Staff utilization
Identifies whether your NPs, PAs, and licensed staff are billing at full scope.
What you'll get
Scope-of-practice gap analysis per NP/PA/RN, scored 0–100 against full allowable scope
Assumes: Scope mapped to your state's published nurse-practice act + your payers' incident-to rules; final clinical decisions sit with your medical director.
Visit-reassignment plan with $/month lift estimate per mid-level provider
Assumes: Lift modeled at your reported reimbursement × the delta between current and allowable visit mix; assumes 90% capacity utilization.
Incident-to billing checklist tailored to your top 3 payers
Assumes: Pulled from each payer's published 2024 policy; not a substitute for your compliance officer's sign-off.
Sample protocols + supervision templates for the top 3 reassigned visit types
Assumes: Templates only — your medical director must review, sign, and adapt to your workflow before use.
Top 3 hiring recommendations ranked by 12-month ROI (only if a hire is justified)
Assumes: If reassignment alone closes the gap, the report says so and recommends no hire — no growth-for-growth's-sake bias.
Sample output
Your NPs are billing ~63% of their scope. Reassigning visit types could add $9,400/month per mid-level.
Who this is for
- Practices with 1+ mid-level providers (NP, PA, RN)
- Owners unsure if their team is billing at full scope
- Clinics where the MD/DO is the bottleneck on visit volume
Not the right fit if
- Solo physician practices with no mid-level or RN staff
- Concierge or DPC models without traditional payer billing
How we build it
- 1We map each role against your state's scope-of-practice rules and your payers' incident-to requirements.
- 2Lift is modeled per provider based on current visit mix vs. allowable visit mix at full scope.
- 3Protocols are templates only — your medical director still needs to sign and adapt them.
What we'll ask in intake
- Each mid-level provider's role, license, and approximate weekly visit volume
- Your state and your top payers (for incident-to rules)
- Current visit-type assignments by provider
- Supervision and protocol setup, if any
No PHI required. Aggregates, percentages, and estimates are enough.
Frequently asked questions
7 questionsDidn't answer your question? Email us — we reply within 4 business hours.