
Who We Are
L&E Consulting, LLC is a medical billing consulting firm dedicated to helping healthcare providers strengthen their billing operations with clarity and confidence. We support private practices, home care agencies, and behavioral health organizations by simplifying complex billing requirements and improving operational consistency.
Our approach is hands-on, detail-focused, and built around real-world experience—helping organizations reduce risk, improve accuracy, and move forward with confidence.
Experienced medical billing consulting built on accuracy, compliance, and trust.
We partner with healthcare organizations to bring structure, clarity, and confidence to their billing operations—supporting better decisions and long-term stability.
Meet Cathie Fieffie
Cathie Fieffie, CEO of L&E Consulting, LLC, brings over 15 years of hands-on experience in medical billing, collections, and regulatory compliance. She has worked closely with healthcare providers and home care agencies to navigate complex billing environments, correct operational gaps, and implement practical, results-driven solutions.
Cathie is known for her clear guidance, attention to detail, and ability to translate complex requirements into actionable steps that support long-term operational stability.

Certification & Professional Expertise
Cathie Fieffie is Medical Billing and Coding Certified, bringing verified technical expertise to every engagement. This certification reflects a strong foundation in billing standards, coding accuracy, and regulatory requirements—ensuring that billing processes are aligned with industry best practices.
Combined with her extensive hands-on experience, this certification supports L&E Consulting’s commitment to accuracy, compliance, and dependable billing operations. Clients benefit from informed decision-making, reduced errors, and confidence that their billing workflows are built correctly from the start.
How We Work
Accountability
Clear ownership and dependable follow-through.
Transparency
Open communication and straightforward guidance.
Accuracy
Detail-driven processes designed to reduce errors.
Compliance
Standards-aligned support with regulatory awareness.
What Sets Us Apart

“Our billing became more accurate, compliant, and financially consistent thanks to L&E Consulting.”
Nikoletta Glekas
Founder & CEO, EZ Care Staffing, LLC
