Empowering Healthcare Transformation
- QMTRY delivers audit-ready analytics, seamless EHR/RCM integration, and automated revenue cycle optimization—backed by dual clinical and technical expertise.
- We embed CMS, HIPAA, and NCQA compliance into every solution, reduce denials and revenue leakage, and unify fragmented data with scalable pipelines.
- THE RESULTS: Measurable outcomes, lower risk, and confident performance in the most complex payer and provider environments.
Healthcare Compliance Meets Data Intelligence
Dual Clinical + Tech Leadership
Clinicians + engineers on one team delivering practical, compliant solutions.
Clinical + Technical Expertise
Audit-ready solutions that work in real-world healthcare and pass regulatory review.
Learn MoreSecurity & HIPAA First
Audit-ready security built into every workflow from day one.
Protecting Data & Trust
HIPAA, HITECH, NCQA, and DMHC compliance at the core of every project.vs.
Read MoreClaims Data Automation
Automated ingestion and normalization reduces manual processing time by 70%.
Smarter Claims Pipelines
Transparent, audit-ready workflows that cut waste and improve accuracy.
View Case StudyCMS Stars & HEDIS Expertise
Strategies aligned with CMS/HEDIS 2024 specs to boost performance ratings.
Improve Ratings & Compliance
End-to-end Stars analytics and dashboards that prove results.
See PortfolioCompliance Monitoring
Transparent reporting for CMS, HIPAA, and NCQA accreditation.
Audit-Ready Oversight
Dashboards that reduce risk and deliver accreditation confidence.
See SolutionsRevenue Cycle Optimization
Reduce denials, improve collections, and maximize yield with automation.
Better Cash Flow
Data-driven solutions that protect margins and accelerate revenue recovery.
Explore SolutionsEHR & Data Integration
Epic, Cerner, Meditech, Athena, and FHIR unified for clean, automated data flows.
Seamless Interoperability
Integration that accelerates revenue operations without disrupting care delivery.
HL7-EngineFederal Subcontracting Partner
SAM active, DBE/SBE certified, ready to team with primes.
Seamless Interoperability
Integration that accelerates revenue operations without disrupting care delivery.
Team With UsProvider & Member Analytics
Data-driven insights that improve patient outcomes and provider performance.
Outcome-Focused Intelligence
Predictive insights to strengthen care quality and network efficiency.
Federal PMOOur Affiliations & Partners
How a Consulting Engagement Works
From discovery and compliance to deployment and measurable outcomes—built for payer/provider realities and audit readiness.
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1
Discovery & Qualification
30–60 minute intake to align goals, stakeholders, timeline, and success metrics.
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2
Compliance & BAA
Security due diligence, BAA/NDA, and data minimization plan—HIPAA/HITECH/NCQA aligned.
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3
Data Access & Intake Plan
Confirm sources (EHR, claims, pharmacy), transport (SFTP/S3/BigQuery), and schemas.
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4
Current-State Assessment
AS-IS architecture, pain points, and baseline KPIs across clinical, ops, and finance.
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5
Solution Design & SOW
Target architecture, roadmap, RACI, and a milestone-based SOW with success metrics.
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6
Build & Integrate
Implement ETL/ELT, dbt/GX checks, API connectors, and secure infrastructure.
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7
Validate & UAT
Numerator/denominator checks, crosswalks, and user acceptance testing with evidence logs.
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8
Change Management & Training
Super-user enablement, SOPs, and role-based training to drive adoption.
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9
Secure Deployment
Production release behind SSO with monitoring, rollback, and evidence capture.
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10
Measure & Optimize
Quarterly business reviews, KPI uplifts, and backlog to compound ROI.
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11
Operate & Support
Run, monitor, and support with SLAs, incident response, and change control.
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12
Handoff & Scale
Knowledge transfer, documentation, and capability uplift for your internal team.
Flexible Pricing & Engagement Models
Tailored to healthcare IT realities, drawing from industry standards like those at Deloitte, BCG, and Accenture. We blend time-tested models with payer/provider specifics for predictable costs, value delivery, and compliance. Clear ranges, firm quotes post-discovery—no surprises.
Fixed-Fee Discovery / Assessment
Typical range: $5K–$15K (scope-dependent)
Short, diagnostic phase to uncover opportunities, align on goals, and yield a precise SOW. Builds trust with actionable insights.
- Compliance check (HIPAA/HITECH/NCQA)
- Data review & quality snapshot
- Stars/HEDIS baseline with gaps
- Stakeholder interviews & risk register
- High-level roadmap & budget estimate
Milestone Fixed-Price
Typical range: $20K–$100K+ (project scale)
Defined deliverables with acceptance criteria; invoiced on evidence (logs, demos, scorecards). Ideal for pilots and 90-day implementations, similar to BCG's value-based projects.
- ETL pipelines with validation
- Dashboard builds & UAT
- Integration testing & handover
- Change management & training
- Post-go-live support window
Monthly Retainers
Typical tiers: $5K–$20K+/month
Blocks of work for ongoing needs; unused hours roll forward (up to 1–2 months). Inspired by Accenture's subscription-like models for sustained value.
- Compliance upkeep & audits
- Dashboard enhancements & automations
- KPI monitoring & quarterly reviews
- Ad-hoc support & backlog prioritization
- Policy updates & training refreshers
Outcome-Aligned (Light)
Base: $10K–$50K; Success fee: 5–15% of gains
Base fee for core work, plus modest bonus tied to improvements (e.g., denial rates down 10%, data latency reduced). Aligns with Deloitte's value-based payment emphasis.
- Denial reduction initiatives
- Data latency optimizations
- KPI adoption tracking
- Baseline vs. post metrics
- Neutral third-party verification
Time & Materials (T&M)
Blended hourly: $150–$250 (entry-level focus)
Hourly billing with Not-to-Exceed cap for protection. Add-ons for specials; weekly progress evidence. Common in IT consulting per Accenture rates.
- On-site premium (+20–30%)
- After-hours surcharge (+50%)
- Pass-through travel (actuals)
- Roles: RN quality, data engineers, analysts
- Change-order process for scope shifts
Micro-Purchase Packages
Typical spend: under $10K thresholds
Fixed deliverables sized for quick procurement; audit-ready from day one.
- Stars readiness snapshot (CBP/HBD/SUPD/PDC)
- Denial mini-audit with fixes
- Compliance checklist & risk memo
- Data handling plan with BAA
- Executive summary report
Simplified Acquisition Pilots
Typical range: $25K–$150K
Small-scale implementations with limited sources; focused on value and scalability.
- One–two data integrations
- Secure demo environment
- Validation scorecards & logs
- Adoption metrics & scale plan
- Teaming/subcontracting options
Pricing & SOW FAQ
Why ranges instead of fixed prices?
Healthcare environments vary (e.g., data complexity, stakeholder count). Post-discovery, we provide firm quotes with milestones, akin to BCG's tailored strategies.
What SOW elements ensure hygiene?
Clear scope boundaries, change-order paths, evidence/logging requirements, data-handling + BAA language, monthly invoicing, net-15/30 terms, and escalation protocols—standard for Deloitte-level engagements.
Do you support public-sector quick awards?
Yes, with micro-purchases under thresholds and simplified acquisition pilots designed for speed and minimal competition.
Will you subcontract to primes?
Absolutely—SAM active, teaming agreements ready, with documentation for seamless integration.
How do add-ons work in T&M?
On-site, after-hours, and travel are itemized transparently; always under a Not-to-Exceed cap for buyer protection.
What about outcome measurement?
We define baselines, targets, and verification upfront; success fees are modest and tied to auditable KPIs like denial reductions or latency improvements.
To request a proposal, email contracts@qmtry.ai or use the form at qmtry.ai/contact.
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