Credentialing & Enrollment
Did You Get That Medicaid Letter Too?
Why providers are being asked to reattest and revalidate their enrollment — and why the Treasury Department is suddenly involved.
NewOptimize — Expert-led, AI-powered revenue intelligence
The business side of healthcare
Let clinicians focus on care. We’ll handle the business behind it.
The Provider Partner is the operational, financial, and compliance partner for practices and provider organizations — from revenue cycle and coding to credentialing and consulting, so you collect what you’ve earned and grow with confidence.
What working with us looks like
- Independent & objectiveOutside expertise with no stake in keeping things the way they are.
- Hands-on, not slidewareWe do the work alongside your team, then leave you stronger.
- Defensible by designDocumentation and processes that hold up when they are questioned.
What we do
One partner for the whole business of care
From the first claim to the toughest audit, we cover the operational and financial work that keeps a practice healthy.
- Run the business of care
Healthcare Management Consulting
We help practices and provider organizations strengthen operations, finances, and leadership so clinicians can focus on patients instead of paperwork.
Learn more - Open the right way
Medical Startup & Practice Consulting
Launching a new practice is exciting and overwhelming. We help new and growing providers stand up the operational, financial, and compliance foundation to open with confidence.
Learn more - Code accurately, stay protected
Medical Coding & Healthcare Compliance Audit
Independent coding and compliance audits that surface documentation gaps, reduce denials, and protect you from the risk of over- and under-coding.
Learn more - Get paid what you have earned
Revenue Cycle Management
End-to-end revenue cycle support that helps your practice collect more of what it earns, faster, with fewer denials and less administrative drag.
Learn more - Enroll faster, bill sooner
Credentialing Services
We manage the paperwork-heavy world of provider enrollment and credentialing so your clinicians can start seeing patients, and getting paid, without delay.
Learn more - Defensible by design
Litigation Support & Prevention
When billing, coding, or documentation practices come under scrutiny, we provide expert analysis and support, and help you build the safeguards to avoid disputes in the first place.
Learn more - Find what the numbers hide
Forensic Auditing
Detailed forensic review of billing, claims, and financial records to uncover errors, irregularities, and potential fraud, and to recover what you are owed.
Learn more
Introducing · Expert-Led, AI-Powered Revenue Intelligence
Introducing Optimize
Our expert-led, AI-powered revenue intelligence platform analyzes every encounter in your billing data — CPC/CPMA-certified review at software scale — to surface missed revenue, coding and compliance risk, and payer performance, then hands your team a prioritized, dollar-quantified action plan.
optimize.theproviderpartner.com
I was surprised that my ROI was 100% within the first 3 months. Well worth the investment.
Case study
See how the right operational fix changes the numbers
A look at how we approach a real engagement — the problem, the work, and the outcome — from first assessment to lasting result.
From the blog
Insight on the business of healthcare
Credentialing & Enrollment
You Created Your CAQH Profile. So Why Do You Need to Keep It Updated?
And does anyone actually use it anyway? Why an up-to-date CAQH profile is one of the most important — and most overlooked — drivers of clean credentialing and on-time payment.
Medical Coding & Compliance
Modifier 25 vs. Modifier 57: Understanding the Difference Could Save Your Practice Thousands
One of the most common coding mistakes in physician billing. Both modifiers separate an E/M from a procedure — but using the wrong one invites denials and audits. Here's how to tell them apart.
Let’s talk about your practice
Tell us what you’re trying to solve. We’ll come back with a clear, no-pressure next step.
Book a consult