When the next decision is the one that matters.

PPS handles your full credentialing operation — every payer, every provider, every state — and gives you a real-time visibility platform showing exactly where every application stands. The first credentialing service built for leaders who want the work done AND the dashboard.

Four moments when independent practices call us.

Most consulting engagements start at one of these inflection points. Find yours — we’ve been there, with the practices we’ve advised and the practices we’ve run ourselves.

I’m opening my own practice.

You’ve decided to leave employment or start fresh. The strategic questions are entity structure, financing, payer mix, and timeline — the answers determine whether year one is profitable or painful.

WHAT WE BRING

I’m adding providers, locations, or service lines.

Growth multiplies operational complexity — governance, staffing, payer contracts, and infrastructure all stretch at once. Most practices outgrow their systems before they realize it.

WHAT WE BRING

Something’s broken — we need to fix it.

Revenue is stalling. Partner alignment is fraying. Operations are bleeding cash. Restructuring requires honest diagnosis before any fix — and an outside operator who can name what insiders won’t.

WHAT WE BRING

I’m thinking about selling — to PE, to a hospital, or to a partner.

Practice valuations swing 2–3x based on operational readiness. Most owners go to market underprepared and leave money on the table. We get you ready before the buyer’s diligence team arrives.

WHAT WE BRING

Three engagement types. One operator-grade team.

Strategic guidance, operational execution, transactional advisory. We work in whichever shape your situation needs.

STRATEGIC

OPERATIONAL

TRANSACTIONAL

Practice Consulting

The core advisory engagement — strategy, governance, operations.

EHR Consulting

Selection, optimization, migration support.

Insurance Contract Negotiations

Benchmark rates, recover what you’re owed, renegotiate effectively.

Practice Expansion & Multi-Site Setup

Adding locations, service lines, partner provider models.

Telemedicine Strategy

Multi-state operations, payer enrollment, workflow.

Practice Sale / Exit Advisory

Pre-transaction prep, buyer process, negotiation support.

Restructuring & Turnaround

Diagnostic, alignment, execution for practices in trouble.

RCM Operational Consulting

Process redesign, KPIs, vendor accountability.

Compliance Advisory

Regulatory readiness for high-stakes moments.

Why independent practices choose PPS Consulting.

Operators, not analysts.

PPS leadership has actually started, run, and scaled medical practices. We’ve made the calls we now help you make.

No conflicts, no upsell quotas.

We’re not selling you software, EHRs, or PE deal flow. The strategic call is the engagement — and sometimes the answer is “don’t hire a consultant.”

Independent-practice fluency.

We don’t consult to hospitals, health systems, or PE platforms. Independent practice operations are our entire business — not a small slice.  

We can also execute. 

Most consultants hand you a deck and disappear. We can run credentialing, RCM, and operations alongside the strategy — same firm, same accountability.

We’re not consultants who studied practices. We’re operators who run them.

PPS leadership has built and operated independent medical practices — from start-up through expansion to acquisition. Our advisory work is shaped by what actually happens at 7am in a practice on a Tuesday: the credentialing call that didn’t come back, the EHR that won’t talk to the clearinghouse, the partner who wants out, the payer who underpays for the same code every month.

We’ve made the call you’re about to make.

Most of our advisors have personally faced the decision they’re now advising on — not from a deck, from a chair.

We come with a working bench.

Strategy without execution is theatre. PPS runs credentialing, RCM, and operations alongside the consulting work — so recommendations actually land.

We don’t need the next engagement. 

Big consultancies depend on follow-on revenue. Our recommendations are built to fix the problem — not to extend the contract.

From strategy call to recommendations — in three steps.

Strategy call — 60 minutes, no charge.

We talk through your situation, your options, and the questions you haven’t asked yet. Most calls end with a clear sense of whether an engagement is worth pursuing — sometimes the answer is no.

Scoped engagement, fixed price.

If we both want to engage, we propose a defined scope, fixed timeline, and fixed price — most engagements run 30–90 days. No hourly billing, no scope creep, no surprises.

Recommendations and (when needed) execution.

You get a clear set of recommendations and — if you want — a working team to execute them. Credentialing, RCM, operations, compliance: same firm, same accountability.

years in business  (founded 2008)
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Leadership

has run independent practices

practice transitions advised
active consulting engagements
U.S.-based team
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Reading before the call.

10 common mistakes when starting a practice. 

Lean start-up method for new medical practices. 

Payer panel closures and the rising cost of healthcare. 

Should my billing company do my payer credentialing?

How much does it cost to start a medical practice? 

Frequently asked.

How is consulting different from credentialing or RCM services?

Credentialing and RCM are operational — we run them for you. Consulting is strategic — we help you decide what to do, then optionally execute. Many clients use both: strategic guidance plus operational delivery from the same firm.

Most engagements are scoped at fixed price — typically [$X,XXX–$XX,XXX] depending on scope, duration, and complexity. We quote during the strategy call after we understand your situation, not before.

Most consulting engagements run 30–90 days from kickoff to recommendations. Restructuring and sale advisory work can extend longer if execution is included. We define the timeline during scoping.

Large consultancies are designed for hospitals and health systems, not independent practices. Their frameworks don’t scale down. We’re built for practices like yours — and we’ve actually run them.

Yes — and most clients want us to. Credentialing, RCM, EHR optimization, compliance, and operations are all in-house at PPS. Same firm, same accountability, no handoffs.

Then the strategy call is exactly what you need — and it’s free. We’ll talk through your situation honestly, and if a consulting engagement isn’t the right answer, we’ll tell you that.

The next decision will define the next five years.

60 minutes with an operator who has been where you are. We’ll talk through your situation, your options, and whether engaging makes sense — at no cost, with no contract.