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Practice expertise · Personal guidance · Sustainable growth

Healthy roots.
Healthy practice.

Strong foundations start before your first patient. PPS helps you establish them, care for what matters, and build a practice that can weather change and grow for the long run.

Experienced people. Practical next steps. Explore PPS consulting

Explore your foundations
Every part connectedSelect a branch or root
Illustration · Explore what matters
For practices of every size, provider groups & healthcare facilitiesReal people behind your practice

Your practice, in focus

Back to the tree

Branch / Patient access

Can patients get the care they need?

Patient interest becomes a healthy practice when people can find you, reach you, and get an appointment.

What to keep in view

  • Next available appointment
  • Inquiry-to-appointment conversion
  • Cancellations & no-shows

Example measures, chosen for your practice.

How PPS can help

Practice planning and consulting help connect patient demand, capacity, and the workflows behind access.

Explore practice consulting
Build with purpose. Measure what matters. Care for what you build.

Experienced people. Focused support.

Your next decision deserves a trusted partner.

Your practice brings its own goals, pressures and possibilities. PPS helps you work through the business decisions behind patient care, with experienced consultants and a scope built around your needs.

From your first practice plan to payer negotiations and operational improvements, start with a conversation about what matters most to you.

Explore practice consulting

Start. Run. Grow.

Your next step. Our expertise.

Hands-on support for your practice’s most important business decisions.

03 / THE WHOLE PRACTICE

Plan your next chapter.

Understand where your practice needs attention and bring a more informed view to your next business decision.

Explore the connected view

The foundations of a healthy practice

Built to open. Rooted for the long run.

Your root system starts taking shape before your first patient arrives. Establish each foundation, know what it needs, and keep tending it as your practice grows.

ROOT 01

Market & patient demand

Know whom you serve, and why they will choose you.

Practice planning · Location · Website & marketing

Before opening & as you grow
Before opening

Define your patient community, care offering, location, and route to your first appointments.

As you grow

Revisit demand, referral relationships, and patient acquisition when you add capacity.

ROOT 02

Financial resilience

Give the practice room to establish itself and adapt.

Start-up budget · Pro forma · Cash planning

Before opening & as you grow
Before opening

Connect opening costs and expected collections to a realistic operating plan.

As you grow

Review cash needs and assumptions before committing to more staff, space, or services.

ROOT 03

Payer access & economics

Build the relationships that support reimbursement.

Credentialing · Enrollment · Contracting

Before opening & as you grow
Before opening

Coordinate provider and practice enrollment with payer agreements and opening plans.

As you grow

Review participation, reimbursement, and payer mix as your practice changes.

ROOT 04

People & accountability

Make sure essential work has a capable owner.

Staffing plan · Roles · Training

Before opening & as you grow
Before opening

Define responsibilities, prepare your team, and establish how work moves between people.

As you grow

Revisit capacity, training, and backup coverage so growth does not create fragile handoffs.

ROOT 05

Systems & information

Connect the tools that turn care into a working business.

EHR selection · Billing setup · Reporting

Before opening & as you grow
Before opening

Prepare scheduling, clinical, billing, and payment workflows to work together. Agree on useful measures, who reviews them, and how often.

As you grow

Check data quality, review changes in performance, and revisit whether your measures still guide the decisions that matter.

ROOT 06

Business & governance

Give the practice a structure it can depend on.

Business setup · Policies · Compliance coordination

Before opening & as you grow
Before opening

Coordinate business setup, required registrations, policies, and responsibility for ongoing obligations.

As you grow

Keep ownership, reviews, and renewals current as people, locations, and services change.

01 / ESTABLISH

Before you open

Confirm the foundations are ready, with clear owners and evidence behind each milestone.

02 / CONNECT

As care begins

Check that the pieces work together, from the first appointment through the payment process.

03 / SUSTAIN

Throughout your growth

Review root health as conditions change. Opening-day readiness is a starting point.

Resilience is an ongoing practice

Build with purpose. Measure what matters.

Knowing what to measure, and having reliable information to measure it, is part of building a healthy business. Establish that discipline early. Keep reviewing, learning, and acting to support resilience and lasting growth.

  1. 01 / KNOW

    Choose what matters.

    Identify the few things that most affect your patients, your people, and your ability to keep going.

  2. 02 / MEASURE

    Make change visible.

    Set a baseline, agree on useful measures, and review them on a dependable schedule.

  3. 03 / ACT

    Give attention a direction.

    Understand the cause, choose the next step, and give someone ownership of moving it forward.

  4. 04 / REVISIT

    See what actually improved.

    Check fresh evidence, learn from the result, and adjust as your practice and circumstances change.

A completed task is a step. A healthier practice is the goal. Progress comes from what changes in the practice, measured over time.

Your practice. Our people.

Expertise with
a familiar face.

Get to know the PPS team supporting service delivery, onboarding, and credentialing.

Lindsay Pauly

Lindsay Pauly

VP of Service Delivery

Tonya Barry

Tonya Barry

Onboarding Manager

Lynn Cotellese

Lynn Cotellese

Onboarding Trainer, Credentialing Specialist

Marisa Martell

Marisa Martell

Credentialing Manager

Janelle Stradwick

Janelle Stradwick

Credentialing Specialist

Trisha Oliba

Trisha Oliba

Credentialing Manager & Consultant

PPS is a Metolius Health company.

The PPS free resource library

Practical resources.
Freely shared.

Explore the free tools, checklists, templates and guides that help practices take the next step.

Provider readiness

What does credentialing actually involve?

Understand how credentialing, contracting, and payer enrollment fit together.

Read the explanation

Your practice foundations

What do I need before opening a practice?

Explore planning, documentation, and the sequence of decisions ahead.

Explore the start-up guide

Practice performance

What should I be watching as my practice grows?

Start with the measures that reveal pressure, progress, and where attention is needed.

Explore the approach

Explore all free resources

The essentials, explained

A little clarity
goes a long way.

What foundations does a new medical practice need?

A new practice needs a clear market and patient strategy, financial resources, payer access, prepared people, working systems, and business governance. These foundations depend on one another. PPS helps coordinate practice start-up decisions and supports ongoing operations as the practice grows.

Why do practice foundations need attention after opening?

Patient demand, payer relationships, team capacity, costs, and business obligations change over time. Regularly reviewing the measures that matter helps you identify pressure early, respond with purpose, and build a more resilient practice.

How does PPS help with payer relationships?

PPS offers medical credentialing, provider enrollment, and payer contract evaluation and negotiation. Together, these services help establish and maintain the payer relationships behind participation and reimbursement.

Which practice operations can PPS support?

PPS offers credentialing maintenance, revenue cycle management, practice start-up, and business consulting. The scope of support is defined around each practice’s needs, goals, and stage of growth.

How is PPS connected to Metolius Health?

Physician Practice Specialists is a Metolius Health company. MyMetolius is the entry point to the KPI portal and is available through Client login.

What does the interactive tree show?

The roots represent six business foundations; the branches represent patient access, provider readiness, revenue cycle, and financial health. Select a part to explore why it matters, examples of measures to monitor, and how PPS can help. This homepage illustration does not display live practice results.

A clearer view starts with a conversation

Put down strong roots. Give growth a future.

Let’s talk about where you are, what you want to understand, and the support that could help you move forward.

Talk with the PPS team.Wherever your practice is today.

Or call 800.406.4796

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