How an engagement with Fortuna HCS actually runs
Most practice owners we meet have been through at least one consulting engagement that produced a thorough document and no change. The findings were usually correct. Nobody had the time to act on them.
So our engagements are built the other way around. The assessment is short and it is followed immediately by execution — we renegotiate the contract, we work the denial queue, we rebuild the schedule template alongside your staff. The report exists to agree on priorities, not to be the deliverable.
The other thing we do differently is stay long enough to see whether the change held. Gains that depend on us being in the room are not gains.
The Four Phases: You always know which Phase You are in
Two weeks inside your numbers
We pull billing, scheduling, contract and staffing data and go through it properly. Denials by CARC code and payer, A/R by aged bucket, schedule utilization, staffing ratios against benchmark, and fee schedules against Medicare rates.
- Written findings report with a dollar figure against each gap
- Ranked by size of opportunity and speed to realize
- Presented on a call, not emailed as a PDF
- Fixed fee, agreed in advance
A roadmap sequenced by payback
We propose what to do, in what order, and what each item is worth. Sequencing is by return and speed rather than by what is easiest, and you sign off before anything changes in the practice.
- Prioritized roadmap with owners and dates
- Scope, fee model and duration agreed in writing
- Baseline metrics fixed so improvement is measurable
- Explicit list of what we will not be doing
We do the work, with your team
This is the longest phase and it is where the value is. Depending on scope: rebuilding the denial process, filing and chasing credentialing, negotiating with payers, redesigning schedule templates, configuring the EHR, running the practice launch.
- Work with a named lead who is in your practice regularly
- Weekly working sessions with the staff who own each area
- Your team trained as we go, so capability stays behind
- Biweekly progress against the roadmap
Prove it held
A monthly scorecard on the same metrics we baselined, and a standing review call with the owner. Where a metric slips, we address it before it becomes a trend.
- Monthly scorecard against baseline
- Standing review call with the practice owner
- Quarterly benchmark comparison
- A defined end point, or a retainer if you want us to stay