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Credentialing, startup, RCM. 15 years of physician practice operations distilled into an AI advisor that knows your state, your specialty, your stage.
— or pick a starting point —
Three pillars. Same firm.
Most clients come for one and stay for two. The pillars compound — your credentialing data informs your launch, your RCM informs your credentialing, your launch decisions shape your RCM.
Credentialing for the practice you already run.
Payer enrollment, CAQH maintenance, hospital privileges, and license renewals for established practices and growing groups. We've kept thousands of providers credentialed across every commercial payer in the country.
From employed to opening day in 90–120 days.
Full launch for physicians leaving employment. Entity formation, non-compete strategy, state licensing, parallel payer enrollment, day-one operations. The income gap closes the day you see your first patient.
Revenue cycle that pays for itself.
Billing, claims, denials, AR cleanup. A clean-claim rate that compounds over time, not a vendor that processes invoices. For established groups looking to lift collections without growing AR days.
Why the next decade of medicine belongs to independent physicians.
After fifteen years helping doctors leave employment — and helping hundreds more keep their existing practices credentialed across every payer that matters — a few patterns have stopped surprising us.
The cardiologist who calls us in October is almost always carrying the same three documents. A non-compete with a 25-mile radius. A board certification that just renewed. And a printed-out spreadsheet of the year's RVU production.
She didn't print the spreadsheet to argue with her hospital. She printed it because she finally believes the numbers, and the numbers say the hospital is keeping a margin she could be keeping herself. Every conversation that happens in our office at this stage is some version of the same calculation — and almost every one ends the same way.
The decision to go independent isn't really about the money. It's about whose decisions you live inside of. The schedule. The EHR. The referral patterns. The specialty mix of who sits next to you in the call room. The slow erosion of authority over things that used to be obvious.
The silence is what we're for. And it's also where we're for the ones who never left — the established cardiology group adding two more providers, the family medicine practice that needs to keep CAQH attested before the next renewal cycle, the dermatology MSO that needs RCM that actually collects on the back of denied claims. The work is the same shape: somebody has to do the operational substance, and somebody has to do it well.
We work in every state.
State-by-state guides for licensing, payer mix, regulatory edges, and our typical credentialing + launch timelines.
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