Medical Billing Companies & Consultants in Detroit, MI

Kona Medical Consulting is a Michigan-based medical managed service organization (MSO) that operates under a white-label model. Practices can hand off billing, collections and other back-office work to the firm while keeping their own identity and independence. Its main office is in Detroit, and it also has a second location in Grand Rapids.

The firm works with independent practices, clinics and larger healthcare organizations throughout the region. Its pitch is that pooling these functions across many clients gives each one deeper expertise and lower costs than hiring the same roles internally.

Billing and Revenue Services

For buyers focused on reimbursement, Kona's catalog covers the full path from charge capture to payment. The firm presents its billing work as a fix for cash flow problems and collection headaches, so providers can spend their time on patient care. Related offerings include:

• Medical billing and claims management
• Revenue cycle management
• Coding audits
• Credentialing and payer contracting
• Medical bookkeeping, including accounts receivable management, reconciliation across multiple accounts and QuickBooks integration
• Financial analysis, reporting, budgeting and forecasting
• Guidance on reimbursement from commercial insurers, Medicare and Medicaid

On the bookkeeping side, the company reports a 99.8% accuracy rate in financial reporting and a maximum turnaround of 48 hours for reports. It also cites roughly 60% savings compared with keeping the same staff in-house. Clients receive custom dashboards and real-time reporting, and the work is designed to plug into the workflows a practice already uses.

Wider Practice Support

Billing is only one part of a broader menu. Kona also offers call center and nurse triage coverage, EMR support, gaps-in-care work, and compliance and risk management. Its technology services include IT support, data analytics and security risk assessments. It handles HR functions such as recruiting, onboarding, payroll and staff training, along with marketing, website development, branding and quality audits. Engagements start with a consultation, after which the firm assembles a custom package of services instead of a fixed bundle.

Specialties Served

The firm works with:

• Primary care, family and internal medicine practices
• Specialty practices such as cardiology, dermatology, orthopedics, general surgery, OB/GYN and psychiatry
• Multi-specialty groups
• Cash-based models, including concierge, direct primary care, functional and regenerative medicine
• ACOs, IPAs and physician organizations
• Behavioral health providers, including ABA therapy, substance abuse treatment and community mental health
• Chiropractic clinics

Background and Credentials

CEO Donovan Miske named the company after his dog. Before Kona, he ran an MSO serving the hospitality industry. A client asked him to review a medical clinic that was close to bankruptcy, and his assessment found missed surgical charges and a likely embezzlement problem.

He went on to manage that clinic and, according to the company, made it solvent within a year. The clinic later drew recognition from the Medical Group Management Association. After turning around three more clinics, he shifted fully into a healthcare MSO model. His original assessment method became the firm's Business Wellness Exam.

Team members hold credentials such as CMPE and CPPM. Kona also states that its security risk assessment staff helped develop SRA guidelines starting in 2017, which gives it experience from both the practice side and the auditor side.