The practice launch guide. And the team to make it real.
The complete platform for launching a private medical practice — free guides, expert services, and the tools to make it real.
A Or ask The Architect — the AI companion that knows the blueprint inside out. Free.Most physicians launch private practices the way they were taught to do residency — show up, work hard, hope it works. That's how you lose 90–180 days of revenue to credentialing, burn working capital on the wrong EHR, and overpay for a marketing program that doesn't fit.
We built this site to give you the order of operations — and the team to execute it.
Where are you in the launch?
Five questions. We'll route you to the exact phase, the resources you need now, and the next decision in front of you.
No signup. No spam. Just sequencing.
Seven phases. One launch. In order.
Starting a practice isn't a checklist. It's a build sequence with dependencies, timing windows, and traps. Here's the order of operations — what comes first, what runs in parallel, and what will cost you if you skip ahead.
- 01DecideIs This Right for Me?
The decision before the decision.
The questionShould I leave employment and start my own practice?
Duration2–6 months of thinking, 30 days of deciding
- 02PlanBusiness Planning
The numbers that decide whether you launch or stall.
The questionCan the math work in my market for my specialty?
Duration4–8 weeks
- 03FormLegal & Entity Setup
The structure under everything you'll build.
The questionPC, LLC, S-corp, partnership — what's right and where?
Duration2–4 weeks (parallel with planning)
- 04CredentialCredentialing & Enrollment Control room
The clock that decides when you actually get paid.
The questionHow do I get in-network with payers without losing 6 months of revenue?
Duration90–180 days (and this is the most expensive thing to get wrong)
- 05BuildInfrastructure & Technology
The systems that let your practice actually run.
The questionWhich EHR, which billing system, which clearinghouse, which everything?
Duration60–120 days
- 06LaunchLaunch & Marketing
Getting your first 100 patients without burning your runway.
The questionHow do I fill the schedule without overspending on marketing I don't need yet?
DurationStarts 60 days before open, continues forever
- 07GrowGrow & Optimize
From 'open and billing' to 'profitable and sustainable.'
The questionNow that I'm open, where's the leverage?
DurationMonths 6+ forever
Services framed by the work, not the org chart.
Each service is a build crew for a specific phase of the launch. You hire what you need, when you need it — and we stay coordinated with the other crews so the build sequence holds.
From decision to first patient — without the expensive mistakes.
End-to-end advisory through the full 7-phase launch. We've done this before. You'll get the order of operations right the first time.
- · Pro forma + working-capital model
- · Entity + tax election guidance
- · Vendor selection (EHR, billing, clearinghouse)
In-network with the payers that matter — on the timeline you need.
Credentialing is the single most expensive thing to get wrong at launch. Our team manages the entire process so you don't lose 90–180 days of revenue.
- · Medicare 855 enrollment (initial + revalidation)
- · Medicaid enrollment (state-specific)
- · Commercial payer credentialing (BCBS, UHC, Aetna, Cigna, regional plans)
Get paid faster, with fewer denials, and clear visibility into what's working.
Full-service billing from charge entry through collections. Built for new practices that need the operational lift and the strategic view.
- · Charge entry + claim submission
- · Denial management + appeals
- · Patient billing + collections
A website that ranks, converts, and doesn't look like every other doctor's website.
Custom medical practice websites built for SEO, accessibility, and patient acquisition. Not Wix. Not a template. Real design, real performance.
- · Custom design + brand identity
- · Modern, fast, accessible build (Astro / Next.js)
- · Local SEO program (citations, schema, GMB)
EHR, HIPAA, staffing, telephony — the operational systems, set up right.
The unglamorous pieces that determine whether your practice runs. We help you pick the right systems, configure them, and train your team.
- · EHR selection + implementation
- · Clearinghouse + practice management
- · HIPAA compliance program (policies, BAAs, risk analysis, training)
The most useful free content in the space.
We give the practical stuff away because the quality of our free content is the best signal for the quality of our paid services. Read it, use it, and let us know when you want help.
The Practice Launch Checklist
Phase-ordered, opinionated, and free. The exact tasks for each of the 7 phases — with the watchouts most checklists skip.
Free Medicare Fee Schedule + Revalidation Lookups
Two tools every new practice should bookmark — built and hosted by our partner team at Metolius.
Practice Startup Cost Guide
Honest ranges by specialty and location. What drives costs up, what drives them down, and how to manage cash flow during the credentialing lag.
Talk to the team before you pour the foundation wrong.
One free consultation. Real answers. We'll tell you whether you need us — and if you don't, we'll tell you what to do anyway.
Schedule a Consultation