You know how to practice. Nobody taught you the order of operations.
Opening a practice is about forty decisions that have to happen in roughly the right sequence, and most of them are irreversible-ish and unfamiliar. The expensive part is not any single decision. It is doing them out of order — signing a lease before you know your credentialing timeline, or picking an EHR before you know your payer mix.
We have done this sequence before. That is most of what you are buying.
What we handle
- Entity and structure
- formation, EIN, NPI, bank accounts, insurance. Done in the order that does not create rework.
- Credentialing
- the longest pole, started first. 90 to 150 days per payer, which is why it cannot wait until the space is ready.
- EHR and systems
- selection against your specialty and billing model, not against whoever has the best demo.
- Space
- advice on where to locate and what to look for in a lease, before you sign. Or one of ours, if that fits better at this stage.
- Staffing
- who you need on day one versus month six, what to pay them, and how to hire them.
- Compliance
- HIPAA, OSHA, policies, the documentation you need before you see a patient.
- Billing readiness
- so the first claim goes out clean and the first payment arrives when it should.
What the first two years look like.
Credentialing drives everything. It starts in week one and finishes when it finishes, and every other decision gets sequenced around it.
- Months 0–6 — Open the doors Start seeing patients. Credentialing completed where the practice needs it. A web presence built. The practice’s operating procedures written down and in use.
- Months 6–12 — Check the growth Growth measured against the founder’s plan. Patient flow through the clinic analysed, and a decision on whether the practice needs another provider.
- Months 12–24 — Widen the reach Whether the practice can broaden its services to reach more patients. Whether to hire more providers, and the start of planning for another location.
Fixed fee, defined end date.
The fee is quoted for your launch once we know the scope. Ask us for a launch quote →
The fixed fee covers the opening phase, from engagement through to your first paid claim. The later phases on the timeline are optional and quoted on their own.
Not hourly — you are already financially stretched and an hourly meter makes every question expensive, which is the opposite of useful right now.
What happens after. Once collections start, the engagement steps into an ongoing operating arrangement. We say this up front rather than raising it later, because you should be able to plan for it.
Which pillars you continue with is your choice, and each is quoted on its own. Ask us what that would look like for you →
Some clinicians should not do this.
Going independent is a good decision for many and a bad one for some, and the difference is usually capital runway and appetite for administrative load rather than clinical ability.
We will tell you on the first call if we think the timing is wrong. That is a cheaper conversation now than in month eight.
