From Chaos Consulting Group LLC

09/11/2026

Saw a comment thread this week: "stay away from flat rate billing." Every comment underneath was a different percentage of the same work. Everything from 3-5.5% of net.

But it’s worth pausing on that advice, because "billing" isn't one thing. The model matters more than the rate structure. And hardly anyone ever mentions that.

When most people hear "biller," they picture the standard setup: an external company working off a spreadsheet, collecting a percentage of what they bring in. That works for a lot of practices. But you're getting someone managing your numbers from the outside, without visibility into your documentation or why a claim actually bounced.

A lot of companies say they work "for you/with you”. Now that language gets thrown around so much it doesn't mean anything anymore.

Here's what embedded actually looks like: a BCBA writes a note on Tuesday that's missing something a payer will flag. If billing is embedded, that gets caught Tuesday, before it's submitted. If billing is external, you usually don't find out until the remit comes back weeks later. Now you're stuck fixing the note, refiling, and waiting again.

Thats the actual outcome difference. It's not about flat rate vs. percentage. It's about whether the person managing your billing is standing next to the work when it happens, or finding out about it after.

09/10/2026

New practice owners.. That sprint to the finish line? The one where you're pushing to open two weeks earlier, moving fast on hiring, rushing past the boring back office setup because you just want clients in the door?

It's not buying you what you think it's buying you.

Your finances are going to take 3-6 months to even out from your first date of service. That's not a "if you move fast enough" number. That's how long credentialing, claims processing, and reimbursement cycles actually take. Yes, regardless of how hard you hustle to get there.

You can't out hustle a payer's timeline.

Instead of sprinting to the client, build the foundation thoroughly. I promise, your year 1 you will thank you!

Build the basics:
1. Your intake process, so referrals don't stall out in someone's inbox for two weeks.
2. Your documentation systems, so your BCBAs aren't scrambling to write notes that hold up under an audit, or taking months to turn in assessments and notes.
3. Your billing workflow, so claims go out clean the first time instead of bouncing back and adding another 30 days to your cash gap.
4. Your hiring process, so you're not making desperate hires three months in because you never built a real pipeline (which costs you double the normal hire).

None of this work speeds up a payer's clock. But all of it determines whether you're standing on solid ground when that clock finally runs out. With staff that still want to be with you.

Slow down long enough to build the thing that'll actually hold you up during those 3-6 months.

09/09/2026

Your practice management software should make your practice easier to run.

Not just give you more updated features.

The right system can bring scheduling, billing, documentation, reporting, and client communication into one connected workflow, reducing manual work, improving visibility, and giving your team better information to make decisions.

But choosing the right system isn’t just about picking the software with the longest list of features and integrations.

It’s about asking:
→ Does it fit the way your practice actually operates?
→ Can it integrate with the other systems you rely on?
→ Does it give you meaningful data — not just more reports?
→ Can it scale as your practice grows?
→ Will your team actually be able to use it effectively?

Because the “best” practice management software isn’t necessarily the one with the most capabilities.

It’s the tech stack that makes your entire operation work seamlessly together.

And implementation matters just as much as the platform itself.

Data migration. Training. Testing. Integrations. Ongoing optimization.

Those pieces determine whether your new system actually improves your workflow or simply just gives you another system and more chaos to manage.

Your technology should support your practice’s growth.

Not slow it down.

09/08/2026

Our referrals page just went live!📣

Referral fees and kickback arrangements are the norm in this industry. We don't take them, and we don't pay them. Every name below gets nothing for being listed. We get nothing for sending you their way.

Here's the thing: the people who helped me along the way rarely asked for anything back either. This field is hard enough without going it alone. If pointing someone toward a person I genuinely trust costs me nothing and helps them, that's reason enough.

A couple of these do things we also do under our own roof. That's not an oversight. We're specifically embedded and ex*****on focused, we grow with a practice longer term. They're specialists in one lane. Sometimes that single lane focus is exactly the right fit, and not us.

So here's who we vouch for, no strings attached:
Melissa Kozak - Caregiver & Parent Training Programs
David Borowski BCBA LBA - Clinical QA & Compliance
Beacon Credentialing - Credentialing support
Chorus Software Solutions - Practice management software
Summit Partnership Group - Business development & growth strategy
Level Up Leadership - Leadership & supervisor coaching
NextEra Strategies - Marketing & social media
Shamaria McMurtry with RBT Ready LLC - Workforce recruiting & staffing
Ellipsis Counseling Center - Mental health counseling
Glow Queen Bri - Esthetics

https://lnkd.in/eREPt2_p

If you're a practice owner drowning in something outside our lane, this is exactly where we'd point you. Stay in touch as this list is subject to incredible growth as we continue to grow alongside some of the best of the best!

Call now to connect with business.

09/07/2026

There’s a lot of pressure in the healthcare industry to always be doing more.
More services. More growth. More clients. More revenue.

But sometimes, the best thing you can do for a practice is slow down and first ask, “Does this actually make sense for where we are right now?”

That’s a big part of why From Chaos exists.

We’re not here to sell you something just because we can. We’re here to understand your practice, help you figure out what you actually need, and be honest about what comes next.

Because sustainable growth starts with having the right foundation.

That’s what we believe in. Good work, honest conversations, and putting people before the sales.

You keep the vision. We handle the operations. - Words From Our Founder, Rebecca Frederick

09/04/2026

The new From Chaos website is officially here and it's live! 🚀

We've updated our site to offer clear service packages and an improved user experience, helping healthcare practice owners spend less time on operations and more time leading their practices.

Visit https://fromchaos.co/ to view our updated service packages and schedule a discovery call.

09/03/2026

Your billing software can do a lot. That doesn’t mean it’s doing it well or that it knows your practice.

SimplePractice, Rethink, CentralReach, AlohaABA etc really pick any platform. They all submit claims, post payments, run reports. Technically capable, sure. But capable of a task and executing it in your favor are two different things.

Here’s what people skip: even when the software “works correctly,” it’s only working with what it was given. What data went in, when, and how it was entered. Wrong modifier, late entry, a guess instead of actual documentation..the system doesn’t know the difference. It just runs the code it’s built to run.

The platform isn’t invested in your outcome. It won’t flag that something feels off, because “off” isn’t its job. Accuracy in, is still on you and your team.

These systems also don’t hold history: your state Medicaid MCO’s latest modifier rejection, the payer that always denies a new client’s first claim, the pattern only someone watching your AR weekly would catch.

Worth checking this week:
→ Pull your AR aging report: anything past 60 days is a pattern, not a fluke
→ Check your last 90 days of denials: same 2-3 codes repeating? That’s a data or configuration issue
→ Ask whoever “handles billing” what they check weekly vs. what just runs automatically in your tools.

The tool isn’t the strategy. Someone still has to watch what it’s doing, and what’s going into it. And initiate those corrections. Otherwise you’re running blind to how much you think you’re earning.

09/02/2026

It seems like everyone in ABA right now is doing the same thing. Same messaging. Same aesthetic. Same playbook.

You can do it too. But do it as YOU.

Do it silly. Do it corporate. Do it human. Do it kind. However it actually fits who you are, not however the industry says you're supposed to look.

That's especially true when you're just starting out. You will mess things up. You'll figure something out at 11pm that you should've figured out three weeks ago. That's not failure, it's just what building something from nothing looks like.

You don't need everything perfect on day one. You need the next right step. Credentialed, compliant and one system at a time.

What you build and leave standing should still be you. Not a brand template, not a borrowed voice. The practices that last are the ones that never stopped sounding like the person who started them.

If you're in that season right now, solo and building, figuring it out, I see you. And if you want help with the pieces that are eating your time, that's exactly what we do.

09/02/2026

As current engagements come to a close and projects wrap up, I’m now opening availability for 1-2 practices.

Since my new service structure isn’t live on the website yet, here’s what’s actually available right now.

Embedded ops (standard or full-cycle): extra hands inside your practice, doing the operational work you don’t have time for. HR, billing, staffing, tech and client care. Not taking it over, just getting it done.

RCM/billing: full cycle billing leadership, from authorization through payment posting and denials. Always flat fee, not per claim or percentage pricing.

Credentialing & payer enrollment: getting new practices in-network from scratch, or adding clinicians to an already credentialed group.

We work with ABA practices, primary care, behavioral health, and small healthcare practices.

If any of this sounds like the gap you've been trying to patch yourself, let's talk. DM me or book a quick call.

08/31/2026

Your credentialing problem could be leaking 30% of your revenue.

Here’s something we wish more behavioral health practices understood:

Credentialing and billing are not separate conversations.

If a provider isn’t fully credentialed with a major payer, you can still provide the services under the approved auth but that doesn’t mean the payer is ready to pay you for them.

Claims submitted before a provider is properly credentialed or enrolled can be denied, delayed, or require additional work to get paid. And when claims start piling up, you’re not just dealing with a credentialing issue anymore.

That’s why getting providers credentialed correctly and on time matters. It helps ensure that when you submit a claim, the payer recognizes the provider and the billing relationship behind it and operations run smoothly.

And there’s another part of this conversation that deserves more attention:

Who owns your NPI?

Some billing companies will credential you for free, then bill under their NPI and take a cut of everything you collect.

Signing away 20–30% of your billing forever is not your only option.

At $10,000/month in billing, that’s $2,000–$3,000 leaving your practice every month.

At From Chaos, we help practices get credentialed, navigate payer enrollment, and help them own their NPI - so credentialing doesn’t turn into a long-term revenue leak.

Contact [email protected] or visit https://fromchaos.co/own-your-npi to learn how we can help.