How We Work
One Operator Across Medical Billing, Credentialing, Contracts And Operations
One team runs your medical billing, credentialing, contracts and operations, so whoever works your denials also fixes the enrollment or contract behind them. Psychiatry, PMHNP, therapy, physiatry, outpatient rehab or dental, we’ve worked in each. The payer rules and staff workflows differ by specialty, so we confirm your practice’s needs before setting the scope.
Why That Matters
Where Practices Lose Money Without Knowing It
A denial that’s really a credentialing problem. A slow provider start that’s really a records problem. A rate that’s been wrong for years because nobody who touches your claims is allowed to open the contract. None of these get solved by a company that only owns half the problem.
- Credentialing gets you approved. Contracting decides what you get paid. A service that only files applications can leave you in network and underpaid for years, because the rate gets set during contracting and they’re never in that conversation.
- Billing companies split your practice across teams. A posting team, a denials team, an A/R team, and an account manager who relays between them. Here the person who writes your denial report is the person who worked it.
- On a managed network, the platform holds the contract and you hold the caseload. When a plan cuts the rate, the platform keeps its margin. The cut lands on you. With contracts under your own Tax ID, it’s your conversation to have.
- An in-house hire covers one of these jobs. A biller, a credentialing coordinator and someone who can build the system are three different people, and when one of them takes a week off, that part of your practice doesn’t get done.
We also build the software when what you need doesn’t exist, like an authorization tracker that flags an expiring authorization before the next visit, a notice to staff when an intake form comes in, or an owner’s report you’ll read.
We build it in your Microsoft 365 or Google Workspace and hand it over documented, so it keeps running whether or not you keep working with us.
The Delivery Sequence
How The Work Gets Done
Fixed package or written scope, the work runs in the same order. You’ll know who’s doing each step and what you’ll have at the end of it.
- Understand the current process. We sit with the people who do the work and follow it through your EHR, insurance portals, spreadsheets, and inboxes as it runs today.
- Find the cause. A denial or a slow provider start usually begins somewhere else. We trace it to the step that’s failing.
- Define the work and the price. You get the scope, the limits, the price, and the start date in writing. Nothing starts until you approve it.
- Make the agreed changes. Corrected claims, enrollment applications, EHR settings, a tracker or a custom build. Whatever the job is, we do it inside your own accounts.
- Test it. Your staff run real examples through the corrected process, and we fix whatever doesn’t hold.
- Train the people who’ll run it. Whoever owns each step learns from us how to run it and what to do when something goes wrong, like a claim that comes back rejected.
- Document what happens next. You get written instructions, the status of anything still open, and the name of the person who owns it.
The person leading your work coordinates the meetings included in your package, and you can follow updates and ask questions in the secure AdvanceAPractice Command Suite.
After Payment, We Review Your Order
- After payment is confirmed, we check your purchase and practice details so your Order Form reflects the work you selected. Bank payments may take several business days to confirm.
- For packages, right after payment is confirmed, we invite you to the AdvanceAPractice Command Suite, where you’ll review and sign your Order Form, service agreement and BAA. For Ongoing Billing, that invitation comes within two business days. Your onboarding packet, one online form with your document uploads, follows right after you sign.
- Work starts within three business days after your onboarding information, documents and access are complete. In the Command Suite you see each payer’s status: what’s in progress, what’s waiting on the payer and what we need from you.
- People make the calls that need judgment: your scope, payer strategy, the applications, countersigning and denials. Payers still set their own timelines, usually 60 to 120 days for each commercial payer.
Questions And Meetings
Questions are part of working with us, during setup and for as long as you’re a client. Send them in the Command Suite or by email, and we reply within one business day, usually the same day. If a question turns into new work, like a new build or a change to something we built, we send a written quote before we start.
Work runs in the Command Suite, plus meetings on request, up to two a month. A standing weekly meeting is part of the work only when your Order Form lists one.
Credentialing needs no kickoff meeting unless you ask for one, and anything new that comes up in a meeting goes on your list and gets sized in writing.
Approval isn’t the finish line. A payer effective date doesn’t make you billing ready. We still verify loading, IDs, the directory listing, insurance portal access, EDI, EFT and ERA, the clearinghouse and eligibility checks. For an approved payer, we confirm the effective date, payer IDs, portal access and EFT and ERA in writing before we close it. A written denial or a closed panel completes that payer.
The Two Paths
Choose The Type Of Help You Need
Credentialing packages, Ongoing Billing and the Command Suite have published prices you can start online. An Operations Partnership, a build bigger than one workflow, or work across several systems starts with a short call and a written scope.
Buying A Package
- Choose the package that matches your situation.
- Pay through secure checkout.
- Complete onboarding and upload the required documents.
- We begin work within three business days after we receive your completed onboarding information, documents and access.
- Track progress in the Command Suite until it’s done. Payers still decide their own timing.
Planning Custom Work
- Book a 20-minute call or ask for a written quote by email.
- Receive a written scope, price, and start date.
- Review and approve the Order Form.
- We build the agreed workflows, systems, or transition plan.
- We follow the agreed schedule and report progress.
Published Prices
Why Every Price Is On The Page
You should know the cost before you commit. You see the price, what’s included and what isn’t before you pay.
What Never Changes
You Keep Control Of Your Practice
- You approve the package or written scope before work begins.
- You keep ownership of your practice, payer relationships, accounts, data, documents, and systems. Everything we set up lives in your accounts under your Tax ID, so nothing is stranded with us if we part ways.
- We write down every decision, who owns each task and what’s next, so you can see where things stand without having to ask.
- Providers complete and attest their own DataSpring Provider Data Portal profiles (formerly CAQH). If you’d rather we update your profile for you, you can choose to share your sign-in through secure onboarding and change the password when we’re done.
- Payers decide how fast they respond, whether to approve you and let you into the network, and what your effective date is. None of that’s up to us, and we never promise it.
“They reorganized our workflows, improved how our team communicates, and brought in smart automation and AI-driven solutions that have 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.”