Grow & Optimize
From 'open and billing' to 'profitable and sustainable.'
- The question you're asking
- Now that I'm open, where's the leverage?
- The decision in front of you
- RCM optimization, service line expansion, hiring, scaling, exit strategy.
How to actually run grow.
The order of operations for this phase. What comes first, what can run in parallel, what will cost you if you skip ahead.
Look at your first 90 days of denials. The pattern in your denial codes is the single highest-leverage thing to fix.
- · Quarterly payer fee negotiation
- · Service line additions (ancillary revenue)
- · Adding providers (NP/PA, partner physicians)
- · Quality program participation (MIPS, value-based care)
- · Patient experience instrumentation
- ! Letting denials pile up without root-cause analysis
- ! Hiring before the workflow can absorb new providers
- ! Ignoring payer contract renewals
When you're stable but ready to grow — our RCM program is built for this phase.
Schedule a consultationPhase 07 is the long tail — the work that turns 'open and billing' into 'profitable, sustainable, and growing.' The first 90 days post-launch show you where the leverage is. The next 12 to 24 months are about pulling those levers.
Your denials are a map.
In the first 90 days of billing, your denied claims show you exactly where your operations need work. Wrong codes. Missing documentation. Eligibility errors. Authorization gaps. Untimely filing. Each denial reason category points to a specific process to fix.
Run a denial reason report monthly. Pick the top two or three categories and fix the root cause, not the individual claims. A single fixed process can eliminate dozens of future denials.
Payer contract review (yearly, minimum).
Commercial payer contracts come up for renewal every one to three years. Many practices auto-renew without reviewing fee schedules or terms. This costs real money.
Once a year, pull every active payer contract. Compare current fee schedules to your case mix. Identify which payers are paying below your cost or below market. Negotiate, switch tiers, or in some cases drop the contract. This is one of the highest-ROI Phase 07 activities.
Service line expansion.
The right time to add a service line is when your existing operations have capacity, your patient base is asking for it, and the economics make sense. The wrong time is when you're bored or feel competitive pressure.
New service lines often require separate credentialing (Phase 04 again), separate equipment, separate staff competencies, and separate marketing. Plan accordingly.
When to add providers.
Add providers when your existing workflow can absorb them, your administrative infrastructure is ready, and your patient demand justifies it. Most practices that scramble after a hiring decision were trying to fix patient demand with capacity rather than the other way around.
Credentialing takes 90 to 180 days for new providers too. Start it before the offer is signed, not after.
When you want help with this phase.
Each crew owns a specific piece of the build. You hire what you need, when you need it.
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.
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.
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.
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.
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