Build from the ground up.
Turn your vision into a working practice with a clear launch plan, operating model, team structure, technology choices, and billing foundation.
I’m starting a practicePHYSICIAN-LED PRACTICE CONSULTING
Your practice.
Your future.
Still independent.
Build a stronger practice with physicians who understand what it takes to run one.
Curtis Dalili, MD, and Nicholas E. Tisdale, MD help physician owners start, stabilize, and improve their practices—from the first business plan to the daily work of patient care, billing, and operations.
Since 1998Dr. Dalili’s leadership at IRPC
Practicing physiciansFirsthand clinical and business insight
Private practice focusedFor physician owners across the U.S.
MEET YOUR PRACTICE WHERE IT IS
From opening your doors
to finding your footing.
Your challenges change as your practice develops. We help connect the financial, operational, and clinical pieces into a practical plan.
Get the practice back on track.
Address cash-flow pressure, delayed collections, denials, and workflow breakdowns. Understand your options before a closure or sale feels like the only path forward.
My practice needs a resetStrengthen what you’ve built.
Refine care delivery, improve visibility into your revenue cycle, develop your team, and create repeatable workflows that support sustainable growth.
I want to improve my practiceCONNECTED EXPERTISE
The business of medicine.
The perspective of physicians.
Support across the full practice lifecycle, with priorities shaped around your practice’s needs and an agreed scope of work.
Practice startup & planning
Establish the foundations before the first patient arrives.
- Launch roadmap and operating budget
- Staffing, vendors, and patient access
- Technology selection and billing setup
Complete revenue cycle management
Connect the entire RCM process, from registration to collections.
- Eligibility, charge capture, and claims
- Payment posting, denials, and follow-up
- Accounts receivable and performance reporting
Billing & coding optimization
Improve billing accuracy and reduce manual work through documentation review, appropriate code selection, and AI-assisted claim checks.
- Documentation and code-selection review
- AI-assisted billing and denial-pattern analysis
- Underpayment review and payer workflows
We help evaluate and implement AI-assisted billing workflows, with code selection and claim decisions reviewed by your physicians and billing team.
Discuss billing, coding & AICare management & wellness programs
Start or strengthen programs that connect ongoing care, prevention, and your practice’s daily work.
RPMRTMCCMAPCMPCMBHITCMAWV
- Program planning, enrollment, and consent
- Documentation and billing workflows
- Team training, support, and optimization
Practice operations & teams
Reduce friction for the people delivering and supporting care.
- Scheduling, staffing, and role clarity
- Standard procedures and team training
- Leadership routines and accountability
EMR & workflow improvement
Make your clinical systems work better in everyday practice.
- Firsthand eClinicalWorks experience
- Templates, task routing, and documentation
- Reporting and reduced duplicate entry
CARE MANAGEMENT & PREVENTIVE WELLNESS
Programs we help you build and improve.
From launching a program to refining an existing one, we help align patient enrollment, consent, documentation, billing workflows, and team responsibilities.
- RPM
- Remote Patient Monitoring
- RTM
- Remote Therapeutic Monitoring
- CCM
- Chronic Care Management
- APCM
- Advanced Primary Care Management
- PCM
- Principal Care Management
- BHI
- Behavioral Health Integration
- TCM
- Transitional Care Management
- AWV
- Annual Wellness Visits
Program eligibility, documentation, and billing requirements are reviewed individually. RTM device offerings remain coming soon.
Our consulting draws on daily EMR experience. The Patient Diagnostics product integration with eClinicalWorks is a separate project and remains coming soon.
EXPERIENCE EARNED IN PRIVATE PRACTICE
Built in a practice.
Brought to yours.
Dr. Dalili founded Indian River Primary Care in March 1998. More than 28 years later, that work provides a grounded perspective on the decisions physician owners face.
His experience building IRPC in Vero Beach and continually refining care management, billing, operations, and clinical workflows informs our consulting approach. Together with Dr. Tisdale’s clinical, population-health, and remote-monitoring perspective, we connect business improvement to the realities of patient care.
Our purpose is to help independent physicians build more resilient practices, address financial and operational strain, and preserve meaningful choices about their future.
Meet the physicians behind the workPHYSICIANS WORKING WITH PHYSICIANS
Meet your
consulting team.
Practicing physicians who understand the relationship between excellent care and a practice that can sustain it.
PRACTICE BUILDING & OPERATIONS
Curtis Dalili, MD
Founder, Indian River Primary Care
Dr. Dalili founded Indian River Primary Care in March 1998 and has practiced in Vero Beach since that year. His experience establishing and developing an independent practice informs his perspective on care management, billing, operations, and the workflows that keep a practice moving.
He earned his medical degree from Louisiana State University in 1994 and completed an internal medicine residency from 1994 to 1997. He is board-certified in internal medicine and teaches medical students through Florida State University College of Medicine.
Read Dr. Dalili’s professional profileCLINICAL WORKFLOWS & CONNECTED CARE
Nicholas E. Tisdale, MD
Data Analytics & Practice Optimization
Physician CEO, Patient Diagnostics PLLC
Physician, Indian River Primary Care
Dr. Tisdale is double board-certified in internal medicine through the American Board of Internal Medicine and the American Osteopathic Board of Internal Medicine. He brings a practicing physician’s perspective to care delivery, chronic care management, and remote patient monitoring.
He completed his internal medicine residency through Authority Health and Detroit Medical Center and earned a Population Health & Health Equity Certificate from the University of Michigan School of Public Health. His consulting focus includes practice data analytics, performance reporting, and workflow optimization, connecting patient-centered care with practical technology.
Read Dr. Tisdale’s professional profileHOW WE WORK TOGETHER
A clear path from
conversation to implementation.
Start with your priorities. Define the work together. Build changes your team can use and measure.
- 01
Understand
Discuss your practice, immediate pressures, goals, and constraints.
- 02
Assess
Review agreed operational and financial information to identify priorities.
- 03
Implement
Build a focused action plan and support the team as new processes take shape.
- 04
Measure & refine
Review relevant performance indicators and adjust as your practice evolves.
BEFORE WE CONNECT
A few practical
questions.
Can you help a practice that is struggling financially?
Yes. We can discuss a practice assessment focused on revenue leakage, collections, denials, staffing, and operational bottlenecks. The goal is to help you understand your options and prioritize improvements. Scope and expected measures are agreed individually; financial results are not guaranteed.
Do you work with physicians outside Florida?
We welcome consulting inquiries from physician-owned practices across the United States. The engagement format, location needs, and scope are discussed during the initial conversation.
Do I need to purchase RPM devices to use consulting?
No. Practice consulting can be discussed independently of an RPM device purchase. We start with the needs of your practice.
What does a consulting engagement include?
We define the services, responsibilities, fees, and timeline together before work begins. An initial inquiry does not create a consulting agreement or obligation to purchase services.
LET’S TALK ABOUT YOUR PRACTICE
Your next chapter
starts with a conversation.
Tell us where your practice is today and where you need support. Our team will follow up to discuss the next step.
[email protected]Business inquiries only. Please do not include patient information, medical records, financial account numbers, or confidential practice documents. If an assessment requires records, we will arrange the appropriate process separately.
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