Opening Your First 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.
$1,000 a month for six months
Or $6,000 total.
See Practice Launch HelpGet Paid. Add Providers. Grow With Confidence.
We run behavioral health billing, credentialing, automation and practice operations for psychiatry, PMHNP and outpatient groups, inside the systems you already use and under your own Tax ID. Every package price is published, and you’ll have the scope in writing before we start.
Portland Based. Serving Practices Nationwide.
Work starts within three business days of a complete onboarding packet.
- $10M+recovered in aged and unpaid receivables
- 16+ yearsin healthcare revenue cycle, credentialing, and practice administration
- 50 statesof PMHNP resource coverage
- Top 10Portland medical billing company, named by MediBillMD in 2025 and Nexus io in 2026 (links open in a new tab)
What Does Your Practice Need?
Pick the one that sounds like you. Each has a published price, and the page behind it shows exactly what’s included.
Joining Insurance Panels As A Therapist
We handle the payer applications, your CAQH/DataSpring review, EFT and ERA, and the follow-up until each payer gives a written effective date.
$500 per payer
Five payers: $2,500, paid one payer at a time.
See Therapist CredentialingAdding A Provider Or Changing Your Tax ID
New providers get added to the contracts your clinic already holds. Moving to a new practice or Tax ID keeps your existing panels and moves them over.
From $500 per payer, per provider
Build My Credentialing PriceGetting Contracts Of Your Own
Common when you’ve been billing through Headway, Alma or another platform and want your own agreements under your own Tax ID.
$800 per payer
Five payers: $4,000.
See Direct Payer ContractingGetting Claims Paid
Behavioral health and psychiatric billing: we find out why claims aren’t getting paid, fix the errors, follow up with the insurers and show you what was worked and what got paid.
7% of collections
With a $300 monthly minimum for one provider, down to 4.5% as you grow. No setup fee.
See Medical Billing PricesFixing Work That Keeps Stalling
When a referral gets retyped, a form keeps getting overwritten or nobody knows who owns the next step, we build the system that handles it, inside the tools you already use.
$1,000 a month for five months
One workflow, or $5,000 total.
See Automation ProgramsNeed the whole business side run with your team? The Operations Partnership starts at $3,500 a month. Just want to see the work in one place? The Command Suite is $99 a month.
From Your Price To Work Started
See Your Price
Every package shows its total before checkout. If your work is bigger than a package, you get a written scope and a number first.
Sign And Pay
You sign your agreement and pay online, in full or monthly at the same total.
Send Your Onboarding Packet
Work starts within three business days of a complete packet.
See Every Step In Writing
You’ll see where each payer stands, not one average. Medical billing clients get a written report each month. It’s all in the Command Suite.
Watch with chapters and transcript
Billing problems often start upstream, in credentialing, payer setup or the EHR, so the person working your denials can fix what caused them.
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.
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 working your denials and enrollments builds the tracker or report that fixes the cause.
See What We BuildSee The Price Before You Talk To Anyone
Every package has its price on this site. You can see the number before you tell us your name.
See Every Published PriceThe Work Lands In Accounts You Own
Enrollments, EHR settings, trackers and reports sit in accounts your practice owns, under your own Tax ID. Nothing’s stranded with us if we part ways.
Meet The People Doing The WorkWhat This Work Looks Like In Practice
We don’t name a client unless they’ve approved it.
Experience Behind The Work
Ryan Berg founded AdvanceAPractice in Portland in 2023, after more than 16 years in hospital professional billing, outpatient revenue cycle and behavioral health operations across multiple states. We work directly with owners, medical directors and their teams.
From Solo Practice To A Growing PMHNP Group
A solo PMHNP owner set out to add his first provider and found two of his own payer contracts broken, one denying every claim as out of network. He ended as a two provider group with a third onboarding.
Read The Growth StoryRenegotiating Contracted Rates That Were Years Out Of Date
A payer’s fee schedule still reflected the state the owner had practiced in years earlier. After four attempts over three months, the payer approved higher contracted rates on seven service codes at once, as an addendum effective the next month.
See How Rates Get FixedTaking 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
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.
See The Full BackgroundWhat 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.”
“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.”
“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.”
Choose A Package Or Ask A Question
If a package fits, you can buy it online today. For work that spans several systems, ask us for a written scope first.