My process: Simple, but not simplistic.
1Ask
We start with your questions, goals, and what’s not working.
2Unpack
I dig in, connect the dots, and find the real issues.
3Act
We create a clear plan and turn it into progress.
“Where do we
Where do we
even start?
Right here.
I help healthcare practices plan smarter, run leaner, and grow with confidence.
Ask Miko →
Bring the
messy details.
You know something needs to change. Let’s figure out what, and how to do it.
Get clear.
Make a plan.
Move forward.
Simple, focused ways to work together.
$150 Practice Strategy Session
60 minutes. Big-picture clarity. You leave with a plan.
Learn more →$225 Practice Management & Billing Session
90 minutes. Targeted solutions for your practice.
Learn more →Free 30-Minute Clarity Call
30 minutes. Quick conversation. See if we are a fit.
Book a call →Retainer Partnership
Ongoing support. Measurable results.For practice owners and healthcare leaders who want partnership and accountability to drive lasting change.
Explore Retainer Options →Founder. Operator. Problem Solver.
I’m Tamiko “Miko” James. I’ve led healthcare operations, fixed what wasn’t working, and built what was next. I ask the questions others avoid, then help you build what works.
Read my story →Frequently Asked Questions
Questions are a good place to start.
Which service should I choose?
If you are not sure where to begin, start with the free discovery call. We can talk through what is on your plate and choose the right next conversation.
Who does Ask Miko work with?
Ask Miko works with healthcare and behavioral-health practices seeking practical guidance on practice management, billing, revenue cycle, credentialing, and operations.
What happens after a consultation?
You leave with practical next steps. If ongoing support makes sense, the monthly retainer options are available for continued guidance.