Client names withheld per HIPAA and confidentiality agreements; metrics verified through engagement-end reporting.
DME Prior Auth Automation
PA Submission & Status Engine for a Multi-Payer CPAP/BiPAP Supplier
Replaced a three-person manual prior-auth workflow — Availity + 11 payer portals + fax fallback — with an automation layer that reads from the supplier's DME platform, routes each request to the right payer channel, and returns live status to a single dashboard.
-64%PA Turnaround
-38%Denials
< 2 hrAvg Queue
PythonAvaility 278Brightree APIAzure Functions
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CPAP Resupply Compliance
Automated Adherence & Re-Order Pipeline for a Regional Sleep DME
Built an end-to-end resupply orchestration that gates every shipment on CMS adherence, insurance verification, and CMN status — with IVR/SMS/email outreach and a closed-loop POD capture. Staff moved from manual sweep to exception handling only.
+22%Resupply Rev
94%Adherence Verified
-70%Staff Touch
TwilioNode.jsSendGridHL7 Intake
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CCM / RPM Billing Capture
Cardiology CPT 99457 + 99458 + 93297 Revenue Recovery
Rebuilt a cardiology group's RPM time-tracking and device-integration layer (CareLink, Merlin.net, Latitude, Tenovi, BodyTrace). Captured unified minute logs, generated bill-ready claim packets, and surfaced short-month 99445/99470 candidates automatically.
+$1,340Per Patient / Yr
+31%Billable Minutes
0Audit Findings
FHIRSQL ServerPower BI.NET
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Pharmacy Compliance
DSCSA Serialization & T3 Data Pipeline for an Independent Pharmacy Group
Before the Nov 2026 small-dispenser deadline, built the EPCIS receive-verify-store workflow for eight independent pharmacies — wholesaler feed ingestion, T3 record storage, and exception triage at receiving without adding counter time.
100%EPCIS Capture
< 15 secReceive Scan
7 yrRetention Met
EPCIS 1.2PioneerRx APIAWS S3Python
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Dental Practice Automation
Dentrix Recall, Reactivation & Insurance Verification for a 3-Location DSO
A custom layer on top of Dentrix automated recall outreach, unscheduled-treatment follow-up, and same-day eligibility checks across 2,500+ patients — without replacing the PMS the front desk already knew.
+$218KRecovered Rev / Yr
+41%Recall Kept
-12 hr/wkFront Desk
Dentrix ODBCC#TwilioSQL
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Sleep Medicine Workflow
HST-to-CPAP Handoff Automation — 14-Day Gap Closure
Structured referral packet, parallel insurance verification, and closed-loop confirmation between a sleep practice and its downstream DME supplier — compressing the post-positive-HST conversion window from 10–14 days to 2–4 days.
+27%HST → CPAP Setup
3.2 daysAvg Handoff
100%Confirm Back
Direct Secure MsgAvailityPythonPostgres
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AI Agent
Post-Visit AI Follow-Up & Triage Assistant
HIPAA-aligned LLM assistant that conducts structured post-visit check-ins, flags red-flag symptoms for clinical review, and logs a visit summary into the EHR. Deployed across a multi-specialty group to free RN time for exception work only.
6,400+Check-ins / Mo
11%Flagged for Review
-28 hr/wkRN Time Saved
Claude APIHL7 FHIRAzure OpenAITypeScript
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AI Document Processing
Fax & PDF → Structured Intake for a DME Supplier Network
OCR + LLM pipeline that normalizes inbound referrals — faxes, Direct messages, PDFs, scanned orders — into structured patient records with validated HCPCS codes, then writes into the DME platform via API. Intake staff kept only for exceptions.
97.4%Auto-Parse Rate
-80%Manual Entry
< 4 minFax → Record
Azure Doc IntelligenceClaude APIPythonCelery
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Custom Software
Referral-Source CRM & Analytics Dashboard for a Regional DME
Bespoke referral CRM that tracks every incoming order by referring clinic, scores denial risk by source, and surfaces under-performing accounts to the outreach team — replacing three spreadsheets and a stalled HubSpot rollout.
+19%Referral Yield
42Sources Tracked
LiveDenial Signals
Next.jsPostgreSQLPrismaRecharts
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Reporting Pipeline
Executive KPI Dashboard & Weekly Auto-Report for a CPA Firm
Pulled data from QuickBooks Online, Bill.com, and a custom time-tracking database into a single executive dashboard with a weekly PDF auto-generated to each partner's inbox. Replaced a 9-hour manual pivot cycle.
-9 hr/wkManual Pivoting
Mon 6 AMAuto-Delivered
4 sourcesConsolidated
QBO APIPythonMetabaseWeasyPrint
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AI Chatbot
HIPAA-Aligned Intake & FAQ Chatbot for a Specialty Clinic
Patient-facing chatbot that handles appointment scheduling, insurance-intake pre-fill, and top-40 FAQ answers with full PHI handling and escalation-to-human guardrails. Cut front-desk call volume materially in the first month.
-34%Inbound Calls
24/7Coverage
3 langsEN / ES / UR
Claude APINext.jsBAA HostingSupabase
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Integration Middleware
API Middleware Bus: EHR ↔ DME ↔ Payer Portals ↔ Billing
Built a reliable integration bus that keeps patient, order, and claim data in sync across four systems on different release cadences — with retry, idempotency, and audit-grade logging. Stops the 3 AM "the queue is stuck" calls.
99.97%Uptime
5Systems Joined
0Data Drift Events
Node.jsRabbitMQDockerPostgreSQL
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