About AdvanceAPractice
We Run The Business Side Of Your Practice
AdvanceAPractice handles the business side of running an outpatient or behavioral health practice. That means billing and collections, credentialing and payer contracts, bringing new providers on, keeping daily operations moving, and building the software that ties those together. Most of our clients are established groups and multi provider practices. Solo owners come to us when they are ready to open or add a provider. We are based in Portland, Oregon, and work with practices nationwide, inside the systems each practice already owns.
Local Roots, National Practice Work
Built By Someone Who Has Done The Work Inside A Practice
Most practice owners I meet are not short on effort. They are short on time and on help they can trust. They see patients all day, then follow up on credentialing at night, watch collections slide, answer staff questions, and try to compare proposals that never say what the work will actually cost.
I have spent my career working beside owners, clinicians, and administrative teams while patients were still being seen and the practice still had to run. That is why we give practical answers, name who owns each task, and fit the work to the systems and people you already have.
Before we change anything, we learn how your team does the work today. Sometimes that is an afternoon with your biller going through unpaid claims. Sometimes it is planning a new provider’s first month with the owner, or watching the front desk work through a full schedule.
Your work is done by our team here in the United States, and you can ask the people doing it about the decisions, the progress, and the next step.
Experience Behind The Work
Why The Founder’s Background Matters To Your Practice
The problems a practice brings us rarely sit in one department. A denial traces back to an enrollment. A provider’s slow first quarter traces back to a contract that loaded wrong or a compensation plan nobody wrote down. Ryan has worked every one of those desks himself, from posting individual claims to running finance and operations for multi site groups, which is why we can follow a problem across the whole practice instead of stopping where one department ends.
Professional Billing And Collections
Ryan learned how a practice actually gets paid one line item at a time, working individual claims and collections at OHSU. That is still how we read an A/R report: claim by claim, not as a total.
Outpatient Practices Nationwide
The same revenue cycle failures repeat in different EHRs and different states. Ryan saw that pattern across outpatient rehabilitation and specialty practices around the country at Clinicient, which is why we look for the cause in the process before we blame the software.
Physiatry Revenue Cycle
At Rehabilitation Medicine Associates, a multi provider physiatry group, Ryan ran revenue cycle work across outpatient and hospital professional billing and recovered receivables the practice had already written off. Written off does not mean unpayable, and we still work aged accounts that way.
Multi Site Dental Finance
As Finance Manager at Timber Dental while the group grew from two to six clinics, Ryan built the location models and clinic level reporting the owners used to decide where to grow, and cut patient A/R by a documented $95,000 in his first year.
Multi State Behavioral Health
At ValueCore Mental Health, Ryan worked with ownership to bring independent practices together under one group, helped grow annual revenue from $2 million to $6 million, and led a clinical and administrative team of more than 30 people. That is the multi provider, multi state work most of our clients are living now.
AdvanceAPractice
Today that experience goes to practice owners, medical directors, and administrators as medical billing, credentialing and payer contracting, provider growth consulting, operations work, and the custom software and automation that ties them together. Every price for defined work is published.
People First
Experienced People Lead The Work. We Also Build The Tools.
We bill and we build, and the same people do both. The person who works your denials is the one who builds the tracker that stops them, and your practice keeps both. In the secure AdvanceAPractice Command Suite, you follow project updates, see completed work, and message the people handling your requests. When your practice needs something nothing off the shelf does, a Spravato scheduler, an authorization tracker, staff notifications, or an owner report, we build it to run alongside your EHR, in accounts you own.
See How We WorkWhat We Do
Billing, Credentialing, And Operations Work Together
A credentialing delay becomes a billing problem. A billing problem is often an intake or contracting problem further up the line. That is why we take on the whole business side rather than one department of it, and why the same team handles the payer call, the EHR fix, and the report the owner reads on Monday. The work happens in your EHR, your insurance portals, and your files, under your own Tax ID, and the scope and price are in writing before we start.
Revenue Cycle
Claims, denial follow up, payment posting, underpaid contracts, and recovery of aged accounts.Credentialing
Provider profiles, insurance enrollment, payer contracts, directory updates, and billing readiness.Practice Operations
Intake, scheduling, staff responsibilities, provider onboarding, and the reports owners read.Software And Automation
Schedulers, forms, trackers, reporting tools, and staff notifications built to your process.Who We Work Beside
Work Directly With People Who Understand The Practice
- Practice owners and medical directors making operating and financial decisions.
- Physicians and PMHNPs balancing clinical care with the realities of running a practice.
- Practice administrators coordinating staff, payers, systems, and deadlines.
- Billing and credentialing teams that need clear ownership, escalation, or added capacity.
- Clinical and operational leaders adding providers, locations, or new services.
You trained to care for patients, not to chase a payer about a contract that loaded wrong. The business side still has to run well. Our job is to make sure it does, and to keep you clear on what has changed and what comes next.
What Careful Follow-Up Can Uncover
The Contracted Rate Was Wrong. The Review Caught It.
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 PMHNP who received backpay wrote the recognition note shown here. This example comes from Ryan’s professional experience.
