Services

Three Ways to Work Together

Find out what's broken, systematize how you operate, or build the tooling you can't buy off the shelf. Every engagement starts with the same free discovery call.

Outcome: Know exactly where to focus

Practice Assessment

A diagnostic across your operations and tooling to find what's costing you time, money, and sanity—and what to fix first. Every engagement starts here.

Best for:

Every practice—it's the first step, and the only way I'll quote a build

Process:

  • 1 Discovery call (60 min)
  • 2 Operations & tooling audit
  • 3 Virtual or on-site review
  • 4 Prioritized action plan

Deliverables:

  • Findings report
  • Priority-ranked recommendations
  • Quick wins you can implement immediately
  • A fixed quote, if you need something built

Timeline

1-2 weeks

Investment

Starting at $1,500

Credited in full toward any engagement booked within 30 days.

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Outcome: Operations that run without you

System Development

Hands-on design of the workflows, SOPs, and documentation that turn one chaotic area of your practice into something your team can run without you in the room.

Best for:

Practices with a known problem that needs a real, documented solution

Process:

  • 1 Discovery call (60 min)
  • 2 Current state mapping
  • 3 System design
  • 4 Documentation
  • 5 Training guide creation

Deliverables:

  • Working SOPs
  • Workflow documentation
  • Implementation guide
  • Training materials for your team

Timeline

2-4 weeks

Investment

Starting at $3,000

Fixed scope, agreed up front—no surprise change orders.

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WHAT SETS ALTA APART

Outcome: Software built for your clinic

Custom Tooling Build

Bespoke software shaped around how you actually work—from a spreadsheet that kills a recurring task, to an internal tool your team lives in, to a HIPAA-compliant system that plugs into your EMR.

Best for:

Practices whose workflow has outgrown the software they can buy

Process:

  • 1 Practice Assessment (scopes the build)
  • 2 Written scope & fixed quote
  • 3 Working prototype for review
  • 4 Build, plus two rounds of revisions
  • 5 Deployment & training

Deliverables:

  • Working, deployed software
  • Source code you own outright
  • Documentation & team training
  • 30-day bug-fix warranty

Timeline

Days to months

Investment

Scoped per project

Priced off the Assessment—I don't quote software I haven't scoped.

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Custom Tooling

What Custom Software Actually Looks Like

Not a platform. Not another subscription. A tool that does the specific thing your practice needs, built around your workflow—and yours to keep. Sometimes that's a few days of work. Sometimes it's a HIPAA-compliant system wired into your EMR. That's why it's scoped, not priced off a menu.

Intake Automation

Forms, routing, and data that land where they belong without anyone retyping them

Practice Dashboards

Real answers about volume, collections, and capacity, pulled from your own data

Lab & Results Tracking

Nothing falls through the cracks between the order and the follow-up

Provider Collaboration

Shared context on complex patients—not a hallway conversation nobody wrote down

Report Generation

The report that takes your staff an hour to assemble, generated in seconds

AI-Assisted Workflows

Drafting, summarizing, and triage that hand your team back their afternoon

System Development

Common Focus Areas

Each System Development engagement focuses on one area. Here are the usual suspects—we can also work on others not listed.

Front Desk Operations

Scheduling, check-in/check-out, patient communication

Billing & Revenue Cycle

Claims, collections, patient financial experience

Patient Onboarding

New patient intake, paperwork, first visit experience

Clinical Workflow

Provider schedules, documentation, care coordination

Staff Management

Roles, responsibilities, performance, training

Patient Retention

Follow-up systems, re-activation, long-term relationships

How These Fit Together

It's a path, not a menu. Everything starts with the Assessment, because it tells you where the money and hours are actually leaking—and most practices are wrong about that. It's a cheap way to find out before you spend real money fixing the wrong thing. If you go on to book work with me within 30 days, the fee comes straight off the bill.

From there the answer is one of two things. System Development handles the problems that are really about process, where what you need is a documented workflow your team can follow, not another piece of software.

Custom Tooling is for the rest: the problems where the honest answer is "you need software that doesn't exist yet." That ranges from a spreadsheet that kills a recurring task to a HIPAA-compliant system wired into your EMR, which is why it's quoted off the Assessment rather than off a price list. I don't quote software I haven't scoped, and you shouldn't trust anyone who does.

Not sure where you land? That's what the free discovery call is for—and if the answer is "none of these," I'll tell you that too.

Not Sure Which Service You Need?

Start with a free discovery call. We'll talk through what's actually broken and I'll recommend the right path—or tell you if there isn't one.