
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
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


