AboutWho you are talking to
A back office, not a consultancy.
You spent over a decade training to be a doctor. You did not expect managed care issues, staff problems, rising costs, decreasing reimbursements, or the compliance paperwork that arrives every quarter. That is not how this was supposed to work.
It does not have to. With our help you become free to concentrate on your life’s work — and on your life outside of work as well.
- Operating since
- 2011
- Based
- United States
- Clients
- Physician-owned practices
- Model
- Fractional back office
- Reporting
- Monthly, with variance notes
01The premise
You are running a business. Nobody trained you to run one.
You remain in complete control of your practice and your profits — not medical practice management consultants — while freeing yourself from the day-to-day minutiae of administrative and operational work, including OSHA and HIPAA compliance.
But of course the question is one of cost and benefit. This is not free. It makes you free. And when you look at the bottom line at the end of the year, the argument is settled: it should be considerably bigger than it was when you were managing it by yourself.
That is the whole proposition. We are not here to change how you practise medicine. We are here to make the business around it run properly, and to show you the numbers that prove it is or is not happening.
The practice keeps control
You remain in complete control of the practice and the profits. We are not practice management consultants who arrive with a deck and leave with a retainer — we do the work, and you keep the authority.
Measure before promising
We look at the actual numbers before proposing anything: A/R aging, charge lag, denial reasons, the ledger, the schedule. If the numbers do not support the work, we say so.
Scopes in writing
Every engagement starts with a document that names what we run, what stays with your team, what it costs and how performance is measured. No verbal arrangements that get remembered differently in month four.
The data belongs to the practice
Claims, notes, ledgers and reports are yours. A transition includes a complete export at no cost, because a vendor who holds your data is not a vendor you can leave.
02Boundaries
What we are not.
Being clear about the boundary is more useful than another paragraph about our values. If what you need sits outside these four lines, we will say so rather than stretch to fit.
Not a consultancy
We do not sell a strategy deck and disappear. The work continues every month, and the reporting shows whether it worked.
Not a billing aggregator
We do not resell a clearinghouse and call it a service. Our team works the denials, the aging and the appeals.
Not a staffing marketplace
We do not post your role and forward résumés. We screen, reference-check and negotiate, and we are paid only on placement.
Not a software vendor
We do not require you to migrate platforms. Our job is to make the systems you already own produce the numbers they should.
03The desks
Four people you will actually know by name.
Small teams, named contacts, no account-management layer between you and the person doing the work.
Named role
Practice manager
Your named point of contact for the whole engagement. Runs the monthly close, the reporting and the escalation path.
Named role
Revenue cycle lead
Owns charge lag, denials and A/R work-down, and reviews coding questions before they become denials.
Named role
Accounting lead
Reconciles the ledger to the remittances, coordinates payroll, and prepares the year-end pack for your tax preparer.
Named role
Advisory lead
Handles planning, staffing and the quarterly review, and brings in specialist support when a question sits outside the desk.
Named individuals are introduced during onboarding and listed in your engagement letter. We do not assign work to a pool.
→Next step
Want the short version of all of this?
A 30-minute call, the real numbers, and a written scope if it is a fit. No deck, no discovery sequence.