Physician-led practice startup and credentialing guidance for Nurse Practitioners, Behavioral Health Providers, and Independent Physicians who want to open with a clear, defensible path to reimbursement.
Led by a physician who has practiced medicine and understands how startup decisions affect patient care, payer enrollment, and cash flow.
They surface weeks or months later — when claims are denied, payers show you as out of network, or credentialing has to be redone because something foundational was missed.
Practice startup is not about opening quickly. It’s about sequencing decisions correctly so you can see patients and get paid without rework, delays, or surprises.
We specialize in helping:
Nurse Practitioners launching independent or collaborative practices
Behavioral Health providers (LCSW, LPC, PsyD) starting solo or group practices
Physicians transitioning out of hospital or employed roles
Small groups building their first compliant infrastructure
If you plan to accept insurance — now or in the near future — credentialing must be done strategically, not reactively.
We are a physician-led consulting firm that understands how regulatory, credentialing, and operational decisions intersect.
That means:
Correct payer sequencing
Accurate provider-to-group linkage
Clean data across CAQH, NPI, and payer systems
Disciplined follow-up with insurers
Our goal is not just opening — it’s opening with a clear path to reimbursement.
Practice readiness is about making the right decisions before applications are submitted, vendors are selected, or timelines are locked in.
Early choices around practice structure, payer participation, and regulatory sequencing directly determine how soon — and how reliably — revenue can begin.
This phase focuses on direction, structure, and decision-making — not paperwork.
Practice Model Review
Evaluation of your intended practice structure (solo, group, collaborative, supervisory) to ensure alignment with state regulations and payer expectations.
Regulatory & Scope-of-Practice Guidance
High-level review of licensure, supervision requirements, prescribing authority, and specialty limitations based on provider type and state rules.
Entity & Ownership Considerations
Guidance on entity structure (LLC, PLLC, PC) and ownership configuration from a credentialing and payer enrollment perspective (non-legal).
Payer Participation Strategy
Strategic planning around Medicare, Medicaid, and commercial payer participation — including which payers to pursue, which to delay, and how sequencing affects revenue.
Credentialing & Enrollment Roadmap
Clear sequencing of credentialing, enrollment, and contracting steps to avoid common timing errors that delay reimbursement.
Compliance Readiness Overview
High-level planning for HIPAA, OSHA, DEA (if applicable), and other foundational compliance requirements prior to launch.
Operational Readiness Planning
Guidance on staffing considerations, basic workflows, and operational dependencies that impact credentialing and billing readiness.
Vendor Selection Guidance
Advisory support around EMR selection, billing models, malpractice coverage, and ancillary services — focused on compatibility with your practice model.
By the end of Practice Readiness & Planning, providers have:
A clear startup roadmap
Defined regulatory and payer priorities
Reduced risk of credentialing delays
Confidence in next steps before execution begins
Credentialing & Enrollment Execution
We manage the preparation, submission, and tracking of credentialing and enrollment applications to ensure provider, entity, and payer data remain aligned across systems.
Payer Sequencing & Timing Oversight
We guide when applications should be submitted — and when they should wait — so payer participation aligns with your planned opening and billing readiness.
Data Consistency & Linkage Control
We monitor how your practice is represented across CAQH, NPI, PECOS, Medicaid, and commercial payer systems to prevent mismatches that lead to denials or rework.
Operational Readiness Checkpoints
We review staffing assumptions, workflows, and dependencies that directly affect credentialing, enrollment, and early billing — identifying issues before they surface operationally.
Issue Identification & Course Correction
When applications are delayed, questioned, or rejected, we address issues early and adjust course before problems cascade across payers.
Most startup delays don’t come from a single mistake — they come from small inconsistencies that compound over time.
This phase is designed to prevent:
Applications being submitted out of sequence
Provider or entity linkages that require re-submission
Payers showing practices as out-of-network unexpectedly
Credentialing timelines drifting without accountability
“We’ll fix it later” problems that delay reimbursement
By the end of the Guided Practice Launch program, practices have:
Credentialing and enrollment moving in the correct order
Clear visibility into application status and next steps
Reduced risk of early denials or payment delays
Confidence that execution matches the original startup plan
Opening a practice is not just about getting approved.
It’s about opening with a clear, defensible path to getting paid.
Our Turnkey Practice Startup engagement is designed for providers who want their practice built correctly, cohesively, and with minimal risk — without juggling multiple vendors, advisors, or timelines.
This is not a volume-based service.
It is a structured, physician-led engagement that integrates planning, credentialing, and execution under a single, coordinated framework.
The goal is simple:
open with the right structure, the right payers, and a clear path to reimbursement.
A turnkey engagement means we take responsibility for coordinating and guiding the critical startup components that determine whether a practice functions smoothly once patients are seen.
This includes:
Startup Planning & Sequencing
Finalizing practice structure, payer strategy, and startup sequencing before applications are submitted or commitments are made.
Credentialing & Enrollment Management
Managing provider and group credentialing, enrollment submissions, follow-up, and issue resolution across Medicare, Medicaid, and prioritized commercial payers.
Data Integrity & System Alignment
Ensuring consistency across CAQH, NPI, PECOS, payer systems, and supporting documentation to prevent conflicts that lead to denials or rework.
Operational & Vendor Alignment
Guidance on EMR selection, billing workflows, malpractice coverage, and supporting services — focused on compatibility with payer requirements and startup timing.
Ongoing Oversight Through Launch
Maintaining visibility into progress, timelines, and dependencies so the practice does not stall or drift during the most vulnerable phase of startup.
Turnkey Is:
Structured, disciplined, and hands-on
Focused on accuracy, sequencing, and follow-through
Designed to minimize rework, delays, and downstream cleanup
Turnkey Is Not:
A rush-to-open service
A guarantee of payer approval or timelines
Billing, marketing, or practice management
A “set it and forget it” package
Our role is to reduce risk, not create shortcuts.
Turnkey startup support is ideal for providers who:
Want a single point of accountability during startup
Understand that credentialing, compliance, and operations are inseparable
Prefer structured guidance over trial-and-error
Value opening correctly more than opening quickly
Practices that complete a Turnkey Startup engagement open with:
Credentialing and enrollment executed in the correct order
Fewer surprises during early billing
Less administrative rework after opening
Confidence that foundational decisions were made intentionally
Opening a practice is easy.
Opening one that gets paid reliably is not.
Some startup decisions are inconvenient to change. Others are expensive.
We help providers avoid:
Opening before credentialing is properly sequenced
Enrolling with payers in the wrong order (especially Medicare and Medicaid)
Misaligned provider-to-entity relationships that require re-submission
Vendor selections that conflict with payer or regulatory requirements
Assuming billing issues can be “fixed later”
Practice startup work varies based on provider type, state requirements, payer mix, and the level of support required.
Our startup engagements are intentionally scoped to reflect the complexity, sequencing, and accountability involved — not a flat checklist or one-size-fits-all package.
Typical investment for Practice Startup services ranges from:
$3,000 – $20,000
The final investment depends on:
Provider type and scope of practice
State regulatory requirements
Number of providers and locations
Payer strategy and enrollment complexity
Level of execution and ongoing oversight required
Startup work determines how — and how soon — a practice gets paid.
The cost of correcting foundational errors after opening often exceeds the cost of doing startup work correctly the first time, especially when:
Credentialing must be re-submitted
Payers show practices as out of network
Applications are delayed due to sequencing errors
Ownership or linkage issues require cleanup
Our role is to reduce these risks upfront, when corrections are still manageable.
Your investment reflects:
Physician-led planning and decision guidance
Hands-on credentialing and enrollment execution
Sequencing and timing oversight
Follow-up and issue resolution
Accountability through launch
We do not charge for:
Volume
Speed
Templates
We charge for accuracy, judgment, and follow-through.
To ensure clarity, our startup investment does not include:
Billing or revenue cycle management
Marketing, advertising, or patient acquisition
Ongoing practice management after launch
Legal or tax services
These boundaries allow us to stay focused on startup quality and reimbursement readiness.
Most startup problems don’t appear on opening day.
They surface 30–90 days later, when claims are denied, payers show “out of network,” or regulatory issues require costly rework.
Our startup services are intentionally designed to be completed before doors open, because correcting foundational errors after launch is far more disruptive—and far more expensive.
Opening before credentialing is properly sequenced, resulting in delayed or denied reimbursement
Submitting payer applications with incomplete or inconsistent ownership and practice data
Selecting vendors or systems that are incompatible with payer or regulatory requirements
Underestimating compliance requirements that later trigger audits or corrective action
Attempting to “fix it later,” only to discover problems require re-submission or re-credentialing
We focus on front-loading the work that determines long-term stability, including:
Regulatory and payer sequencing
Credentialing readiness
Operational alignment
Compliance planning
This approach reduces downstream friction and allows practices to open with a realistic, defensible path to reimbursement.
Providers who complete startup work before opening experience:
Fewer credentialing delays
Faster transition to reimbursable services
Less administrative rework
Greater confidence during early operations
Opening a practice is not the finish line.
Opening correctly is the goal.
Advisory engagements
Startup diagnostics
Post-launch cleanup
Providers who understand that reimbursement, compliance, and operations are inseparable during startup.
Providers launching independent practices who want clarity, structure, and experienced guidance
Nurse Practitioners and Behavioral Health providers navigating regulatory and payer complexity
Physicians transitioning from employed roles into private practice
Small groups that want startup and credentialing handled systematically
Founders who understand that compliance and reimbursement are foundational—not optional
You are looking for the lowest-cost option available
You want to open immediately and “fix issues later”
You expect guarantees around payer approval timelines
You are seeking billing services, marketing, or patient acquisition
You want ongoing practice management rather than startup support
Our role is to reduce risk, not create shortcuts. We focus on building practices that are structured to withstand payer scrutiny and regulatory review from the start.
An initial conversation focused on fit, timing, and scope
Clear explanation of how our startup services work
Transparent expectations around process and responsibilities
No pressure to move forward if the engagement isn’t appropriate
No.
Payer approval decisions and timelines are controlled entirely by Medicare, Medicaid, and commercial insurers.
What we do control is accuracy, sequencing, documentation quality, and follow-up.
Those factors significantly reduce avoidable delays, denials, and rework — which is where most startup problems originate.
Sometimes — but it depends on payer strategy, services offered, and how reimbursement will be handled during that period.
Opening without a clear credentialing and enrollment plan often results in delayed or denied payment once claims are submitted.
Our role is to help you understand when opening makes sense and when waiting protects you financially.
No.
We do not provide billing or ongoing revenue cycle services. We do make suggestions and have billing partners.
Our work ensures your practice is credentialed, enrolled, and structured correctly so billing can occur smoothly once services are rendered — whether handled internally or by a billing vendor.
No.
We do not provide marketing, advertising, or patient acquisition services.
Our focus is on startup structure, payer participation, compliance, and reimbursement readiness.
Many clients already have referral sources or marketing plans in place by the time startup work begins.
Timelines vary based on provider type, state requirements, and payer responsiveness.
Once required information is complete, applications are prepared and submitted promptly.
However, payer approvals commonly take 90–120 days and may take longer depending on payer and market conditions.
Yes.
Many clients come to us after beginning a startup or credentialing process on their own.
We review the current state, identify gaps or sequencing issues, and determine whether cleanup, remediation, or continued execution is the most appropriate next step.
Yes.
We regularly work with Nurse Practitioners, Behavioral Health providers (LCSW, LPC, PsyD), and Physicians.
Startup guidance is tailored to scope-of-practice rules, supervision requirements, and payer expectations specific to provider type and state.
Typically:
Provider licensure and credentials
Practice structure and ownership details
Intended services and specialty
Target payers and practice location
Specific requirements are reviewed during the initial consultation. We have a portal for providing your information securely and following the progress.
Startup engagements conclude once defined deliverables are met.
Ongoing credentialing maintenance or additional services may be available separately, but long-term practice management is outside the scope of startup work.
Every practice startup is different.
A brief consultation allows us to determine whether our approach is the right fit for your situation.