Practice Now is a medical practice consulting firm for practices, physician groups, and their investors. We examine your revenue cycle, billing costs, payer contracts, and care protocols, then fix what pays back fastest.
Each one shows up in a number that's easy to lose sight of in a busy practice. We measure all three during the 30-day Assessment and keep them in view after.
Charts are illustrative, not guaranteed. Billing cost is measured against gross annual revenue rather than collections, so write-offs count as a cost.
For most practices, about 15 cents of every dollar they billed is written off, and collecting the remainder costs another 25 cents. Most of that cost isn't the vendor fee: it's outside collections and the staff and rework billing touches in-house. Together, that is the total cost of medical billing: often 30–40% of gross annual revenue. Each red bar is a cost we can address.
When billing, scheduling, and reporting run smoothly, clinicians spend less time on paperwork and rework, and more of it with the patients they provide care for.
Organizations
Collect more of what you're owed, for less.
Turn clinical outcomes into better payer contracts.
Bring every provider closer to your best performers.
Get billing, contracts, and operations right from day one.
Give members benchmarks and playbooks that raise performance.
And the people who run them
See billing, staffing, and workflow clearly, then fix them.
For operators →Pick each provider's top 3 areas of improvement and track the progress.
For practice managers →Raise returns for companies in your portfolio and partner with us to fix the practices you passed on.
For investors →A full schedule looks like a healthy practice. Underneath, it can hide the problems that matter most, because each one shows up as something that looks fine on the surface.
Charges aren't cash. The gap between what you're owed under contract and what you collect, including claims no one can explain at 90 days, is where margin quietly disappears.
The vendor invoice is the visible cost. Staff rework, leadership time, and software add the rest, which is why it's so often underestimated.
Rates that renew automatically feel stable. Stable can mean years behind what your outcomes are worth today.
Written protocols look like consistency. Only followed protocols create it. Outcomes that depend on the clinician invite costly complications, and payers notice.
Group averages flatter everyone. The real story is the spread across your providers and locations.
When the same few people answer every question, it looks like strong leadership. It's often a sign that scalable systems haven't been built yet.
When partners can't agree, decisions stall or get made suboptimally, and the practice drifts, performing well below its potential.
The mission and vision say one thing; the numbers show another. Often, no one is measuring the distance between them.
Which pain points resonate?
Schedule a ConsultationRepositioning maternal-fetal medicine as the anchor of the practice, rather than a consult on the side, drove value for the entire OB-GYN practice. It took an overhaul of structure and performance objectives: the practice began employing its own OB-GYNs, adopted shared protocols written by its physicians, built pay around contracts that reward quality, and used its outcomes data to negotiate stronger payer contracts.
The practice's reported results:
Results reported by the practice. Figures are approximate.
Each effort starts on top of the last and ramps over time: early wins in the revenue cycle and billing costs, then protocols, stronger contracts, and an expanded care model.
We help owners and leadership teams find the operational, financial, and clinical gaps, then build the path to stronger, sustained systems and business value.
We look at the whole practice: numbers, workflows, contracts, people, and technology.
We pinpoint what is holding performance back, measured against real benchmarks, and give you a plan prioritized by impact.
We do the work with your team, starting with the fixes that pay back fastest.
We track the results against your starting numbers and build the systems that make them last.
Every practice stands on three legs: physicians, staff and billing. When one carries more than it should, the whole thing wobbles, and your margin slides off.
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The longer a claim sits unpaid, the less of it you'll ever collect, and the more it costs to chase. The money you collect fastest is the money you keep.
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Your rates with insurers aren't set in stone. Getting them raised takes real work, but a better rate pays you on every visit, every year.
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The Physician Barometer: no report card, no long list. Just the three changes that would make the biggest difference for you, chosen with you.
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Most practices have protocols. They live in a binder, and care still varies from provider to provider. Here's why standards don't stick, and what makes them stick.
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When a specialist and a referring physician share a high-risk patient, the gap between their offices is where things go wrong. Here's how to close it.
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AI is good at repetitive, rules-based work. Care decisions belong with clinicians. The value is in drawing a clear line between the two.
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Why the root cause is usually upstream of billing, and why a good billing vendor can't fix it alone.
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Most practice fixes work for a few months, then slide back. Here's why gains fade, and the four things that make them stick.
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A healthy top line can hide a struggling operation. Here's how to tell the difference before something breaks.
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If your patients do better than the market but you can't show it, insurers pay you like an average practice, on every visit, every year. Outcomes data is how you show it.
Read brief →Practice Now is a medical practice consulting firm. We examine a practice's revenue cycle, total cost of medical billing, payer contracts and care protocols, fix what pays back fastest, and build systems that keep the gains in place. See how we help.
Medical practices, specialty practices, physician groups, health systems and PE-backed practice platforms. Our deepest experience is in OB-GYN, maternal-fetal medicine (MFM) and women's health, where our founders built and ran a practice.
No. Practice Now (practicenow.com) is a consulting firm based in Chandler, Arizona. We work alongside your team and your existing systems, including your billing team or vendor.
Yes. Our founders grew a maternal-fetal medicine practice from a referral-only consultancy into a regional specialty network. Read the MFM practice case study.
Our all-in measure of what it costs to get paid: the vendor fee, the staff and outside contracts billing touches, and the revenue written off along the way. Our free guide, The Real Total Cost of Medical Billing, shows how to find your number.
With a free discovery call, where we take a first look at your numbers from summary reports you share. If we're a fit, we start a 90-day plan, beginning with the Assessment.
Read: MFM Practice Case Study → Get the free guide: The Real Total Cost of Medical Billing →
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