Your practice runs on your time. Take it back.

Run your practice like a business

Opening your doors or already seeing patients, we run the business side — billing, credentialing, your website, the finances — on a flat monthly fee that's right-sized to where you are and grows only as you do.

Request an Operational Audit
15.6hrs
Physician hours per week spent on paperwork and administration — AMA survey data

Nearly two full working days of every clinician's week — physician, NP, PA, or PT — go to prior authorizations, denied claims, credentialing paperwork, coding corrections, and books that never quite reconcile. None of it bills. All of it burns you out.

Build the practice without building that burden. We stand up the back office from day one — the infrastructure most practices only get around to years later, if ever — so those hours never leave your schedule in the first place.

Built for practices just starting out

Start with what you need to open. Add the rest as you grow.

Launch Month 0 — opening

Get the doors open and the money coming in

Billing · Credentialing · Website

Everything a new practice needs to see patients and get paid — right-sized to your volume, so you're not paying for a full billing team when you have one provider.

Grow Months 6–12

Add financial command once there's something to manage

+ CFO-lite → Fractional CFO

Start with monthly reporting and cash-flow visibility, then step up to a full fractional CFO when you have a P&L worth strategizing over.

Scale As you establish

Open new revenue and sharpen your rates

+ Cash-pay lines · Contract renegotiation

Add cash-based service lines and renegotiate payer contracts once you have the volume and leverage to make them count.

Your fee is right-sized to your actual volume and tracks our work, not your revenue — it starts small and grows only as your needs do. One-time setup like your website spreads across the first year, so opening your doors doesn't mean a big check up front.

What we take off your desk

The entire back office. One accountable partner.

Get Paid

Full revenue cycle management — billed as a flat monthly fee, never a percentage of your collections. You keep 100% of what you grow.

Revenue & Contracting

Payer contracts, negotiated line by line

Most practices sign the first rate sheet a payer sends. We benchmark your fee schedules against regional data, renegotiate underperforming contracts, complete credentialing, and stand up clean ERA and EFT enrollment so remittances post without manual work.

Renegotiated ratesDirect ERA setup · Credentialing
Auth & Eligibility

Authorizations handled before the patient arrives

Real-time eligibility and benefit checks at scheduling, and prior authorizations managed start to finish — submitted, tracked, and followed up — so denials for missing auth stop happening and your staff stop chasing fax confirmations. The most hated task in the practice, off your team's plate.

Fewer auth denialsReal-time eligibility · Auth tracking
Coding & Charge Capture

Coding that captures every dollar you earned

Certified coding review and charge reconciliation catch the visits that never got charged and the codes that undervalue the work you did — while keeping you clear of the overcoding that invites an audit. Revenue integrity in both directions, not just upcoding by another name.

Complete, defensible codingCharge capture · Coding review
Billing & Collections

Claims worked from submission to paid

Claims scrubbed before they go out, denials appealed instead of written off, aging A/R worked every week, and patient balances billed and collected with a process that doesn't embarrass you. Most practices lose real money in the gap between "claim sent" and "claim paid" — we close it.

And because we charge a flat monthly fee instead of a percentage of collections, your cost stays fixed as you grow — a structure built to stay clear of Florida's fee-splitting and patient-brokering rules that percentage-based billers can run afoul of.

Compliant, flat-fee modelClaims · Appeals · Patient billing

Run & Grow

CFO-level command of the finances — and the new revenue lines and presence that grow the practice.

Fractional CFO

CFO-level command of your cash flow

A full-time CFO runs north of $200K — a practice doing $1–3M can't justify one, but needs exactly what a CFO provides. You get it at a fraction of the cost: monthly bookkeeping and a clean P&L, plus the strategic layer most practices never get — cash-flow forecasting, budgeting, and payer-mix strategy, with the operating metrics that matter (collection rate, days in A/R, overhead ratio) benchmarked against comparable practices. You finally know where the money goes and what to do about it.

Just opening? Start with CFO-lite — monthly reporting and cash-flow visibility — and step up to the full engagement once there's a P&L worth strategizing over.

Starts light, scales upForecasting · Budgeting · KPIs
Cash-Based Service Lines

New cash-pay revenue, stood up cleanly

Adding aesthetics, wellness, weight management, or concierge care? We build the operational side — pricing, intake, payments, and reporting — and pass vendor and setup costs straight through: you see every expense, we add a fixed 10% margin, nothing hidden. New revenue that doesn't run through insurance, launched without the guesswork.

Transparent cost + 10%Aesthetics · Wellness · Concierge
Web & Presence

A practice website that earns trust and books patients

We design and build your practice site end to end — not a template your cousin assembled. Clear service pages, online scheduling, new-patient intake, and mobile-fast load times, built with the same operational discipline as the rest of your practice. Then we keep it current — no web vendor to chase, updates handled in days, not weeks. And the build cost spreads across your first year, so launching your presence isn't a big check on opening day. The site you send a referral to should look like the practice you actually run.

Launch-ready + maintainedOnline scheduling · Patient intake
Simple, transparent pricing

Flat fees, right-sized to where you are.

Revenue cycle
from $800/mo

Flat monthly fee, sized to your volume — never a percentage of collections.

Fractional CFO
from $750/mo

CFO-lite reporting to start; step up to the full engagement as you grow.

Practice website
from $125/mo

Designed, built, and kept current — spread across your first year.

Cash-pay lines
cost + 10%

Transparent pass-through — you see every expense, we add a fixed margin.

You'll get an exact, right-sized quote after the two-week audit — and setup can spread across your first year. No percentage of your revenue, ever.

Methodology

Ninety days from audit to a running back office.

  1. Audit

    Weeks 1–2. We review contracts, remittance data, coding and charge capture, and your financials, then deliver a written findings memo with recoverable dollars identified.

  2. Prioritize

    Weeks 3–4. Together we rank fixes by financial impact and clinical disruption. You approve the plan; nothing proceeds without a named owner and a date.

  3. Implement

    Weeks 5–10. Contract renegotiations open, billing and A/R workflows go live, and your CFO reporting and new practice website ship in stages — tested with your staff, not on them.

  4. Operate

    Ongoing. We run the back office month to month and report against the baseline from your audit, so improvement is measured, not asserted.

I left the big health system because I needed a weekend and holiday free schedule that allowed me to be a present mother. Starting an independent neurology clinic felt overwhelming without a business background, but Ray Legacy Partners handled the entire operational launch. They had my website and back-office running in just days. I finally have the practice and the work-life balance my family deserves.

Physician-owned neurology clinic

Start with the audit. Keep the findings either way.

A two-week operational audit of your contracts, revenue cycle, and financials. The findings memo is yours whether or not we work together.

Request an Operational Audit