Business & management strategy consulting
The right answers start with the right questions.
Ask Miko Consulting helps small businesses and healthcare practices plan smarter, run leaner, and grow with confidence — from big-picture strategy to the billing details that keep revenue flowing.
Where do we even start?
Book a consultation that fits where you are
Every engagement starts with a conversation. Pick a session, choose a time that works, and come with your questions.
What happens after I book?
A simple path from question to plan
We listen first
Your session starts with your goals and pain points — not a canned pitch. Come as you are; bring the messy details.
We get specific
Strategy, operations, billing, credentialing — we dig into the areas that actually move your numbers.
You leave with next steps
Every consultation ends with clear, practical actions you can put to work the same week.
What if I need ongoing support?
Monthly retainers for steady momentum
For owners who want a partner in the work — not just a one-time conversation.
Business Advisory Retainer
$500 /month
Ongoing strategic guidance for your business — monthly strategy consultations, priority email support, and a trusted partner for planning and decision-making.
View plan detailsPractice Management Retainer
$750 /month
Hands-on monthly support for healthcare and behavioral health practices — billing oversight, revenue cycle guidance, and operational consulting from an industry expert.
View plan details
Who's behind Ask Miko?
Meet Miko
Practical solutions. Real experience.
Tamiko "Miko" James built Ask Miko on years of experience in healthcare operations, medical billing, insurance, and business consulting — helping individuals, providers, and business owners solve problems, navigate systems, and build successful organizations.
Her goal is simple: to educate, empower, and encourage — one question at a time.