What do you get for $1,500?
You get a written picture of the desk, not a slide deck of generic advice. The pieces are a 35-question intake, a five-day tally, about two hours of observation, a Domino Map, a Top 3 you sign, and a quick-win kit you can run before any larger project.
The intake asks how the desk is supposed to work. The tally asks what actually happened on five ordinary days: calls still open, line length, overrides, no-shows, checkout gaps, and the message pile. Observation is a virtual screen share of the workflow during the hour the desk falls apart, not a visit to the building and not a chart. PXC is headquartered in Bradenton, FL. All work is virtual nationwide.
The Domino Map shows which of the ten dominoes are knocking the others over. The Top 3 is a short list you sign, with a measure for each one. If you later buy the Reset, those three are the only modules in scope. The quick-win kit is a small set of rules you can start the same week, such as who owns a callback before lunch.
What does the timeline look like?
Day 0 is payment and the intake. The intake is due quickly so the five-day tally can start on a normal week, not a holiday week you already know is strange. During the five days, staff mark counts on a simple sheet. They do not write patient stories.
Observation is booked on one of those days, at the hour you say is worst. Findings are a call, not a portal full of charts. You leave that call with the Top 3 either signed or sent back for a rewrite. The whole pass is about 7 to 10 days from a complete start.
What do you have to put in?
An owner or a manager who can answer how the desk is supposed to work, and a lead who can keep the tally honest for five days. A couple of hours, not a retreat. Access to a screen share of the workflow. All work is virtual. Not the chart, and not a visit to the building.
You do not need a new phone system, a new EHR, or a consultant already in the building. If a number lives only in someone's head, that is useful. The audit is how it gets onto paper.
Who is a fit, and who is not?
A fit is an independent outpatient practice whose pain is people and process at the front: phones, arrival, the schedule, no-shows, checkout, messages, handoffs, training, or public complaints. The sweet spot is a few providers and one or two locations. See who we help.
A poor fit is a practice that wants a software install, a billing cleanup, a recruiting search, or a promise about revenue. PXC will not invent a percent improvement. The audit gives you your own baseline. The free screener is the unpaid version of "where do I look." The domino scorecard is a self-score. Neither one is this audit.
How do you start, and what is excluded?
- Book a free call and say what is breaking.
- Pay $1,500 and finish the intake.
- Run the five-day tally, sit for findings, and sign the Top 3.
Excluded: EHR builds, phone programming, billing, hiring, legal advice, and any handling of patient information. Also excluded: fixing all ten dominoes. Three is the Reset. The other seven stay on a backlog.
Jennifer has spent 21 years running medical practices, including 12 urgent care clinics across 4 counties at once. The audit is the same habit she used as an operator: count the break before you buy a tool for it. If you want the differences between this and an AI review, read which audit comes first.
What does the findings call sound like?
You see the five-day counts next to the story you told at intake. Where they match, the map is simple. Where they do not, that gap is the finding. A desk that "always calls back" and a tally that shows open calls at 5 p.m. is a common gap. Jennifer will not smooth it into a compliment.
You sign a Top 3 only if you agree the measures are countable again on day 90. If a measure is a feeling, it gets rewritten. The quick-win kit is separate from the signature. You can run the quick wins and decline the Reset. The credit still expires 30 days after that findings call. Put the date on a calendar the day you hang up.
Samples of the work you will not get: a ranking against other clinics, a testimonial, a promise about revenue, a stack of stock scripts with your logo pasted on. You get your counts, your map, and three lines you can teach.
What should you do the week before?
Pick five ordinary days. Not the week of a retreat, not the week a provider is on a mission trip unless that week is your real life. Tell staff the tally is a count, not a performance review. Name the person who keeps the sheet honest. Book the observation at the hour you complain about, not the hour that looks good for a visitor.
Ask for the tally sheet before you pay if you want to see that it is counts, not essays. The sheet fits a week. It does not ask for names. If a field does not match your desk, say so at intake and it gets rewritten. That edit is part of the audit, not a delay you are billed for. Bring the sheet to the findings call so you are looking at the same rows Jennifer is. Count a normal week, not a holiday week you already know is odd, and not a week you cleaned up because a visitor was coming.
Questions people ask
How long does the audit take?
The tally itself is five days of counts your team records. Observation is scheduled inside the same window. Findings are walked through about 7 to 10 days after a complete start. You are not asked to shut the desk down.
Is the $1,500 credited?
Yes, in full, if you sign the 90-Day Medical Front Desk Reset within 30 days of the findings call. After that window the credit is gone. The AI Audit fee is a different product and is never credited.
What do we have to send?
Counts, roles, and how the work moves. Not patient names, dates of birth, record numbers, phone numbers, photos, or screenshots. If a number is unknown, you leave it blank and the tally fills it.
Who is it not for?
Health systems, private-equity rollups, and practices that want PXC to configure an EHR, reprogram phones, run billing, or hire staff. PXC can write the workflow a vendor should support. PXC does not become the vendor.