Telehealth practice expertise on demand.

Three ways to work with our team. A 30-minute diagnostic. A written practice audit. Or fractional operator support for practices in scale mode. RCM, credentialing, and operations expertise built over a decade in healthcare.

Most engagements start with a $297 assessment call. By application only beyond that tier.

1 to 30
States scaled
in 12 months
4,000
Monthly encounters
at steady state
98%
Clean claim rate
achieved
2%
Denial rate
maintained

Pick the level of help that matches the problem.

Each tier earns the next. Start with a 30-minute call. Step up to an audit when you need a plan. Bring us on as a fractional operator when scale is the priority.

Tier 1 — Diagnose

Practice Assessment Call

30 minutes, live. We pinpoint your single biggest revenue or operations leak.

$297
One-time. 30 minutes.
  • Pre-call intake form so we hit the ground running
  • 30-min Zoom diagnostic with a senior operator
  • Recording sent to you within 24 hours
  • Written follow-up email with top 3 recommendations
  • Clear guidance on whether to self-fix, hire help, or go done-for-you
Book Assessment Call
Tier 3 — Embed

Fractional Telehealth Operator

Senior operator on your team. Ongoing strategic support across the practice.

$4,500/mo
8 hours per month. 3-month minimum.
  • 90-minute kickoff session and 30-day plan
  • Weekly 30-minute office hours
  • Async support via email or Slack
  • Monthly progress review with metrics
  • Quarterly strategic planning session
  • Vendor and EHR negotiation support
  • Hiring and onboarding guidance
Apply for Fractional
Custom Engagement

Credentialing support, scoped to your situation.

Credentialing is the one workstream where flat pricing breaks down. Status verification, panel management, and contract retrieval take a different amount of time depending on payer count, what you have on file, and how much of your team we need to coordinate with.

So we don't list a price. We start with a 30-minute scoping call, then send you a written quote within 48 hours. Most engagements are fixed-fee with a clear deliverable. You know what you're getting before you commit.

Typical Engagements

  • Payer panel status verification across existing contracts
  • New payer enrollment and panel applications
  • Multi-state credentialing sequencing for expansion
  • Contract retrieval and reconciliation when records are scattered
  • CAQH and NPI hygiene across the provider roster
  • Recredentialing process design and ongoing maintenance
Scoping call is free. Written quote within 48 hours. No engagement until you approve the scope and price.

What multi-state expansion looks like done right.

Helping specialty telehealth practices scale from single-state to multi-state operations is one of our most frequent engagement types. The numbers below are typical of what we build toward and maintain at steady state.

1 → 30
States scaled
in 12 months
4,000
Encounters per month
at steady state
98%
Clean claim rate
at scale
2%
Denial rate
sustained
What this kind of engagement involves. A multi-state credentialing roadmap with payer enrollment sequenced for cash flow. Billing infrastructure with clean claim controls and modifier accuracy baked in from day one. AR and denial management with target metrics defined before the first claim goes out. Hiring and training guidance so the in-house team grows at the right pace. Ongoing operational support through every expansion phase, not a hand-off at month three. The outcomes above reflect a representative engagement operating at full multi-state scale.

Three steps from first call to working operator.

1

Book a 30-minute call

You fill out a short intake. We diagnose your biggest leak on a live call. You leave with a plan whether you hire us or not.

2

Pick the right tier

If the fix is straightforward, you self-execute. If it needs a plan, we audit. If it needs ongoing operator judgment, we go fractional.

3

We move you forward

Audit clients get a written plan in 5 business days. Fractional clients get a 30-day plan in week one. Done-for-you clients get handed to a vetted RCM partner.

Senior operators. No theory. No overhead.

Our team has spent over a decade running revenue cycle, credentialing, and operations across behavioral health, primary care, surgical, MSO, and ACO settings. CHFP and CRCR certified. We work directly with you. There is no junior associate doing the analysis.

Built for solo and small group

Most consulting firms are sized for enterprise health systems. Our engagements are designed for practices with 1 to 20 providers. The advice is calibrated to your scale.

RCM is the spine

Most telehealth advisors are marketing or tech generalists. We come from revenue cycle. The numbers in your bank account are how we measure our work.

One operator, full engagement

You work with the senior operator from the first call. No sales handoff, no junior consultant doing the work and a partner reviewing. The person you meet is the person who builds your plan.

When to choose what

You don't need all three.

The fastest path from "I need help" to a working practice is to start with a Practice Assessment Call. From there, the right tier picks itself.

  • Already know what's broken, just need a second opinion or sanity check. Start with the Assessment Call.
  • Things are mostly working but you suspect leaks. The Practice Audit catches what you're missing.
  • Scaling, hiring, expanding, or replatforming. The Fractional engagement is built for this.
  • Need credentialing work specifically (panels, contracts, multi-state). Book a Scoping Call. Custom-quoted in 48 hours.
  • Want it all done for you. We hand you off to a vetted partner for full RCM and credentialing execution.

Decision Heuristic

Need a diagnosis Assessment Call
Need a plan Practice Audit
Need an operator Fractional
Need credentialing help Scoping Call
Need it done Done-for-you Referral

Questions clinicians ask before booking.

Who is this for?
Solo and small-group telehealth practices. Behavioral health, primary care, specialty telehealth, and groups in early scale. If you have between 1 and 20 providers and the business side feels harder than the clinical side, you are the target client.
Do you work with practices that aren't fully telehealth?
Yes. Hybrid practices with both in-person and telehealth components are a frequent engagement. The RCM, credentialing, and operations principles apply the same way.
What's the difference between the audit and the fractional engagement?
The audit is a written report and a one-time engagement. You walk away with a plan and execute it yourself. The fractional engagement is ongoing operator support where we are embedded with your team and helping you execute, hire, and make decisions every month.
Why not just hire a full-time COO?
If you can afford a senior operator at $150K to $250K plus equity, do that. Most solo and small-group practices can't. Fractional gets you 80% of the judgment at 15% of the cost.
What if I just want someone to handle billing for me?
That's a done-for-you RCM engagement, not a consulting engagement. We refer those to a vetted RCM partner we trust. Book a 30-min call and we can route you directly.
Can you guarantee results?
No one credible can guarantee outcomes in healthcare consulting. What we can offer is a track record. The recommendations come from senior operators with over a decade in RCM, including the kind of multi-state expansion work where practices reach 98% clean claim rates, 2% denial, and 4,000+ monthly encounters at steady state. If that's the kind of operator you want in your corner, you're in the right place.
Why is credentialing the only service without a public price?
Credentialing work is too variable to flat-price honestly. Time depends on how many payers, what documentation you already have, how accessible your team is, and how responsive each payer is to verification requests. Rather than guess and overcharge or guess and underwater the engagement, we do a 30-minute scoping call and send a written quote within 48 hours. Most engagements end up fixed-fee with a clear deliverable.
Do you sign an NDA?
Yes. Standard mutual NDA available on request before any engagement. All engagements include confidentiality terms in the retainer or services agreement.
How do I get started?
Book a 30-minute Practice Assessment Call. The fastest way to know whether and how we can help is to spend 30 minutes on a live diagnostic.

Start with 30 minutes.

The Practice Assessment Call is the fastest way to know what to fix and who should fix it. Thirty minutes with a senior operator. Then you decide what to do next.