Welcome to a holistic approach to healthcare processes.


John Zelem, MD, FACS is principal owner and chief executive officer of Streamline Solutions Consulting, Inc. The company provides technology-enabled, expert physician advisor services.

Dr. Zelem is focused on managing Medicare and Medicaid regulatory compliance, minimizing inappropriate medical necessity denials and achieving appropriate lengths of stay in acute care hospitals and health systems. Read More


Streamline Consulting Services, Inc. helps hospitals, physicians, utilization review and physician advisors by providing a holistic solution to successfully achieving a healthy and compliant process in your revenue cycle.

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Taking the holistic approach

Looking at the big picture

Every little change you make affects the whole.

Utilization Management 360®
Breaking Down Silos

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Physician Advisory Services

The use of Physician Advisors has been increasing exponentially over the past years. Streamline Solutions Consulting, Inc. understands the history, development, utilization of the Physician Advisor role for more than just chart reviews for Level of Care Determinations, and can:

  • Analyze your present program for compliance, standardization, and accountability
  • Ensuring that existing and new program Physician Advisors integrate with UR/Case Management, your physicians, and your leadership
  • Through gap analysis techniques evaluate for efficiencies
  • Help “break down silos” that may exist linking Utilization Review, Case Management, and CDI in a holistic manner
  • Improving physician documentation
  • Help to develop and customize new programs for your individual needs unique to your culture and community
  • Assist in hiring and training competent Physician Advisors for new programs through a unique onsite training presence and mentoring afterwards
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August 21, 2020

Re: Testimonial for Services of Streamline Solutions Consulting, Inc.

The Sentara Revenue Cycle engaged the services of Streamline Solutions Consulting, Inc., specifically Dr. John Zelem, for an independent review of the Utilization Review processes for Sentara Healthcare.   I have been acquainted with Dr. Zelem since the beginning of our business relationship in 2011 with Optum in his prior role as Regional Vice President of Provider Relations and Education.

In this time, I have come to value his experience, professionalism, and wealth of knowledge in the development of best practice programs related to utilization review, physician documentation, and regulatory compliance. We have built a trusting and collaborative relationship over the years which made the selection of John for our project an obvious choice. Read More

If you have further questions, I would be happy to assist you.

Karen A. Pelham, MSN, RN
Director, Hospital Clinical Revenue Cycle
Sentara Healthcare

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