Practice Management / Business Consulting

Whether your business or practice is struggling currently or successful, you constantly face difficult challenges and hidden obstacles you need to overcome. The business landscape is ever-changing, whether it’s a housing downturn, a financial meltdown or a global pandemic, hands on consulting experts can give you a leg-up on the competition and can help to catapult your business into unrealized growth and prosperity.

Businesses Professionals

Medical Professionals

Dental Professionals

We have your prescription for financial success!

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“In-House” Business Consulting to maximize your growth and income!

Consulting Brochure

Key Performance Indicators:

  • Measure year over year performance
  • Compare monthly financial indicators
  • Identify trends in your business
  • Facilitate monthly Provider Meetings

Building & Updating Processes:

  • Create accurate job descriptions
  • Develop policies and procedures
  • Improve or fix your practice flow
  • Update your Employee Handbook

Designing your Practice’s Culture:

  • Eliminate or change poor attitudes
  • Improve communication
  • Facilitate monthly Staff Meetings

Developing your Office Manage strong

  • Teach them to delegate problems
  • Give them the tools to achieve success
  • Train them to lead your staff
  • Help them to reach their full potential

Are you doing what you've always done and expecting a different result?


Most of us are good at the things we LIKE to do, but we have a hard time admitting there are things we don’t know or understand!
An EXPERT can shorten the learning curve, increase profitability, and help grow your business exponentially!

Practice Management Consulting

Vital Practice Solutions is focused on the success of Medical and Dental practices. Whether you have a struggling practice, a very successful practice you are looking to improve, or you are starting a brand new medical or dental practice from scratch… we can help you to streamline and improve your practice!

Whether you have a struggling business, a very successful business, you are looking to improve or start a new business from scratch… We can help you improve the way you do business!

Practice Management Consulting Model:

Additional Services

Business Partner Transition Documents:

1) Associate Paperwork
2) Partner Buy-In’s
3) Compensation/Bonus Modeling

Business Valuations:

1) Business Property
2) Debt Analysis & Review
3) Business Loans and Lines of Credit
4) Business Equipment


Randy G. Smith, DDS & Mark W. Marlowe, DDS

The best thing I can say about Vital Practice Solutions is that they have always gone out of their way to make sure I get what I paid for. I can always count on VPS to protect me personally and to protect my practice. From hiring a new partner, to employment agreements, payroll, staff training, team building, my profit sharing plan, to personal planning for myself and my staff, and helping to restructure our loans… they have been there every step of the way! Creating an Advisory Board with VPS and empowering them to hold me accountable for the daily decisions I make in my practice has been a breakthrough for my business. I highly recommend VPS and hope you will involve them in your practice… you’ll be glad you did!

Randy Smith & Mark Marlowe

Alligator Pediatric Dentistry

We hired Duane at Vital Practice Solutions over 11 years ago and he has been an integral part of our team from day one! He helped change our culture, improve communication, establish and refine needed processes, and he has provided the critical financial information needed to help us run our practice successfully for over

He has helped us restructure our practice debt, built our bonus schedules, helped train our employees, provided coaching for our office manager and management team, helped with our contracting and partnership discussions, increased our profits year over year, and so much more. These efforts have resulted in us saving hundreds of thousands of dollars and have made us even more. We are forever grateful for his broad range of experience and his help over the years!

Dr. Joseph Moore

Idaho Falls Pediatrics

I have known Duane for over a decade. I trust him and his abilities. I have found over the years his clients feel the same way. He is a great man and brings that integrity and get-it-done attitude to everything he does. I highly recommend Duane and Vital  Practice Solutions!

Cameron Marcum

Trek CCM

Duane will help you to reach all of your goals! He is a great resource and is honest and dependable.

Lisa Walker

Rocky Mountain Diabetes Clinic

Business Consulting, Practice Management and/or Financial Cartography/Planning. Duane is a top notch person who takes great care of his clients!

Val Bingham

Eastern Idaho Endodontics

His ability to structure and organize business or personal finances and to manage the day-to-day operations of a business is unparalleled!

Johnny Christensen

One Financial Group

My Family and I have known Duane for many years and have used his services for several of our businesses. We have appreciated his professional guidance and input. Duane is honest, professional, and easy to work with. I highly recommend his services!

Laura Mason

Northstar Healthcare

I have known Duane for over 17 years and I can say he is very reliable, honest, and hard-working. I can recommend him to anyone looking for help with practice management or financial planning!

John Treasure

Auto Recycling

Duane has been a great consultant for our business as we are growing, building a new facility, and moving into it! His expertise in business financing has been extremely valuable.

Dale Boone

Intermountain  Auto Recycling

Meet the Consulting Team

Practice Management / Business Consulting

Our Purpose:

To help our clients to develop and design their culture, define their mission, create Key Performance Indicators to track and manage sustained growth, to improve communications with staff and customers/clients, establish and refine business processes and operational efficiencies, and help them to improve the “bottom line” of their businesses/practices.

Duane Fugleberg
Founding Partner
Business/Practice Management Consultant
Financial Cartographer – Commercial Lending

(208) 542-1010 (W)
(208) 528-9559 (F)

  • Areas of Emphasis:
  • Culture by design, NOT default.
  • Develop/Update business processes
  • Define/Delineate Job Descriptions
  • Develop Financial Key Performance Indicators
  • Staff Training & Motivation
  • Improved Communication Skills
  • Increase profitability and grow business
  • Strategic Partnerships & Succession

Katie Davenport
Strategic Partner:
Billing & Collection Specialist
CPT & ICD-10 Expert

(208) 520-2636 (C)
(844)946-0909 (F)

  • Areas of Emphasis:
  • Medical/Dental Billing Specialists
  • Certified Medical/Dental Coding
  • Revenue Cycle Management
  • Medical/Dental Collections Experts
  • HIPAA Compliant Practices
  • Assistance with Credentialing
  • Monthly Reporting
  • Cost Effective Solutions!

Duane’s Fugleberg:

Duane worked his way through college as a teller and loan officer for Seafirst Bank in Seattle, Washington. He attended Rick’s College (now BYU Idaho) and the University of Montana where he played football and wrestled, while pursuing a degree in business management. After college he worked for Lyons and Associates a full-service insurance agency in Salt Lake City, Utah (which eventually become the insurance department for Zion’s Bank). After leaving Lyons and Associates in 1989, Duane was hired by Seafirst Bank, who was eventually acquired by Bank of America. In 1992, Duane was hiredas a VP and Manager for Bank of America in their Idaho Falls Office and was tasked with regional training and service on the bank’s Incentive and Strategic Budget Committee’s.

In 1996, Duane founded American Marketing & Financial Group where he did financial planning, and eventually added lending.In 2004, he co-founded M3Wealth, a non-traditional financial services company focused debt-based planning, debt elimination, lending and business consulting. M3 Wealth focuses on: “Mapping a sustainable course to Financial Self-reliance, Measuring the impact of daily financial decisions, and Mentoring proven financial principles.”

Katie Davenport:

Born and raised in Idaho Falls, Katie grew up in the medical industry. She spent 10 years at Community Care starting while in high school. She worked her way up into Administration where she learned every aspect of that business. After starting her family and adjusting to motherhood, Katie purchased her first billing company in 2006. She has been deeply involved in medical billing/coding ever since. She is passionate about finding ways to increase revenue for offices and providers.
There has never been a single provider she hasn’t been
able to locate and recover lost revenue for in her 15 years of doing business. She enjoys helping providers understand the overall business of medicine and allowing them to do what they do best!

Katie has four children and loves to play the piano, watch movies, surf and play games.

is within your reach!
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