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Your Partner in Healthcare

Your Clinic's Fractional COO — Without the Full-Time Cost.

I help private practices and specialty clinics streamline operations, recapture lost revenue, and scale with structure. Hands-on. Results-driven. Built for healthcare.

Michael Kemp, Fractional COO

LinkedIn Newsletter

Insights for practice owners building operations that last.

Weekly field notes from inside the clinic — revenue cycle plays, scheduling fixes, and the systems that scale healthcare practices.

Revenue Leak Alert

Fix what drains revenue in clinics.

Most practices are losing revenue in places nobody is looking — claims denied from process gaps, no-shows from scheduling failures, and overhead that grows faster than collections.

Initial claim denial rate

CAQH · 2016–2024

Denials rose from 9% in 2016 to nearly 12% by 2022. A single point can cost a mid-sized clinic six figures a year.

What we do: rebuild the billing workflow end-to-end — clean claims at first submission, denial-prevention protocols, and live payer dashboards.

No-show rate by visit type

Industry data

In-person visits run a 21% no-show rate. Telemedicine plus pre-visit support drops it to 15.3% — a 28% improvement.

What we do: smarter scheduling, automated reminders, and pre-visit workflows so every appointment counts.

0%

Average initial claim denial rate — up from 9% in 2016

0%

Reduction in no-shows with the right scheduling infrastructure

6 figures

What a one-point increase in denials costs a mid-sized practice annually

What We Do

Four levers that move the practice.

Clinic Operations Consulting

We fix what slows your clinic down — from scheduling and workflows to staff coordination. The goal: smoother days, happier patients, stronger bottom line.

Financial & Revenue Growth

We help your practice earn more by improving billing accuracy, managing insurance contracts, and finding where revenue is being lost.

Workforce & Team Alignment

We make sure the right people are in the right roles, at the right time. Better scheduling, accountability, and team performance.

Data Analysis & Integration

We turn complex data into clear insights using dashboards and automation — helping leaders make faster, smarter decisions.

Case Study

From 3 locations to 8 in 4.5 years.

A multi-location specialty practice with strong clinical talent but operational infrastructure that couldn't keep up. I came in, assessed every department against industry benchmarks, rebuilt the revenue cycle, standardized workflows across sites, and implemented the technology infrastructure to support real scale.

Within 12 months, the practice was transformed. Within 4.5 years, it grew from 3 locations to 8.

3

Locations

4.5 yrs
8

Locations

12 mo

Full transformation

All sites

Revenue cycle stabilized

Who I work with.

The Physician-Owner

You built this practice to take care of patients — not to manage operational chaos. I take the business side off your plate.

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The Scaler

You're ready to grow — more locations, new service lines, bigger capacity. I build the infrastructure that scales without breaking.

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The Firefighter

You're putting out fires every day. I build the systems so you can stop reacting and start leading.

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How it works.

1

Shadow Assessment

I come in, observe, and benchmark everything against industry standards.

2

Financial Case

I present findings in revenue language — what it's costing and what it's worth to fix.

3

The Build

I work inside the practice 6–8 hours/week building systems alongside the team.

4

The Payoff

My goal is to pay for myself within 90 days.

What the people inside the practice say.

Vikramjeet Saini, MD

Owner & Medical Director, Advanced Pain Management

"What distinguished Michael from the start was his genuine willingness to understand our specialty before applying what he already knew."

"He was not afraid to push back on my thinking and encourage me to evolve and advance the business."

"He is the rare operator who leaves a practice not just better organized, but better equipped to grow."

"We reduced no-shows by nearly 30% and improved monthly collections within a few months."

Laura Medical Director

"Their clean-claim workflows cut our error rate in half."

Jason Practice Manager

"Patient satisfaction and staff morale have both improved."

Maria Clinic Owner

"He brought clarity, structure, and forward momentum during a pivotal growth phase."

QCHC Practice Leadership
Michael Kemp

About

Built alongside the team.

I'm Michael Kemp. Over a decade in healthcare operations. I've worked across 15+ specialties, grew a practice from 3 to 8 locations, and I don't advise from the outside — I build alongside the team. Based in Phoenix, serving nationally.

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Specialties

Worked across the full clinical spectrum.

Common questions.

I bring executive-level operations leadership to your practice without the full-time salary. I optimize revenue cycle, build workflows, align teams, and create the systems that let practices scale. I don't just recommend — I build alongside your team.

Let's Build a Better Practice Together

Ready to improve your operations and grow your healthcare practice? Connect with Sonoran Healthcare Strategies to discover how our Fractional COO expertise can help you achieve efficiency, growth, and better patient outcomes.