Practice Guidance

We provide comprehensive, proactive and cost effective compliance services for

The Other Shoe has Dropped:
Provider Liability in Medicare Advantage Plans

Event Wednesday, February 22, 2023 at 12:00pm – 1:00pm CST.

Healthcare Compliance is Our Business

Physician Practice Guidance focuses on improving the revenue cycle function of small and medium size physician practices. As part of its practice management services, it conducts billing and coding audits and negotiates payer contracts. 

Sabrina Skeldon, owner of Physician Practice Guidance, is a healthcare attorney and is certified in medical coding, auditing, and risk adjustment coding. She is skilled in streamlining revenue cycle processes from front desk procedures to the activities of the biller and coder. Her company puts a heavy emphasis on the development of a robust denial management program.

Physician Practice Guidance’s approach to effective denials management is twofold: the use of billing and coding audits to ensure the accuracy and effectiveness of coding and clinical documentation. Second, it creates revenue cycle procedures and standardized workflow processes, to establish best practices for physician groups. 

Its goal is to help providers avoid delays or losses in revenue that prevent the provider’s ability to operate efficiently. Physician Practice Guidance is dedicated to protecting physicians’ interests as if their interests were our own. That is what sets it apart.

She offers services in the following practice areas:


  • Stark/Anti-Kickback
  • OIG compliance
  • CMS regulatory compliance
  • Billing Compliance



  • Internal Audits
  • Medical Billing Audits
  • Risk Adjustment Coding Audits


Healthcare Transactional Work

  • Negotiation of Commercial Payer Contracts
Physician Practice Guidance is a Bronze Sponsor of the Dallas County Medical Society.

HHS OIG: New “General Compliance Program Guidance” Provides Voluntary Steps Towards Increased Effectiveness

On November 6, 2023, the Office of Inspector General for HHS issued its new “General Compliance Program Guidance” (GCPG).

The GCPG is the first of a series of compliance guidances anticipated to be issued by the OIG. This first issuance contains 91 pages of general compliance guidance, tools and references addressed to all varieties of federal health care program providers and suppliers. Its issuance will be followed by compliance guidance addressed to multiple health care industry subsectors (i.e., specifically targeted categories of providers/suppliers) that will replace the existing compliance guidances which have been issued over the course of the last three decades, starting with the 1998 Compliance Program Guidance for Hospitals.


A Unique Depth of Experience

Sabrina Skeldon holds the following licenses and certifications:


  • JD, University of Texas School of Law
  • BA, Smith College, cum laude


  • Certified Internal Auditor (CIA)
  • Certified Professional Coder (CPC-A)
  • Certified Professional Medical Auditor (CPMA)
  • Certified Risk Adjustment Coder (CRC)
  • Certified Healthcare Professional (CHC)
  • Certified Fraud Examiner (CFE)
Podcast recorded with the Texas Medical Association

“How to Build an Effective Denial Management Program”
Sabrina Skeldon, JD, CPC-A, CPMA, CRC, CHC, CIA, CCEP, CFE

Contact Us

Let Physician Practice Guidance minimize practice risks and provide support in negotiating your commercial payer contracts.

Tell Us About Your Needs
Tell Us About Your Needs