Practice Management Services for Growth-Minded Clinics
A free EMR with a built-in AI scribe and full revenue team, running on a server in your office. You pay only from new revenue.
Most clinics work with three vendors. We replace all of them.
Software vendors sell you an EMR and walk away. Billing companies handle claims but ignore operations. Consultants charge by the hour with no skin in the game. We bundle all three, paid from your growth.
Pillar 1 — Technology
Cut your monthly software fees to zero and chart faster with built-in AI.
Pillar 2 — Revenue Operations
Send clearer claims, work fewer denials, and collect what you've earned faster.
Pillar 3 — Growth Consulting
See what your schedule could earn and the impact of every hire before you make it.
Keep 100% ownership. No competitor offers this combination with zero upfront costs.
MLE Scribe and Coding Optimization
The primary revenue driver in every engagement
Most independent practices are performing services every day that never make it onto a claim. The visit happens. The work gets done. Somewhere between the exam room and billing, services drop off.
One of our clients was billing 78% of visits as adjustment-only, missing an estimated $36,000 to $90,000 per year in services already performed.
How it works:
- 1Provider records a 1 to 4 minute verbal summary after each visit
- 2MLE Scribe transcribes locally on hardware in your clinic
- 3A SOAP note generates with ICD-10 and CPT code suggestions
- 4Provider reviews and approves before saving
What's included:
- ✔️On-premises voice-to-SOAP transcription
- ✔️Specialty-specific encounter templates with auto-detection
- ✔️Anti-hallucination safeguards and pause/resume capability
- ✔️Chiropractic spine parser that auto-populates clinical diagrams
- ✔️Confidence-scored code suggestions
Perfect for practices billing below the work being performed, providers staying late to chart, and clinics that want AI without sending PHI to the cloud.
Revenue Cycle Management
Charges captured. Claims accurate. Denials handled.
Once your codes get captured, the next problem is getting paid for them. Most clinics lose revenue across the cycle: missed charges, denied claims, slow ERA posting, and AR that ages out before anyone touches it.
The MLE Billing Dashboard handles:
- ✔️Real-time claim lifecycle tracking from creation to payment
- ✔️Pre-submission validation that flags issues before claims go out
- ✔️AI denial intelligence that reads denials and suggests appeals
- ✔️Automated ERA and 835 file processing with duplicate detection
- ✔️NPI registry search and billing watchdog rules engine
- ✔️Self-pay aging with statement generation
We connect directly to Office Ally as your primary clearinghouse, with ASHLink supporting CIGNA-specific claims. Optional medical biller placement is available if you want a dedicated person on your books.
Best for clinics manually uploading claim files, practices with high denial rates, and owners with no visibility into AR aging.
Capacity Expansion Consulting
Find the revenue your existing schedule could be earning
Capturing more codes is half the equation. Filling unused capacity is the other half. Adding a provider, extending hours, or restructuring templates can move the numbers, but most owners can't model the decision before making it.
What we deliver:
- ✔️Schedule utilization analysis across your providers
- ✔️Associate provider economics modeling (revenue, compensation, net impact)
- ✔️Capacity expansion roadmap tailored to your practice
- ✔️Recruitment planning support if you decide to expand
With one client, modeling showed approximately $107,000 in additional annual revenue from a part-time associate provider.
Perfect for practices with empty slots, owners weighing a hire, clinics with high demand, and capped provider capacity.
Free EMR Deployment
OpenEMR with the full MLE suite, pre-configured and shipped
If your current EMR is draining monthly fees or your legacy system no longer fits your workflow, we replace it. We deploy a free, ONC-certified EMR on a pre-configured server delivered to your office at cost.
Migration handled:
- ✔️Patient data, billing history, and insurance records
- ✔️ChiroTouch migration toolkit, validated on a 6,048-patient deployment
- ✔️Specialty-specific templates and customization
- ✔️Staff training on EMR and MLE workflows
Live operation targets approximately one week post-signing, depending on the complexity of data migration.
Patient Communication Suite
MLE Notifications and front desk tools
Front desk staff waste hours every week on manual reminder calls and routine patient messaging. We replace manual work with structured automation while keeping the personal touch where it matters.
What's included:
- ✔️Two-way patient messaging
- ✔️Email appointment reminders with templates
- ✔️Front desk widget with messages, caller ID screen pop, and staff notes
- ✔️Call transcript pipeline with AI sentiment and topic analysis
- ✔️TCPA consent management with double opt-in and STOP processing
SMS reminders activate once carrier approval clears for your practice. Every feature is turned off by default and switched on during setup.
Document Scanning and Intake Automation
MLE Vision module
Your front desk scans insurance cards, IDs, and intake forms. Someone then retypes the information into the EMR. The retyping is slow, error-prone, and expensive in staff hours. We replace the manual step.
What you get:
- ✔️Insurance cards, IDs, intake forms, and consent forms scanned & read
- ✔️Patient information matched to the right record without manual entry
- ✔️Full audit trail of every document processed
- ✔️A staff review step before anything saves
Best for front desks losing hours to retyping, high-volume intake practices, and clinics digitizing patient consent and clinical documents.
KPI Dashboards and Monthly Reviews
Visibility into the numbers that move the practice
Most owners don't have a real-time view of the metrics that matter. Decisions get made on intuition or last quarter's accountant report. We replace that with a structured cadence of operational review.
What you get:
- ✔️Monthly KPI review sessions with the N-Able team
- ✔️Custom dashboard with collections, denial rates, AR aging, coding mix, no-show rates, and schedule utilization
- ✔️Trend analysis and anomaly alerts
- ✔️Quarterly business reviews
Why everything runs locally.
Patient data never leaves your office. Every AI feature runs on a server we install in your clinic, not on someone else's cloud. Encrypted by default. Backed up nightly. Each staff member sees only what their role allows, and every action is logged.
N-Able provides HIPAA-aligned practices and BAA coverage. Full compliance depends on how the system is used across your practice.
Get a custom demo in 2 days, not 2 months.
Most EMR vendors quote 1 to 3 months to build a custom demo. We turn around personalized demos in 2 days, configured to your specialty, workflow, and the scenarios you want to test before signing anything.
Not sure which services your practice needs first?
Get a free review of your billing patterns, denial rates, and schedule. We show you which services aren't being paid and how much your schedule could earn.
Limited to only 50 practices.