Your practice runs on your time. Take it back.
We run the operational side of your practice — the technology it runs on, the workflows worth automating, and the staffed services (billing, credentialing, admin) that still need people. Our leadership spent a decade in enterprise technology; you get that discipline on a flat monthly fee that grows only as you do.
Request an Operational AuditNearly two full working days of every clinician's week — physician, NP, PA, or PT — go to prior authorizations, denied claims, credentialing paperwork, coding corrections, three systems that don't talk to each other, 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 operation from day one — the tools, the automation, the staff, the numbers most practices only get around to years later, if ever — so those hours never leave your schedule in the first place.
Start with what you need to open. Add the rest as you grow.
Get the doors open and the money coming in
Tech stack · Website · Billing & credentialing
The tools that run your practice — chosen, configured, and secured — plus your website live, and billing and credentialing staffed to your volume, so you're not paying for a full team when you have one provider.
Add financial command once there's something to manage
+ CFO-lite → Fractional CFO · Capital decisions
Start with monthly reporting and cash-flow visibility, then step up to a full fractional CFO — and model the big purchases before you sign for them.
Enter the lines the numbers support
+ Service-line strategy · Cash-pay lines
Enter — or exit — service lines based on your payer landscape and unit economics, add cash-pay offerings, and renegotiate payer contracts once you have the 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.
The entire operation. One accountable partner.
Run Your Operations
Built by technologists and operators, not a billing company that bolted on software. We pick the tools, secure them, automate what a computer should do — and staff the rest.
The right tools, chosen and run for you
EHR, AI scribes, telehealth, communications — we select the stack around how you actually practice, implement it, and vet every vendor for HIPAA, BAAs, and security. Keep the tools you love — we make sure they're covered and configured safely.
Automate what shouldn't need a human
Eligibility checks, appointment reminders, patient intake, remittance posting — we streamline and automate the work a computer should be doing, so staffed hours go where judgment is required.
People for what software can't do
The modules most practices know us for, run inside your operations and sized to your volume: payer contracts negotiated line by line, credentialing completed, prior authorizations managed start to finish, certified coding review, and claims worked from submission to paid — denials appealed, A/R worked every week.
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.
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.
Know Your Numbers
Every recommendation we make is modeled first. This is the layer that proves it.
The numbers behind every operational call
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. A full-time CFO runs north of $200K; you get the discipline without the salary — and 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.
Big purchases, modeled before you sign
New equipment, a buildout, a second location, a key hire — we model the payback, compare the financing, and put a written recommendation in front of you before the money moves.
Grow Deliberately
Growth backed by payer landscape and unit economics — never a hunch.
Enter the lines the numbers support
Which service lines to enter — or exit — based on your payer landscape and unit economics, including the emerging treatment lines your field is moving toward. We model the economics before we recommend anything; the clinical call is always yours.
New cash-pay revenue, stood up cleanly
Adding aesthetics, wellness, weight management, or concierge care? Once the model says go, 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.
Flat fees, right-sized to where you are.
Technology, automation, and staffed services — billing, credentialing, admin — sized to your volume. Never a percentage of collections.
CFO-lite reporting to start; step up to the full engagement as you grow.
Designed, built, and kept current — spread across your first year.
Modeled and priced before work starts — cash-pay builds at transparent cost + 10%.
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.
Ninety days from audit to a running operation.
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Audit
Weeks 1–2. We review the technology your practice runs on — and what it costs you in hours — alongside contracts, remittance data, coding, and your financials. You get a written findings memo: recoverable dollars, automatable work, and the capital or growth calls worth modeling.
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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.
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Implement
Weeks 5–10. Tools get swapped or secured, automations go live, billing and A/R workflows launch, and your CFO reporting and website ship in stages — tested with your staff, not on them.
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Operate
Ongoing. We run the operation 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, communications, and IT infrastructure 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 technology, revenue cycle, and financials. The findings memo is yours whether or not we work together.
Request an Operational Audit