Your Practice is working hard Your revenue should be, too
Your Partner in Revenue Management and Contract Negotiation
Are you leaving
Money on the table?
As a physician you care deeply about your patients’ health, however medical practice today leaves little time for you to monitor your practice’s financial health. Billing and coding inefficiencies, and inconsistent collection efforts can slowly compound and result in significant lost revenue over time.
Without support, these gaps can be overlooked by even highly competent teams like yours.
It's time to change that.
Physician Practice Guidance works to support your team uncover hidden revenue.
Revenue You Can See
We identify overlooked revenue by analyzing billing history, documentation patterns, and historical payer collection rates. Practices gain clarity on where money is being left behind and a plan to recover it.
Risk You Can Manage
We strengthen documentation integrity and implement denial management programs to reduce denials and avoid potential payer audits. Proactive review replaces reactive scrambling.
Operations You Can Trust
We coordinate the revenue cycle team’s performance—from front desk to final payment—so that every step supports clean claims, accurate reimbursement, and financial predictability.
How we help practices thrive
Physician Practice Guidance empowers independent practices by maximizing their revenue and reducing their administrative burden. Its goal is simple—to ensure that independent practices remain independent.
Our Expertise
This is not your typical revenue consulting business. Our owner is a healthcare attorney and is certified in medical coding and billing. She delivers a broad range of revenue cycle and compliance services that meet the needs of practices. Her unique perspective allows her to arrive at solutions that streamline and simplify processes.
Physician Practice Guidance builds tools to help independent practices improve practice income and reduce their costs. Physician Practice Guidance builds denial management programs, provides monitoring of collection activity, trains staff and creates educational tools to help practices improve their performance.
While overhead costs continue to rise, Physician Practice Guidance helps practices keep pace with costs and improve the practice’s overall health by negotiating higher contract reimbursement rates.
Physician Practice Guidance is dedicated to handling your revenue cycle and contract needs so that your practice can focus on the practice of medicine.
Meet Sabrina Skeldon, JD, CPC, CPMA, CPB
Sabrina Skeldon is an attorney with over 20 years of experience in healthcare law and administration. As a certified expert in medical coding, billing, and auditing, she founded Physician Practice Guidance to provide specialized revenue cycle services and compliance support for small to medium-sized physician practices.
She has a proven track record of helping providers navigate the complexities of billing and coding compliance and understanding reimbursement policies and procedures. She acts as an extension of your revenue cycle team to design a work plan to help your practice achieve results quickly.
She has a proven track record of helping providers navigate the complexities of billing and coding compliance and understanding reimbursement policies and procedures. She acts as an extension of your revenue cycle team to design a work plan to help your practice achieve results quickly.
A recognized national speaker, Sabrina frequently shares her expertise on healthcare regulations and billing compliance. Her practical approach helps providers navigate complex financial audits, negotiate payer contracts, and implement sustainable systems to protect and grow their practice revenue
WHAT WE DO
Custom solutions
There is no one size fits all compliance or education program. Each client’s specific needs must be evaluated and addressed. Our hands-on approach is designed solve a provider’s problem, not sell a product.
Payer Contracts
Payer contracting is an administrative headache that practices often choose to avoid, because of its complexity. Physician Practice Guidance has expertise in negotiating higher contract reimbursement rates for independent practices. We use a data driven approach to demonstrate the uniqueness of your practice within its market to drive higher rates.
Medical Billing Analysis
A small practice’s daily operations are focused on claims submission. The volume of that workload makes it difficult to routinely analyze practice performance, resulting in uncollected revenue. Physician Practice Guidance, using billing and coding reviews, identifies patterns in denials, payer activity and collection efforts, to build a denial management solution that increases practice revenue. Our services extend beyond those reviews. Physician Practice Guidance offers midyear and end of year reviews, as well as consultations, to address issues as they arise.
Provider Training
The first step in solving your revenue cycle problem is listening to your team, to identify how to optimize solutions and build strategies for long term change. As part of our billing and coding review, we will provide training to your team to strengthen their performance.
Government Investigations
Physician Practice Guidance provides chart reviews and billing audits for providers who are the subject of government and commercial payer audits. Our expertise in billing and coding, as well as healthcare law, makes our services valued by both attorneys and providers.
We work with
PHYSICIAN OWNERS
of office based practices
PRACTICE LEADERS
seeking practical guidance and training
CODERS
seeking practical guidance and CEUs credits
Attorneys
defending physicians who are the subject of investigations
Reviews
Knowledge Hub
Contact Us
Let’s talk about
your practice.
We’ll take a look at what’s happening and identify where things are breaking down.
Frequently Asked Questions
How long does a billing review take?
The length of time depends on the size of the practice.
What is the benefit of a billing review?
A billing review provides a snapshot of your practice performance at a specific time. It identifies areas where revenue is being lost and recommends strategies for addressing issues immediately to stop revenue loss.
Is a one time audit sufficient to identify trends and changes in collections?
No, the value of billing and coding reviews is that they provide continuous monitoring of the practice’s performance and allow corrections to prevent further loss of revenue.
How frequently should billing reviews be performed?
Physician Practice Guidance recommends that clients have mid year and end of year reviews to monitor the practice’s performance. Throughout the year issues may arise. Physician Practice Guidance is available to respond to those questions.
Are Physician Practice Guidance's services the same as those of a third party billing company, or the duties of a biller?
Physician Practice Guidance is not a billing company and we are not involved in practice claim submission. Physician Practice Guidance consults on practice performance. We evaluate the accuracy of billing and coding, patterns in denials, historical practice performance with a payer, all to measure the effectiveness of your revenue cycle management. We train your staff in areas where errors are impacting or delaying the collection of revenue. We build a denial avoidance program, to prevent denials that result in revenue loss.
Has Physician Practice Guidance achieved higher payer contract reimbursement rates for small practices?
Yes, Physician Practice Guidance has a track record for achieving higher reimbursement rates for small and medium size practices, even those that are members of IPAs.
CONTACT Physician Practice Guidance
Sabrina personally answers your emails and will get back to you within two business days.