Capabilities

Four practice areas. One operating philosophy.

Each practice is a system leaders can invest in on its own or roll into a full B.O.S.S. Moves engagement.

Flagship methodology

B.O.S.S. Moves.

Business Operations. Strategic Solutions. The proprietary Barker & Barker framework for hospital systems, FQHCs, and federal programs that stopped trying to fix isolated problems and started rebuilding the system underneath them. Build. Optimize. Sustain. Scale.

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Revenue integrity system

Revenue Integrity Operating System (RIOS)

A proprietary charge-governance, adjudication-intelligence, pre-bill control, and executive-management operating system for hospitals and clinics that serve U.S. veterans through the VA Foreign Medical Program. Governed charge intelligence, documentation and eligibility controls, pre-bill hard stops, status-code routing, work queues, KPIs, and executive oversight, in one operating cadence.

See how RIOS is built →

Federal capture

Federal Proposal & Contract Strategy

Why compliant proposals still lose, and what a proposal that actually competes looks like. Positioning, past-performance narrative, teaming decisions, and pricing posture built for the way federal buyers actually evaluate.

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Operational discipline

Operational Excellence & Lean Six Sigma

Where waste actually lives in your operation versus where the last consulting project told you it lived. Value-stream, RACI, standard work, and control plans led by a Lean Six Sigma Master Black Belt inside your operating cadence.

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Workflow & automation

Workflow Automation & Revenue Cycle Modernization

AI-enabled RCM, predictive staffing, and touchless workflow architecture for hospitals and health systems.

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Past performance

Where these capabilities have shown up in the record.

Advancing Cancer Screening Community of Practice

Panel and workflow-excellence briefings for HRSA-supported providers on operational architecture in constrained-revenue environments.

IHT 2.0 (Team Agile4Vets)

Contribution to the VA Innovators & Health Technologies program with the Agile4Vets team, working on veteran-facing digital-health operating patterns.

DQI/DQA contract transition

Negotiation and closeout evidence work with Wisconsin DHS on data-quality initiatives. Detailed narrative available on request.

Manila Elks Club FMP seminar

Community briefing delivered at the Manila Elks Club on the VA Foreign Medical Program and revenue-integrity operating patterns for international veteran care.

APCHC symposium + BPHC OQI briefing

Named speaking engagements on operational quality improvement inside federal community-health programs.

2026 Wisconsin Titan 100 honoree

Recognition of Vaughn Barker as one of Wisconsin's Top 100 CEOs. See the leadership page →

Not sure which practice is the right entry point?

Start with the readiness assessment. Seven minutes. Answers the diagnostic questions that tell us which practice you actually need first.

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Takes 5 minutes. Know where you stand.

Are you ready for the kind of change that moves your numbers?

Answer the assessment. You get your readiness score. If we are the right fit for what you scored, you get on my calendar. If not, you keep the results.

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