Construction

Cash, Claims, Capacity—Finally Working Together.

If payer mix is squeezing margins, AR days keep drifting, and schedules look full but profit lags, we’ll fix it—fast.

Take the ROI Audit Quiz

Our Insights Are Featured In

SOUND FAMILIAR?

AR keeps creeping past 40 days.

Clean‑claim rate isn’t where it should be, denials are up, and appeals drag on.

AR keeps creeping past 40 days.

Clean‑claim rate isn’t where it should be, denials are up, and appeals drag on.

AR keeps creeping past 40 days.

Clean‑claim rate isn’t where it should be, denials are up, and appeals drag on.

You don’t trust your WIP report.

Commercial pays best; Medicaid/Medicare rates compress margins—but your mix keeps shifting

You don’t trust your WIP report.

Commercial pays best; Medicaid/Medicare rates compress margins—but your mix keeps shifting

You don’t trust your WIP report.

Commercial pays best; Medicaid/Medicare rates compress margins—but your mix keeps shifting

No‑shows and PA delays

blow up provider utilization and cash predictability.

No‑shows and PA delays

blow up provider utilization and cash predictability.

No‑shows and PA delays

blow up provider utilization and cash predictability.

HERE’S WHAT WE ACTUALLY FIX

Revenue Cycle Tighten‑Up (front‑to‑back RCM)

Lift clean claim rate toward ~98%; push denials <5%; target net collection ≥95–97%. Shorten days in AR toward 30–40; reduce >90‑day AR bucket. MGMA

Revenue Cycle Tighten‑Up (front‑to‑back RCM)

Lift clean claim rate toward ~98%; push denials <5%; target net collection ≥95–97%. Shorten days in AR toward 30–40; reduce >90‑day AR bucket. MGMA

Revenue Cycle Tighten‑Up (front‑to‑back RCM)

Lift clean claim rate toward ~98%; push denials <5%; target net collection ≥95–97%. Shorten days in AR toward 30–40; reduce >90‑day AR bucket. MGMA

Payer Mix & Reimbursement Strategy

Capacity & Access (Utilization without burnout)

A Few Firms We've Helped

Ortho Group

$18M | Clean claim ↑ to 98%, denials ↓ to 4.8%, AR days 49→36 in 90 days | MGMA

Ortho Group

$18M | Clean claim ↑ to 98%, denials ↓ to 4.8%, AR days 49→36 in 90 days | MGMA

Behavioral Healthy Trades Firm

PMCMGMA

$12M | Open‑access blocks + SMS reminders → no‑shows −28%, weekly collections ↑ | PMCMGMA

Behavioral Healthy Trades Firm

PMCMGMA

$12M | Open‑access blocks + SMS reminders → no‑shows −28%, weekly collections ↑ | PMCMGMA

Dental/Oral Surgery

$9M | Payer‑mix model + fee schedule updates → net collection 94→97% | MGMA

Dental/Oral Surgery

$9M | Payer‑mix model + fee schedule updates → net collection 94→97% | MGMA

Your's Next

Is this you?

What Our Esteemed Clients Think About Us

“Our reports were late, our margins were unclear, and I couldn’t lead what I didn’t understand. This team changed that.”
Founder
$14 Million Construuction Company
"We thought we needed a CFO. What we really needed was a financial overhaul—and that’s what Growth CFO delivered in 5 weeks"
CFO
$9 Million Healthcare Company
“Our reports were late, our margins were unclear, and I couldn’t lead what I didn’t understand. This team changed that.”
Founder
$14 Million Construuction Company
"We thought we needed a CFO. What we really needed was a financial overhaul—and that’s what Growth CFO delivered in 5 weeks"
CFO
$9 Million Healthcare Company
“Our reports were late, our margins were unclear, and I couldn’t lead what I didn’t understand. This team changed that.”
Founder
$14 Million Construuction Company
"We thought we needed a CFO. What we really needed was a financial overhaul—and that’s what Growth CFO delivered in 5 weeks"
CFO
$9 Million Healthcare Company
“Our reports were late, our margins were unclear, and I couldn’t lead what I didn’t understand. This team changed that.”
Founder
$14 Million Construuction Company
"We thought we needed a CFO. What we really needed was a financial overhaul—and that’s what Growth CFO delivered in 5 weeks"
CFO
$9 Million Healthcare Company

CLINIC METRICS WE INSTALL

Clean claim rate, Initial denial rate, Net collection rate

(targets: ~98%, <5–10%, ≥95–97%)

MGMA

Days in AR & AR aging

(goal: 30–40 days; <10% >90‑day)

MGMA

Payer‑mix margin model

(commercial vs Medicare/Medicaid impact)

KFF

Provider utilization & no‑show rate

(OA/telehealth to reduce no‑shows).

PMC+1

Denial cost & first‑pass yield

(each denied claim has real cost; push first‑pass acceptance)

OS Healthcareinovalon.com

13‑week cash forecast

for predictable payroll & vendor cadence

OS Healthcareinovalon.com

PICK YOUR PAIN

Immerse yourself in a vibrant community with endless opportunities for growth and involvement.

Claims & Denials

Clean claim toolkit + denial tree (targets & fixes).

Claims & Denials

Clean claim toolkit + denial tree (targets & fixes).

AR & Cash

12‑week cash model + AR aging playbook.

AR & Cash

12‑week cash model + AR aging playbook.

Payer Mix

Margin by payer analysis; scheduling templates by panel mix.

Payer Mix

Margin by payer analysis; scheduling templates by panel mix.

No‑Shows & PA

Open‑access, telehealth follow‑ups, PA workflow fixes.

No‑Shows & PA

Open‑access, telehealth follow‑ups, PA workflow fixes.

Team

You Get a 3-Person Team. Not a Spreadsheet.

Every membership comes with a team that combines strategy, systems, and analysis — all aligned to your growth.

Growth CFO

Uncovers ROI, builds your roadmap, and coaches you as CEO.

Growth CFO

Uncovers ROI, builds your roadmap, and coaches you as CEO.

Operations & Systems Pro

Installs dashboards, reporting infrastructure, and workflows that keep your team aligned and accountable.

Operations & Systems Pro

Installs dashboards, reporting infrastructure, and workflows that keep your team aligned and accountable.

Accountant/Analyst

Surfaces margin leaks, cost-to-serve insights, and cash opportunities. • P&L by project • CAC, LTV, and margin drivers • Scenario planning

Accountant/Analyst

Surfaces margin leaks, cost-to-serve insights, and cash opportunities. • P&L by project • CAC, LTV, and margin drivers • Scenario planning

Who We Work With?

This isn’t a vendor relationship. Every engagement begins with a 5-Week Sprint to unlock cash, establish clarity, and prove ROI. From there, we scale with you.

See How Much ROI You’re Leaving on the Table

5-Week Sprint → ROI Roadmap

$3M–$10M

Guaranteed $100K ROI found across cash, margin, or valuation

Our 5-Week Sprint

Guaranteed $100K ROI found across cash, margin, or valuation

5-Week Sprint → ROI Roadmap

$10M-$25M

Guaranteed $100K ROI found across cash, margin, or valuation

5-Week Sprint → ROI Roadmap

$25M–$50M

ROI guarantee plus valuation uplift and partner planning

Case Studies

May 18, 2023

Avoided $250K CFO Hire + Extended Runway

May 18, 2023

Avoided $250K CFO Hire + Extended Runway

Jun 12, 2023

Close Cycle 30+ Days → 5; NRR +9%

Jun 12, 2023

Close Cycle 30+ Days → 5; NRR +9%

Aug 2, 2023

AR: 76 → 38 Days; +$180K Cash

Aug 2, 2023

AR: 76 → 38 Days; +$180K Cash

Sep 10, 2023

Margin Leak Fixed: -4% Drag Removed

Sep 10, 2023

Margin Leak Fixed: -4% Drag Removed

Apr 14, 2023

Aligned Partner Payouts; Valuation Up

Apr 14, 2023

Aligned Partner Payouts; Valuation Up

Jul 7, 2023

$18M Specialty Contractor: WIP Reporting Fix

Jul 7, 2023

$18M Specialty Contractor: WIP Reporting Fix

Oct 1, 2023

$500K Working Capital Freed

Oct 1, 2023

$500K Working Capital Freed

Jun 25, 2023

$1.4M EBITDA Lift via Utilization

Jun 25, 2023

$1.4M EBITDA Lift via Utilization

Construction Is Built on Scope and Change Orders. Let’s Give Your Finances the Same Discipline

Take the ROI Audit Quiz

Cash, Claims, Capacity—Finally Working Together.

Our Industries

We're Not Another CFO Company

SOUND FAMILIAR?

HERE’S WHAT WE ACTUALLY FIX

A Few Firms We've Helped

What Our Esteemed Clients Think About Us

CLINIC METRICS WE INSTALL

Clean claim rate, Initial denial rate, Net collection rate

Days in AR & AR aging

Payer‑mix margin model

Provider utilization & no‑show rate

Denial cost & first‑pass yield

13‑week cash forecast

PICK YOUR PAIN

Claims & Denials

Claims & Denials

AR & Cash

AR & Cash

Payer Mix

Payer Mix

No‑Shows & PA

No‑Shows & PA

You Get a 3-Person Team. Not a Spreadsheet.

Growth CFO

Growth CFO

Operations & Systems Pro

Operations & Systems Pro

Accountant/Analyst

Accountant/Analyst

Who We Work With?

$3M–$10M

$10M-$25M

$25M–$50M

Case Studies

Construction Is Built on Scope and Change Orders. Let’s Give Your Finances the Same Discipline