S&J Consulting

Services

Software AND a Service.

We are not a software company that leaves you with a login. We are a services firm that does the work alongside your team, and we bring our software with us because it makes the work faster and clearer for everyone involved.

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The Difference

Most vendors sell you a subscription. We take on the work.

SaaS asks your organization to adapt to the product, absorb the implementation, and carry the ongoing administration. That model puts the burden back on the provider, which is the opposite of what we are here to do.

A software subscription gives you

  • A license, a login, and onboarding documentation
  • Configuration work your staff has to absorb
  • A support queue that does not know your programs
  • A product your workflows have to bend around
  • A renewal invoice regardless of what changed

An engagement with S&J gives you

  • People who do the work with you, not instructions to do it yourself
  • Setup handled for you, against your actual programs and funders
  • A team that knows your organization, your rules, and your history
  • Software shaped to the workflow, and hands-on help where it is not
  • A scope tied to outcomes, with software included where it helps

Abilitrac, our time tracking, EVV, billing, and reporting platform, is part of how we deliver, not a separate product line. It exists so our team and yours spend less time on manual entry and more time on the work that matters.

Where Engagements Start

Know whether it works before you commit to it.

Most of our relationships begin with one of these two pieces of work. Each one ends in a written deliverable your leadership team and board can act on.

Feasibility Studies

Before you commit budget, staff, or a board vote to a new program, service line, location, or system, we test whether it actually holds up.

  • Demand and referral pipeline in your service area
  • Funding, reimbursement rates, and payer mix
  • Staffing model and realistic hiring assumptions
  • Startup cost, cost to operate, and break-even timing
  • Regulatory, licensing, and compliance requirements
  • Risks, dependencies, and what would have to be true

You get: a go, no-go, or go-with-changes recommendation, with the numbers and assumptions behind it.

Needs Assessments

A clear-eyed read on where your organization actually stands today, across service delivery, operations, and the systems holding it together.

  • Community and client need against current capacity
  • Service gaps and unmet demand
  • Operational, administrative, and staffing pressure points
  • Compliance and documentation posture
  • Systems, data quality, and duplicate manual work
  • Financial position and where margin is leaking

You get: prioritized findings and a sequenced plan that separates what is urgent from what can wait.

Start Your Own Agency

Own the company. Do the work that matters. Skip the rest.

Plenty of capable direct service professionals never start their own agency. Not because they cannot do the work, but because everything surrounding the work is a second full-time job: entity setup, licensure, vendor enrollment, billing, payroll, compliance, software. We take that second job. You keep the company and the caseload.

We help people launch disability provider agencies, and we know the ground under VR employment agencies in particular, including job coaching, supported employment, job development and placement, and discovery.

We get it started

  • Entity formation, EIN, banking, and insurance
  • Licensure and certification applications, prepared and tracked
  • Vendor enrollment with your state VR agency and other payers
  • Policies, procedures, and the documentation reviewers ask for
  • Startup budget, rate setting, and a break-even plan
  • Systems standing before your first client, not after

We keep it running

  • Billing, claims, and follow-up on whatever does not get paid
  • Payroll, hiring paperwork, and HR administration
  • Compliance, audit readiness, and documentation review
  • Abilitrac for EVV, time tracking, and case records
  • Monthly financials and reporting written to be read
  • Someone to call when something breaks

You own it

  • The business is yours and carries your name
  • Your clients, your reputation, your decisions
  • You deliver the direct services
  • You choose how and when the agency grows
  • We work for you, not the other way around

The short version: you provide the direct services. We handle the business, the billing, the software, and the compliance.

Find out how to start yours

Provider Consulting

Support across the areas providers actually have to manage.

Engagements are scoped to what you need. Some organizations bring us in for one area, others for a combination that spans service delivery and the back office.

AI

Practical, bounded uses of AI for provider operations, with a clear line around client privacy.

  • Where AI genuinely reduces documentation burden, and where it does not belong
  • Drafting and summarization support for notes and reporting
  • Intake triage, scheduling, and administrative workflows
  • Quality assurance review across records at volume
  • Privacy, PHI handling, and policy guardrails before anything goes live

Software & Systems

Selecting, implementing, integrating, and cleaning up the systems your organization runs on.

  • System selection and vendor evaluation without the sales pressure
  • Implementation, configuration, and data migration
  • Integrations so EHR, EVV, billing, payroll, and HR stop living apart
  • Eliminating duplicate entry and spreadsheet workarounds
  • Abilitrac deployment for time tracking, EVV, and billing

Data Analytics & Reporting

Turning service and billing data into something leadership can make decisions from.

  • Utilization, authorization use, and service delivery against plan
  • Billing yield, denials, and revenue leakage
  • Staff productivity, caseload, and capacity reporting
  • Outcome and quality measures tied to person-centered goals
  • Board, funder, and state reporting packages built once and reused

Direct Services

Support for the delivery of services itself, not just the administration around it.

  • Program design and service model structure
  • Documentation standards that satisfy funders without burying staff
  • Supervision structures and staff training
  • Quality assurance and internal record review
  • Person-centered practice carried through to daily workflow

Business

Organizational and operational management for providers who have outgrown informal process.

  • Operational structure, roles, and accountability
  • SOPs and process design that staff will actually follow
  • Growth, expansion, and new service line planning
  • Contracts, credentialing, and payer relationships
  • Fractional CEO and COO support

Accounting

Day-to-day accounting operations handled with program-level visibility built in.

  • Bookkeeping and month-end close
  • Accounts payable, receivable, and payment tracking
  • Payroll coordination against time and service records
  • Chart of accounts structured by program and funding source
  • Audit preparation and cost report support

Finance

The financial picture leadership and the board need in order to plan rather than react.

  • Budgeting and multi-program forecasting
  • Cash flow planning and runway
  • Rate and reimbursement analysis by service and payer
  • Break-even and unit cost by program
  • Board-ready financial reporting on a predictable cadence
  • Fractional CFO support

How Software Fits

The software is the means, not the product.

It removes the manual work first

Time tracking, EVV capture, billing handoffs, and reporting are where provider staff lose their week. Automating those is the fastest way to give time back to service delivery.

It makes our work visible to you

When time, service, and billing data live in one place, the reporting we produce is something you can verify and use, not a monthly document you have to take on faith.

It is included where it helps

Abilitrac comes as part of an engagement when it fits your operation. If a system you already own is serving you well, we work with that instead.

Next Step

Tell us where your organization needs support.

Engagements start at a monthly scope or as one-time a la carte work. If you are not sure which fits, a short conversation is usually enough to tell.

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Prefer to call? Reach us at (435) 690-0205 or email support@sjsmllc.com.