“Healthcare Business Consulting | Billing • Credentialing • Insurance Contracting • EDI Solutions”
At Tso Family Health Information Specialists, we partner with healthcare providers to streamline operations and strengthen financial performance. Our consulting services cover every step of the business process—from strategic planning to hands-on execution. We provide medical billing and accounts receivable management that ensures accurate, timely reimbursements, while our insurance contracting and provider credentialing services simplify the complex process of establishing and maintaining payer relationships.
To support seamless claims processing, we specialize in electronic data interchange (EDI) solutions and perform billing software forensics to verify that clearinghouses are functioning properly. This proactive approach prevents errors, reduces claim rejections, and safeguards revenue flow. By combining technical expertise with compliance-focused strategies, we deliver tailored solutions that help providers focus on patient care while achieving financial stability and growth.
Areas of Expertise
Our Core Focus
Sprint Planning
We break down complex healthcare business goals into clear, manageable steps—from insurance contracting to billing execution—to ensure every milestone is achieved efficiently.Resource Management
We help providers optimize staff time and technology resources, ensuring credentialing, billing, and EDI processes run smoothly without wasted effort or cost.Cost Tracking
With accurate accounts receivable management and billing software forensics, we monitor financial performance and prevent revenue leakage, helping practices stay financially strong.QA Reporting
Through audits of clearinghouses, EDI data, and billing workflows, we provide quality assurance reporting that identifies issues early and ensures compliance and accuracy.
Recent Projects
A streamlined medical billing and accounts receivable system designed to improve cash flow for healthcare providers.
An innovative provider credentialing and insurance contracting platform to simplify payer onboarding and compliance.
A web-based internal tool for healthcare organizations to track claims, manage EDI submissions, and monitor clearinghouse performance.
A targeted consulting campaign for healthcare practices focused on building efficient workflows from planning to execution.
I don’t have one — by which I mean, I am concerned with the success of the project and the team, not with the use of a particular workflow to get there. I work with stakeholders to design a process that makes sense for the organization and supports its goals and constantly check in to see how it’s performing.
Project Management Philosophy