01
Open A Practice
You need payers, billing, an EHR and a schedule working before the first claim goes out. We set them up in the right order.
$6,000 total
See Practice Launch HelpMedical Billing, Credentialing, Practice Operations, & Growth Consulting
Get Paid. Add Providers. Grow With Confidence.
We run the business side of behavioral health and outpatient practices: medical billing, credentialing, payer contracts, new provider onboarding, daily operations and the software that ties it together. Most of our clients are established groups and multi-provider practices. Solo owners get the same help when they're opening or adding a provider.
Most billing problems start somewhere else. A denial that's really a credentialing gap. A rate that's been wrong for years because your biller has never seen the contract. We handle billing, credentialing, contracts and operations together, so the person working your denials can also fix what caused them. We run it all from Portland, Oregon, inside the systems you already use and under your own Tax ID, and you get the scope and price in writing before we start.
For established behavioral health groups, multi provider outpatient practices, practice owners, medical directors, operations leaders, PMHNPs, psychiatrists, physicians, and therapists.
Portland Based. Serving Practices Nationwide.
Secure Payments Through StripeUpdates In The Secure Command SuiteTransparent Pricing Before You Buy
Start Here
What Does Your Practice Need?
Pick the problem you need solved. Every defined project has a published price, and credentialing is priced per payer, per provider.
02
Add Providers And Grow
Growing past one provider takes an agreement, a pay plan, payer contracts, credentialing, billing setup and reports the owner can read. We help with all of it.
Choose credentialing only or ask about broader growth support.
See Practice Growth Help03
Fix Billing And A/R
We find out why claims aren't getting paid, fix the billing errors, follow up with the insurers and show you exactly what was worked and what got paid.
7% of collections, or $6,500 to fix one problem
See Medical Billing Services04
Improve Operations And Workflows
When a referral gets retyped, a form keeps getting overwritten or nobody knows who owns the next step, we fix the workflow behind it.
Projects from $4,500
See Operations HelpAll Packages And Services
Compare Packages And Services
Open the full list to compare the fixed projects, the credentialing paths, ongoing billing and the Command Suite side by side.
Show All 9 Offers And Prices
$6,000First Practice LaunchPayers, billing, the EHR, scheduling and business setup, ready before you open.
ItemizedCredentialing And Payer EnrollmentPick your providers and payers and see the itemized price.
7% with a $500 monthly minimum per providerOngoing Revenue Cycle ManagementMedical billing, denials, payment posting, A/R work, and reporting.
$6,500Revenue Cycle Stabilization SprintWe find why the same claims keep going unpaid and fix the causes you control.
$4,500Practice Operations Improvement SprintFix the referral, scheduling and follow-up steps that keep stalling.
$7,500Workflow Automation Build SprintAutomate one agreed process, with testing, error alerts, and staff instructions.
$5,000EHR Workflow Repair SprintCorrect two defined workflows inside a supported EHR.
$7,500Spravato Operations Improvement SprintAuthorization dates, room scheduling and follow-up, tracked in one place.
$99/monthCommand SuiteTrack billing, credentialing, staff tasks, and project updates.
$10M+
recovered in aged and unpaid receivables
16+ years
in healthcare revenue cycle, credentialing, and practice administration
50 states
of PMHNP resource coverage
How It Works
We Follow The Problem Across The Practice
Billing problems often start upstream: at intake, in credentialing, in payer setup, in the EHR or in a handoff between two people. First we learn how your team does the work today and find the step that's failing. You get the scope and price in writing before anything changes. Then we make the fixes we agreed on in your own systems, test them with your staff and leave written instructions for what comes next.
- 1
Find The Cause
We go through the records, the systems and the staff steps tied to the problem.
- 2
Complete The Agreed Work
We make the fixes you approved, whether that's a correction, a submission, a setting or a workflow change.
- 3
Test And Document The Change
We check that it worked, write down what changed and show your team what happens next.
Compare Us On Three Things
Why Practices Pick Us
Plenty of companies list the same services. These three things are how we're different, and you can check each one before you buy.
We Build And Run
One Team Works The Denial And Builds The Tracker
You don't need a billing company and a separate software company that have never spoken. The person who works your denials, enrollments and contract problems is the same person who builds the tracker, the report or the scheduler that fixes the cause.
See What We BuildPublished Prices
See The Price Before You Talk To Anyone
Every defined project has its price on this site, and credentialing is priced by the providers and payers involved. You can see the number before you tell us your name. Most of the field still quotes on request.
See Every Published PriceYour Systems, Your Tax ID
The Work Lands In Accounts You Own
We set up enrollments, EHR configuration, trackers and reports inside accounts your practice owns, under your own Tax ID. Nothing gets built where you can't reach it, and nothing's stranded with us if we part ways.
Meet The People Doing The WorkPractice Systems
Built Around The Systems Your Practice Already Uses
Your team works in more than an EHR. We follow the work through the systems you already use, fix what we agreed to fix and leave your staff written instructions.
EHR And Medical Billing Workflows
We fix billing setup, scheduling, note templates and the staff steps behind them, then find out why claims are rejecting, all inside the EHR you already use.
Insurance Enrollment And Provider Directories
We enroll providers, fix wrong directory listings and set up EFT and ERA so payments and remittances land where they should.
Staff Documents, Forms, And Reporting
We organize shared files, lock approved templates so staff can't overwrite them, and build the trackers and reports owners actually read.
Custom Software, Trackers, And Automation
When nothing off the shelf fits, we build it: a Spravato scheduler, authorization and intake trackers, staff notifications, and owner reports, running alongside the EHR and the secure AdvanceAPractice Command Suite.
Founder Experience
Experience Behind The Work
For more than 16 years, Ryan has worked in hospital professional billing, outpatient revenue cycle, healthcare finance across multiple locations, and behavioral health operations across multiple states.
We work directly with owners, medical directors, clinicians, practice administrators and billing and credentialing teams. Staff know who handles each task, the same problems stop coming back, and owners get plain updates on where things stand.
Practice Projects
What This Work Looks Like In Practice
A few of our billing, provider growth, payer and operations projects, from solo practices to larger outpatient organizations. We don't name a client unless they've approved it.
Practice Growth Consulting
From Solo Practice To A Growing PMHNP Group
A solo PMHNP owner set out to add his first provider. Two of his own payer contracts turned out to be broken first, one of them denying every claim as out of network. The practice ended as a two provider group with a third onboarding, running on an agreement, a compensation method the owner could calculate, and monthly reporting.
Read The Growth StoryPayer Contracts And Rates
Renegotiating Contracted Rates That Were Years Out Of Date
A payer’s fee schedule still reflected the state the owner had practiced in years earlier, paying well under what the same plan paid others in that market. It took four attempts across three months, one bounced address, and a pass back and forth between provider relations and provider recruitment. The payer approved higher contracted rates on seven service codes at once, as a contract addendum effective the first of the following month.
See How Rates Get FixedPayer And Billing Transition Support
Transferring A Solo Practitioner Into Their Own Corporation
A solo clinician who had run their own billing for ten years moved off the old business and into a new professional corporation. Four insurers wanted the same change five different ways, across two portals, two emails, and a fax. The owner was added as an administrator on their own accounts rather than replaced, and nobody ever asked for a password.
See The Payer TransitionEntity Transitions
Four Record Conflicts Found Before A Single Application Went Out
Two clinicians were moving into a new corporation. Before any payer saw a form, four of the practice’s own records disagreed with each other: the W-9 named the individual while the EIN belonged to the corporation, the organization NPI was missing the corporate suffix, the state business registry held a typo, and the DataSpring profile had the corporation under an archived location. The applications were deliberately held until all four matched, because four payers rejecting the same application four different ways is four separate sixty to one hundred and twenty day clocks.
Review Transition WorkPractice Operations And Workflows
Rebuilding A Practice’s Digital Systems, Workflows, And Automation
A growing outpatient organization ran on shared files any staff member could overwrite. Ninety-seven master documents were reconciled to a control register, permissions were rebuilt by role so maintainers can update a master and see its history but cannot delete it or its versions, and seventy-one broken shortcut paths were repaired. Forms, notifications, reporting, and scheduling now run inside the Microsoft 365 the practice already pays for.
See The Systems WorkFull Practice Management
Taking Over The Entire Revenue Cycle For A Therapy Group
A multi clinician therapy group moved its whole billing operation across at once: primary and secondary claims, denial work and appeals, timely filing corrections, payment posting, and patient invoicing and collections. Provider transfers and credentialing ran alongside it across Medicaid and five commercial plans, inside the practice management and clearinghouse tools the group already used.
Explore Revenue Cycle Work
Provider Recognition
A contracted rate review uncovered a payer discrepancy. Ryan’s correction increased reimbursement by 30% across four months of team claims and resulted in backpay.
A redacted note from a PMHNP who received backpay, recognizing Ryan’s reimbursement work. Read About Ryan’s ExperiencePortland Top 10, 2025 And 2026
Named A Top 10 Portland Medical Billing Company Two Years Running
Two independent publishers placed AdvanceAPractice at No. 7: MediBillMD in 2025 and Nexus io in 2026.
Service Areas
Explore The Full Service Areas
Each area below is one part of the same business: how the practice gets paid, who's enrolled with which payer, how a new provider starts, how work moves through your systems and what the owner can see. Start with the one causing the most trouble.
Medical Billing And Revenue Cycle ManagementMental health billing, psychiatric billing, claims, denials, A/R, posting, and reporting
Credentialing And Payer ContractingProvider enrollment, insurance contracts, directory updates, and electronic payment setup
Practice Growth ConsultingProvider agreements, compensation planning, payer contracts, billing setup, and reporting
Practice OperationsIntake, scheduling, staff responsibilities, and reliable follow up
EHR And Workflow ImprovementConfiguration, duplicate work, staff steps, reporting, and system handoffs
Custom Software And AutomationForms, scheduling, reporting, document controls, and connected practice workflows
Spravato Program OperationsAuthorization tracking, scheduling capacity, staff responsibilities, billing preparation, and reporting
First Practice LaunchPayer, EHR, scheduling, medical billing, and business setup needed to open
Command Suite
See What Needs Attention And Who Owns The Next Step
The Command Suite shows your billing and credentialing work, project updates and who's handling each request, and you can message them there. It's included in managed engagements, or you can get it on its own for $99 per month for one practice and up to ten users, month to month.
From Practice Owners
What Practice Owners Say
“They reorganized our workflows, improved how our team communicates, and brought in smart automation that saved us measurable time and money. The operational visibility alone has been a game-changer.”
April Dvorak, PMHNP-BCMedical Director, Head Well Integrative Psychiatry & Wellness
“AdvanceAPractice has provided a great benefit to my growing practice. They clearly explained the confusing insurance billing process and helped me create a plan to expand my business.”
John Benson, PMHNP-BCOwner, BBH Psychiatric Services
“Ryan’s unique ability to have executive and business-like vision as well as possess the details of daily operations has been and continues to be crucial in delivering, serving, and supporting our patients, employees, and contractors.”
Tim Perez, PMHNP-BCCo-founder, ValueCore Mental Health
Ready To Start?
Choose A Package Or Ask A Question
If a published package fits, buy it. For ongoing billing, provider growth or work that spans several systems, ask for a written scope.