Full Partnership · You Still Own It
Done-For-You Practice Operations, Built and Run Around You
When you want the whole business side handled — not a package here and there — we become your outsourced operations team. Billing and revenue cycle, credentialing, payer and tech setup, automations, custom forms, and reporting, all run in systems you own, under your own tax ID. No black box, no lock-in. You always keep the keys.
What We Actually Run
Your Whole Operation, Handled
You focus on care and growth. We run the machine behind it — the same work our fixed-scope packages do, now managed for you on an ongoing basis, end to end.
Billing & Revenue Cycle
Charge entry, coding review, claim submission, rejections and denials, payment posting, A/R follow-up, patient responsibility, and clear monthly reporting on what you collected and why.
Credentialing & Payers
New enrollments, re-credentialing, CAQH upkeep, entity/TIN changes, and payer follow-up — kept current so your providers stay billable and nothing lapses.
Systems, Automations & Forms
Payer portals, EFT/ERA/EDI, your EHR and clearinghouse, plus the custom automations and electronic forms that cut the busywork out of your week.
How the Partnership Works
Review, Build, Run
This is our full done-for-you path. Prefer to start smaller? Any one of these can be a fixed-scope package instead — the review-first path is an option, not a requirement.
- Review. We map your whole operation — payers, billing, credentialing status, systems, and where money and time leak — and hand you a plain-English picture of what to fix first.
- Build. We stand up what’s missing: credentialing, payer portals, electronic payments, EHR and clearinghouse connections, automations, and forms — all in your own accounts.
- Run. We operate it with you as your outsourced ops team — billing, follow-up, credentialing upkeep, and reporting — while you keep full ownership and visibility. Cancel on notice; it’s always yours.
Pricing, Published on Purpose
Clear Setup, Clear Monthly, No Lock-In
Onboarding & Build
Scoped fixed quote up front
A one-time setup based on what you need stood up — credentialing, portals, systems, automations. Quoted before we start, and you can split it with no interest.
Ongoing Operations
6–8% of collections
Full revenue-cycle and operations management, priced as a published percentage of what we actually collect for you — or a flat monthly for lower-volume practices. Your rate is fixed in writing.
A Partnership, Not a Trap
A 90-day initial period so we can prove it out, then month-to-month with 60 days’ notice. Everything runs in accounts you own, so if you ever leave, you walk out with all of it.
Published Rate
6–8% fixed in writing
Not an undisclosed cut that changes by payer or code.
No Lock-In
Month to month
After a 90-day start. You own every account.
Exact scope, setup price, and percentage are confirmed in a signed Order Form before any work begins.
Who It’s For
Best Fit
Group practices and growing solo practices that want the whole operational side owned by one accountable team — without hiring and managing a billing department, a credentialing coordinator, and an ops person separately.
Where the Line Is
What We Don’t Do
- Clinical care, documentation, or medical decisions
- Legal entity formation and tax strategy (we coordinate with your CPA/attorney)
- Guaranteeing payer approvals or specific reimbursement rates
- Locking you in — it’s month-to-month and you own the accounts
Works With Your Stack
We Build Around the Systems You Already Use
We work with any system or tech stack, build everything custom around the tools you already run, and you own it when it’s done.
Start With a Review
Tell us about your practice and what’s eating your time. Ryan reviews it and replies by email with a recommended path and scope — usually within one business day. No obligation, and no pressure to take the full partnership if a single package is all you need. Prefer to talk? Book a Practice Fit Call.
Still Have a Question?
Most answers are on this page. If something’s specific to your practice, ask our AI concierge — it answers instantly, any time.
Common Questions
Done-For-You FAQ
Do I have to start with a full review?
No. The review-first path is our full done-for-you option, but you can also start with a single fixed-scope package — an entity move, credentialing, payer setup — and expand into the partnership later if it makes sense. Your call.
How is this different from a big billing company like Headway?
We build and run everything inside your practice — your tax ID, your EHR, your accounts — so you own it and can walk away with all of it. You’re not operating inside someone else’s platform. See the full comparison.
What does it cost?
A scoped one-time onboarding build, then ongoing operations at a published 6–8% of collections (or a flat monthly for lower volume). Your rate is fixed in writing, with a 90-day start and month-to-month after that.
Am I locked in?
No. After the initial 90 days it’s month-to-month with 60 days’ notice, and because everything lives in accounts you own, leaving means you keep all of it — no data hostage situation.
Advance a Practice
Hand Off the Operation — Keep the Ownership
Nationwide, Portland-rooted. We run the business side of your practice as your outsourced team, in systems you own, with no lock-in.
Start With a Review