Opening a practice
Opening your own NP practice?
We handle the paperwork that gets you open, then run your front office once patients are on the schedule — so you can stay focused on clinical care.
What we handle
What gets you open first, then the daily front office once patients are on the schedule.
Stage 1
Getting open
Before your first patient.
Credentialing and payer enrollment
CAQH, payer applications and follow-up until you are in network.
Systems setup
EMR, e-fax, practice phone line and patient portal, set up and tested.
Website and Google listing
A practice website, hosting and your Google Business Profile.
Stage 2
Seeing patients
Once the schedule starts to fill.
Remote medical assistant
Portal inbox, faxes, referrals, prior auths, refill prep, scheduling and chart prep, Monday to Friday.
Phone coverage
Your line answered live when we are available; every voicemail returned within one business hour.
Labs at Home
In-home draws for your patients across Greater Boston and Central Massachusetts.
Billing, if you want it
Full billing and revenue cycle, charged as a percentage of insurance collections.
All work follows your protocols. Clinical decisions, refill approvals and result dispositions stay with you. We prepare, route and follow up.
Built for a practice that is just starting
The fee follows your visits
Practice Support is a monthly base plus a fee per completed visit. While your schedule is filling, it stays small.
Credentialing, quoted for you
Priced per practice, by how many payers you want to join. You choose which ones.
Already doing this
We already run the front office for an independent NP practice in Massachusetts.
What the first 120 days actually look like
Typical of Massachusetts launches, where these ranges were measured. Payers control most of this calendar, and other states differ.
Day 0-45
A supervising clinician, if you need one
Massachusetts NPs prescribe independently only after two years of supervised practice. Under two years, you need a supervisor and signed guidelines first. A cold search can take months.
Day 0-7
Entity formation, EIN, IRS 147C letter requested
The 147C stalls everything downstream, so request it on day one.
Day 7-14
Type 1 and Type 2 NPI, CAQH ProView, malpractice bound
NPIs are quick. CAQH lapses quietly later, so it goes on the compliance calendar.
Day 14-21
MassHealth — Substitute W-9, EFT-1, PE-GPO / PE-MP tracks
The EFT-1 letter must match your entity name exactly, or the file goes back in the queue.
Day 21-60
Commercial panels — WellSense, Fallon, WellPoint, Tufts
The longest stretch, and payers control it. Anyone promising a date is guessing.
Day 30-45
EMR configured — templates, order boards, consent forms
Runs alongside credentialing, so the chart is ready before the first patient.
Day 45-60
Clearinghouse, e-fax, e-prescribing, phone port, scheduling
A phone port takes five to ten business days. Do it before announcing a date.
Day 60-90
Approvals land, first claims submitted
The first batch surfaces enrollment mismatches. We work the rejections.
Day 90-120
First payments post, revenue cycle review
Plan cash flow: ninety to a hundred and twenty days from formation to money in is normal.
Opening soon? Talk to us before you file.
Where you are, which EMR and payers you are planning on.