Migrated, and reconciled first.
EHR and practice-management moves where the reconciliation happens before the cutover, not after the complaints.
Every failed migration was signed off as complete.
Migrations do not usually fail loudly. They fail as a slow accumulation of records that came across subtly wrong, discovered months later by the people trying to bill against them.
The whole job, not the convenient half.
Anyone can take the easy part. The value is in owning what happens when something does not fit the process, which is where most outsourcing arrangements quietly hand the work back.
Data audit
What you actually have, including the parts of it that were already wrong.
Mapping
Field by field, with the judgement calls written down and agreed rather than made silently.
Reconciliation
Counts and values checked against source before anybody signs anything.
Rehearsal
A full dry run against real data, because the first real attempt should not be the first attempt.
Cutover plan
Sequenced, with a rollback that has been tested rather than assumed.
Post-cutover support
We stay through the first billing cycle, which is when the truth arrives.
A migration is proven by a billing cycle, not by a completion email.
Nobody hands this over on day one.
We take work in stages, each with a written definition of done and a clean rollback point. If we are wrong about something, you find out early.
Audit
Source data profiled honestly, including existing quality problems you may not know about.
Map and rehearse
Full dry run, reconciled, with the gaps listed and resolved.
Cutover
Sequenced, scheduled, and reversible.
Stay through the first cycle
Because a migration is proven by a billing cycle, not by a completion email.
The people doing your work have names and a shift.
You get the same team, in your working hours, with a named owner per queue. Not a ticket pool that rotates every quarter.
System migration, specifically.
The questions that come up on every first call about this one.
How long does a migration take?
What about historical data?
Can you migrate us and then run the billing?
Custom software
Internal tools and patient-facing products, built by a team that also runs the operations they are building for.
Revenue cycle
We own your billing end to end, from the moment a service is recorded to the moment it is paid, and you stop managing any of it.
IT consultancy
A first-principles look at an operation that has stopped making sense, delivered by people who will have to live with the answer.