The questionHow does Practice Now compare with the alternatives?
Short answerYou get our senior team, not a junior one. Decades of combined clinical, payer-contracting and financial experience, including a physician co-founder, from people who have built and run practices themselves. We work inside your practice beside its leaders, measure results across clinical, financial and operational metrics, and stay technology-agnostic. The aim is measurable progress within the first 90 days, not a strategy that sits on the shelf.
How Practice Now compares.
Swipe the table to see every option.
| Criteria | Practice Now | Large consulting firm | Billing company | New senior hire | Internal Team |
|---|---|---|---|---|---|
| Who does the work | Our senior leaders, with clinical, financial and operational specialists | Varies; teams often include junior analysts | Billing staff focused on claims | One person, new to your practice | Your own people, alongside their day jobs |
| Built for | Private practices and physician groups | Health systems and large organizations | Claims processing | One role | Your organization's or portfolio's priorities |
| Scope | Clinical, financial and operational | Broad, often strategy-led | Billing and collections | Depends on the hire | Usually operations and finance |
| Clinical depth | Physician co-founder and physician-led protocols | Varies | Rarely in scope | Depends on the hire | Varies |
| Vendor ties | Technology-agnostic | Varies | Its own service | None | Varies |
| How success is measured | Net collection rate, total cost of medical billing, contract rates and clinical outcomes | Often deliverables and milestones | Collections on the claims it works | Role goals | Organization or portfolio targets |
| First measurable progress | The aim: within the first 90 days | Often after a long discovery phase | Ongoing, claim by claim | After months of ramp-up | Depends on available time |
| What stays behind | Documented workflows your team owns and runs | Often a report | The vendor's process | What one person knows | Varies |
| Best fit when | You want senior, hands-on help moving revenue, cost and care in a private practice | You need enterprise-wide transformation or a formal valuation | The front end and contracts are solid, and claims are the gap | The structure exists and needs someone to run it | You have the bandwidth and want to build in-house capability |
| Go deeper | See the first 90 days | Why improvement fades after consultants leave | Problems your biller can't fix | Before you hire a COO | For PE investors |
A general comparison. Every firm, vendor, hire and team is different.
We'll tell you when another option fits better, and we're glad to work alongside your billing company, a new hire or an internal team.
Senior clinician-operatorsYou get the people who have done it.
Practice Now was co-founded by a physician and a finance and business leader who have worked together for 20 years. Dr. John Elliott, our Chief Medical Officer, is a maternal-fetal medicine (MFM) specialist who leads the clinical work. Berkeley Geddes, our CEO, has built, scaled and sold more than 45 companies, including medical practices, and leads the financial and payer-contracting work. Together, they keep clinical judgment and financial discipline in the same room, not in separate workstreams.
- We've done it, not just studied it. Our founders grew a maternal-fetal medicine practice into a total care practice. They wrote the clinical protocols and negotiated the payer contracts themselves.
- Physician-led protocols get adopted. Physicians take change from a peer who has carried the same caseload.
- Clinical evidence moves payers. Benchmarking outcomes against data Practice Now has access to is what brought payers to the table.
- Everyone gets heard. A clinician-operator speaks the physicians' language, the owners' numbers and the staff's workflow.
Ask yourselfIf you signed with a firm tomorrow, who would actually show up at your practice?
ResultsMeasured results, in short order.
We measure our work by what changes in your practice, across clinical, financial and operational metrics. On the financial side, 3 numbers anchor the work: net collection rate, total cost of medical billing and contract reimbursement rate. Our fees are aligned to results.
Counted all-in, billing often costs 30–40% of gross annual revenue. The target is under 15%.
Typical ranges, not your practice's figures.
What this has looked like in practice. In our MFM case study, a maternal-fetal medicine practice moved from advising on high-risk pregnancies to owning the care. The practice reports:
Results reported by the practice. Figures are approximate.
AlignmentAligned with your leaders, physicians included.
When leaders measure success differently, every decision turns into a debate, whether the gap is clinical, financial or operational. We help owners, physician leaders and administrators agree on the numbers that define success, with one person accountable for each.
For physicians, that means predictable expectations, measured the same way for everyone. The Physician Barometer ends in three changes, picked with each physician, not handed to them.
We stay with you to drive material improvements, not to deliver a strategy that sits on the shelf. We build systems your team runs, so the gains can last after we leave.
Common questionsQuestions practices ask.
Is Practice Now a replacement for a large consulting firm?
Not always. For enterprise-wide transformation or a formal valuation, a large firm may be the better fit, and we're glad to work alongside it or your own internal team. If you want tenured experts inside your practice on revenue, contracts and physician performance, that's what we do.
Can you work with our billing company or internal team?
Yes. Many practices we work with keep their billing partner. We fix the upstream causes, at the front desk, in documentation and in contracts, so it collects more. We also build the structure an internal team or a new hire needs to succeed.
What kinds of practices do you work with?
We work with medical practices of all kinds, and with the owners, administrators and physicians who run them. Our team's shared history and deepest expertise are in women's and children's health, including OB-GYN and maternal-fetal medicine, and we're expanding into oncology.
Where do we start?
With the 30-day Assessment. We measure your net collection rate, total cost of medical billing and contract rates, and compare providers and sites side by side. See how we help →
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