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Documentation audits for Article 28 health centers and surgery centers that fix the system, not the people.

Based in Lockport, NY. Serving Western New York in person and all of New York remotely.

Boutique health information management consulting for community and neighborhood health centers, diagnostic & treatment centers, ambulatory surgery centers, and hospital-affiliated clinics. We find documentation gaps before a surveyor does, then help your team fix them for good.

Health Information Management Expertise

System-Level Documentation Improvement

Collaborative, Boutique Consulting

Western NY Based, Serving Statewide

Services Snapshot: Core Solutions for Healthcare Excellence

Documentation Audits

Targeted reviews of clinical records to improve accuracy, completeness, and compliance across your care settings.

Learning Health Systems

Build feedback loops between data, teams, and workflows so your organization can learn and improve continuously.

Performance Improvement

Align documentation, operations, and teams around clear metrics to drive sustainable clinical and financial results.

Why Healthcare Organizations Choose Us

Miller And Miller Associates USA, LLC is built for smaller ambulatory organizations, including community and neighborhood health centers, diagnostic & treatment centers, ambulatory surgery centers, and hospital-affiliated outpatient clinics. Our boutique services focus on sustainable, system-level documentation improvements across New York.

Boutique partnership — direct access to Nicole
System-level expertise
Collaborative, non-punitive approach
Right-sized pricing for smaller organizations
Who We Serve

Built for smaller ambulatory organizations

Article 28 outpatient and ambulatory settings across New York.

Community and neighborhood health centers
Diagnostic & treatment centers
Ambulatory surgery centers
Hospital-affiliated outpatient clinics
Featured Podcast

Notes From the Field

A podcast for HIM and clinical leaders.

Access real-world documentation and performance stories with practical takeaways for busy healthcare leaders. Gain unique system-level insights into fixing the underlying processes behind clinical documentation.

Meet your consultant

Nicole Miller, MS, RHIA

Founder, Miller And Miller Associates

I help New York health centers and surgery centers find documentation gaps early and fix them in ways their teams can sustain.

Before founding the firm, I served as a hospital Director of Health Information Management and Privacy Officer and directed a college health information technology program.

I believe documentation problems are system problems, not people problems, and I work alongside your team instead of handing you a report and leaving.

✓ Registered Health Information Administrator (RHIA)

✓ Former hospital Director of HIM and Privacy Officer

✓ AHIMA national convention speaker

✓ Master’s-level training in health information management and IT leadership

Ready to strengthen your documentation systems?

Let’s talk about what’s working, what’s not, and where your organization needs clarity. Schedule your call with Nicole today.

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