IndexSolutions

Nine services. One back office.

Every practice needs the same nine things done, and almost none of them are clinical. We organise the work into four desks so you can start with the one that is currently costing you the most sleep — and add the others when it makes sense.

Start with the symptom

01Revenue & finance

Get paid for the work you have already done, and know where every dollar sits.

3 services

Billing · Coding · A/R recovery

Revenue cycle management

Billing, coding, transcription and A/R recovery handled end to end, with a pay-for-performance fee so our revenue depends on yours.

Practice accounting desk

Bookkeeping

Full-service account management and bookkeeping built for medical practices, so revenue and expenses reconcile into a budget you can actually act on.

Tax · Audit · Corporate filings

CPA services

Statements, audits, tax preparation, benchmarking and transition consulting for practices facing contracts, Medicare rules and a squeeze on margins.

02People & placement

Hire the right clinicians and staff, and keep the team you already have.

2 services

Permanent · Temporary · Temp-to-perm

Staffing & recruitment

Permanent, temporary and temp-to-perm placement for physicians and clinical staff, with screening, salary negotiation and a placement guarantee.

Culture · Structure · Retention

Team building

Team assessment, role clarity and leadership coaching so the practice can grow without the culture breaking at the seams.

Why these sit together

Staffing fills the seat. Team building is what keeps it filled. Most practices need both — the diagnostic tells us which one comes first.

Signs this desk is the one

A clinical role has been open for more than 90 days
The same interview feedback keeps recurring
Good people are leaving without anyone asking why

Talk it through

03Growth & reputation

Fill the schedule and keep the patients who walk through the door.

2 services

Brand · Search · Referral strategy

Marketing

Branding, websites, SEO, paid search, social and referral strategy for practices that need to be found by the right patients.

Communication · Feedback · Access

Patient relations

Communication systems, feedback loops and patient access improvements that raise satisfaction and reduce the quiet attrition nobody notices.

Why these sit together

Marketing gets patients in the door. Patient relations is why they come back. Measuring one without the other is how a practice buys ads forever.

Signs this desk is the one

New patient volume is flat while ad spend rises
Recall reminders go out and nothing happens
Reviews mention the wait, not the care

Talk it through

04Strategy & insight

Plan the next three years, and measure the next thirty days.

2 services

Positioning · Growth · Succession

Strategic planning

A five-step strategic planning process — interviews, internal and external analysis, a retreat and a written action plan — built to sit alongside your financial and operational plans.

KPI · Reporting · Benchmarks

Performance analytics

Medical KPI design, data collection and monthly reporting across clinical, patient satisfaction, access and financial performance.

Why these sit together

Strategy sets the three-year direction. Measurement tells you whether the last thirty days actually moved toward it.

Signs this desk is the one

There is no written plan beyond this financial year
Partners disagree about direction and it stays unresolved
Reports arrive, but nobody makes a decision from them

Talk it through

→Or take all nine

One team, one monthly report, one invoice.

Most practices start with one desk and add another when the first one is running. Some hand over the whole back office and replace six vendors with one. Both are fine, and both are scoped in writing.

Start a conversation How we work

9 services · 4 desks · Every enquiry is answered by a person within one business day.

→Next step

Bring us the part of the practice you dread.

A 30-minute operations review, no cost and no obligation. We will tell you where the leakage is and which of it you can fix without us.

Start a conversation