysfunction in Children” to provide guidance for clinicians caring for children with septic shock and other sepsis-associated organ dysfunction (not sepsis…
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January 21, 2020 in Denials

Optum (UHC) Profits from Denying ED Payments

By: Pamela Bensen, MD, MS, FACEP Emergency departments (EDs), the US healthcare system “safety net”, are seeing sicker patients as the “less sick” are routed to offices and urgent care.…
Read More

Tip of the Week

Get Credit For The High-Quality Care You Provide!