Schave Health Advisory
Healthcare Coding, Compliance & AI Advisory
01
Discovery
Identifying the real issue
Every engagement starts with focused conversations to understand the specific coding, compliance, or documentation challenge. Most organizations know something is not working. Discovery is about identifying what it is and why.
Conversations with leadership and coding or compliance teams
Review of existing workflows, documentation practices, and audit history
Identification of coding accuracy gaps, E/M leveling issues, or compliance exposure
Outcome
A clear picture of the problem, the environment, and where the risk is concentrated.
02
Assessment
Evaluating impact and risk
Once the issue is identified, the next step is understanding its scope and impact on coding accuracy, documentation quality, and compliance standing.
Targeted procedure and diagnosis coding audits across relevant settings
E/M leveling accuracy and documentation risk evaluation
Compliance exposure review and corrective action assessment
Review of AI coding output accuracy where applicable
Outcome
Clear findings, prioritized risks, and a grounded view of where improvement will have the most impact.
03
Strategy
A plan grounded in real execution
Recommendations are only useful if they can be implemented. Strategy is built around what is realistic given the organization's resources, timelines, and internal capacity.
Prioritized recommendations tied to specific coding or compliance findings
Defined steps, milestones, and accountabilities
Alignment with internal teams and existing workflows
Measurement approach to track coding accuracy and compliance progress
Outcome
A practical plan leadership can act on immediately, with clear priorities and defined next steps.
04
Execution Support
Staying engaged through implementation
Implementation is where plans succeed or fail. Execution support means staying close to the work — not just delivering a report and stepping away.
Regular check-ins with coding, compliance, and operational stakeholders
Ongoing review of coding accuracy and audit results during rollout
Adjustments to approach based on early findings
Documentation of changes and outcomes as work progresses
Outcome
Implementation that stays on track, with coding and compliance improvements that hold up over time.
05
Ongoing Support
Sustaining results over time
The goal is not a one-time fix. Coding standards, regulatory requirements, and documentation expectations change. Ongoing support ensures that improvements are maintained and that new issues are identified early.
Periodic coding accuracy and audit reviews
Monitoring for regulatory, CMS, and OIG guideline changes affecting provider-side coding
Recommendations as new coding or compliance challenges arise
Support for team development and documentation quality over time
Outcome
Sustained coding accuracy, reduced compliance risk, and stronger long-term performance.
How I Approach the Work
Operator Mindset
Every recommendation is grounded in real-world execution. If it cannot be implemented, it does not belong in the plan.
Direct and Honest
You are not hiring me to agree. You are hiring me to see what is actually happening and address it clearly.
Defined Outcomes
Every engagement starts with a clear definition of success. The focus is on measurable improvement.
Build Capability
The goal is not dependency. The goal is to leave the organization stronger and able to sustain results.
Ready to apply this approach to your organization?
Start with a focused conversation about your specific situation.
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