01
Open A Practice
Get the payer, medical billing, EHR, scheduling, and launch work in place before the first claim goes out.
$6,000 total
See Practice Launch HelpMedical Billing, Credentialing, Practice Operations, And Growth Consulting
Get Paid. Add Providers. Grow With Confidence.
AdvanceAPractice runs the business side of outpatient and behavioral health practices: medical billing, credentialing, payer contracts, provider onboarding, daily operations, and the software that connects them. Most of our work is for established groups and multi provider practices. Solo owners get the same help when they are ready to open or add a provider.
We work inside the systems you already own, under your own Tax ID, with a written scope and price before anything starts. Most firms either bill or build. We do both, so the person working your denials is the same one who builds the tracker that stops them from coming back.
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?
Choose the work your practice needs. Defined projects have a published price. Credentialing is priced by the providers, insurers, and enrollment work involved.
02
Add Providers And Grow
Get help with provider agreements, compensation planning, payer contracts, credentialing, billing setup, and owner reporting.
Choose credentialing only or ask about broader growth support.
See Practice Growth Help03
Fix Billing And A/R
Investigate unpaid claims, correct billing errors, follow up with insurers, and give owners a clear account of the work and payments.
Projects from $6,500
See Medical Billing Services04
Improve Operations And Workflows
Repair staff handoffs, EHR steps, forms, reporting, scheduling, or other work that has become difficult to manage.
Projects from $4,500
See Operations HelpAll Packages And Services
Compare Packages And Services
Open the complete list to compare fixed projects, credentialing paths, ongoing medical billing, and the Command Suite.
Show All 9 Offers And Prices
$6,000First Practice LaunchPrepare the payer, medical billing, EHR, scheduling, and business setup needed to open.
ItemizedCredentialing And Payer EnrollmentChoose your providers, insurers, and enrollment needs to see the 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 SprintFind and correct the billing problems behind recurring denials and unpaid claims.
$4,500Practice Operations Improvement SprintImprove intake, scheduling, staff responsibilities, and follow up.
$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 SprintImprove authorization, scheduling, handoffs, and tracking.
$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
A billing problem may begin in intake, credentialing, payer setup, the EHR, or a staff handoff. We start by learning how your team does the work today, find the step that is failing, and put the scope and price in writing before anything changes. Then we make the agreed corrections in your own systems, test them with your staff, and leave written instructions for what happens next.
- 1
Find The Cause
Review the records, systems, and staff steps connected to the problem.
- 2
Complete The Agreed Work
Make the approved corrections, submissions, configuration, or workflow changes.
- 3
Test And Document The Change
Confirm the result, record what changed, and show the 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 are different, and each one is something you can check before you buy.
We Build And Run
One Team Works The Denial And Builds The Tracker
You do not need a billing company and a separate software vendor who have never met. The person who works your denials, enrollments, and contract problems is the same person who puts together 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
Enrollments, EHR configuration, trackers, and reports are all set up inside accounts your practice owns, under the practice’s own Tax ID. Nothing is built where you cannot reach it, and nothing is 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 across more than an EHR. We follow the process through the systems you already use, fix the agreed problems, and leave staff with clear instructions.
EHR And Medical Billing Workflows
Fix billing setup, scheduling, note templates, and the staff steps behind them, then find out why claims are rejecting. We work in Valant, Tebra and Kareo, SimplePractice, TherapyNotes, AdvancedMD, ICANotes, athenahealth, and Epic, to name a few.
Insurance Enrollment And Provider Directories
Get providers enrolled, correct wrong directory listings, and set up electronic payments and remittance. That work runs through Availity, the DataSpring Provider Data Portal (formerly CAQH), Medicare enrollment in PECOS, and plan portals for Regence, Moda, Providence, PacificSource, Aetna, and Cigna, among others.
Staff Documents, Forms, And Reporting
Organize shared files, lock the approved templates so staff cannot overwrite them, and build the trackers and reports owners actually read. We build in SharePoint, Teams, Outlook, Forms, Lists, and Excel, and in Google Drive, Docs, Sheets, Forms, Gmail, and Calendar, along with whatever else your practice already runs on.
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. Built with Power Automate, Google Apps Script, WordPress, and custom applications that run alongside the EHR and the secure AdvanceAPractice Command Suite. If your practice runs on something else, we build to it.
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.
AdvanceAPractice works directly with owners, medical directors, clinicians, practice administrators, and billing and credentialing teams. We help staff know who handles each task, resolve recurring problems, and give owners clear updates.
Practice Projects
What This Work Looks Like In Practice
A sample of billing, provider growth, payer, and operations projects across solo practices, growing groups, and larger outpatient organizations. Names stay private unless a client has approved being identified.
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
A Rate Review That Reset Seven Services
One payer’s fee table still reflected the state the owner had practiced in years earlier, well below what others paid in the same market. Four attempts across three months, one bounced address, and a handoff between provider relations and recruitment later, the payer approved higher rates on seven services at once as a contract addendum.
See How Rates Get FixedPayer And Billing Transition Support
Moving Billing To A New Tax ID
A therapist who had handled her own billing for ten years changed the business that bills. Four insurers wanted the same change five different ways, across two portals, two emails, and a fax. She was added as an administrator on her own accounts rather than replaced, and nobody asked for her password.
See The Payer TransitionEntity Transitions
Two Clinicians Into A New Corporation
An entity change means every insurer has to reconnect the clinician, the organization, the Tax ID, the contract, the directory listing, and the bank account that receives payment. Order matters more than speed. Nothing gets archived until the new business is confirmed effective somewhere, because an owner with no active record anywhere cannot bill at all.
Review Transition WorkPractice Operations And Workflows
Protected Documents And Connected Staff Workflows
A larger outpatient organization had approved policies any staff member could overwrite and work spread across email threads. Access got organized by role, approved templates were locked, and forms, notifications, reporting, and scheduling were connected inside the Microsoft 365 the practice already paid for.
See The Systems WorkFull Practice Management
Running The Whole Billing Operation For A Therapy Group
A multi clinician therapy group handed over the entire revenue cycle at once: claims and secondary claims, denials, payment posting, patient invoicing and collections, plus credentialing and provider transfers across Medicaid and commercial plans, all run inside the systems the practice 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 is enrolled with which payer, how a new provider starts, how staff work moves through the 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
Use the Command Suite to check billing and credentialing work, follow project updates, and message the people handling your requests. It is included in managed engagements and available 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
Choose a published package when the fit is clear. For ongoing medical billing, provider growth, or broader work across several systems, ask for a written scope.