Grasshopper — therapy practice operations
Run your own practice. Not your own back office.
Grasshopper is the operations team for independent therapy practices. Billing, credentialing, scheduling, admin — handled completely, for a flat monthly price. Never a percentage. You make the leap. We carry the rest.
A third path, finally.
Most therapists who go independent get offered two deals. A platform will handle the admin — and own the payer contracts, sit between you and your clients, and ride economics on every session you hold. A percentage biller will take claims off your plate — for a cut of collections that grows every time you do.
Grasshopper is the third path: a full operations team that works for your practice. No marketplace. No panel requirements. No percentage — flat, published prices that never touch your collections. The contracts, the data, the client relationships: yours, the whole way through.
Where are you in this?
Starting your practice
You're licensed, caseload-ready, and done building someone else's panel. We take you from "I'm leaving" to your first insurance-paid session — in a practice you fully own.
Already running one
The practice works. The back office is eating it. Hand off the front desk, the revenue cycle, or both — to one team, for one flat fee.
What we carry
Denials, appealed. Calendars, sane. Inboxes, quiet.
Practice Launch
From leaving the group to your first insurance-paid session — one flat project fee, in a practice you fully own.
What's in it →Complete
The entire back office: front desk plus the full revenue cycle, for one flat monthly fee by session band.
What's in it →Essentials
A professional front office — scheduling, intake, reminders, inbox — without handing off your billing.
What's in it →Credentialing
On the panels — per payer or in a six-panel bundle — with follow-up that doesn't die in a portal.
What's in it →Growth
HIPAA-aware reputation, local SEO, and content — for practices already on Essentials or Complete.
What's in it →Why "Grasshopper"?
A grasshopper is never a larva. It doesn't transform into something new — it grows by molting: leaving the too-tight shell and stepping out larger. Same animal. More of it.
That's what going independent actually is. The whole story →
You make the leap. We carry the rest.
Start with a fit call — 20 minutes, honest disqualification included.
Practice Launch · flat-fee project
From "I'm leaving" to your first insurance-paid session.
Practice Launch is the whole runway: entity coordination, credentialing, systems, and the first claim watched through to payment — for one flat fee, in a practice that is yours from day one.
Practice Launch
$3,950 flatIncludes up to 5 payer panels — Medicaid counts as one — and +$295 per additional payer. Paid $1,975 at signing and $1,975 at first commercial panel approval.
$1,000 credit when a 12-month Complete agreement signs at go-live — an effective $2,950. The founding cohort price and the $1,000 credit do not stack: it's one or the other.
What's inside
- Entity, EIN, and NPI-2 coordination — your attorney and CPA advise; we execute the admin
- CAQH profile build and attestation
- Panel applications with active follow-up for up to 5 payers, including NC Medicaid enrollment
- EHR setup — SimplePractice by default; alternatives supported
- Telehealth, intake, consent, and reminder workflows
- Fee schedules and superbill configuration
- Google Business Profile plus two directory profiles
- Go-live checklist, then first-claim verification — we watch the first claims clear
What Practice Launch is not
- No legal, tax, or accounting advice — we coordinate the steps; your attorney and CPA advise
- No clinical services, supervision, or clinician staffing — ever
- No office leasing
- No promises of panel acceptance or timelines — credentialing typically runs 90–150 days and is payer-controlled
Our definition of done
- All selected panel applications submitted within 14 days of complete inputs
- Weekly follow-up on every payer, logged where you can see it, with a weekly status note
- Systems pass the go-live checklist before your first session
- First claim per payer tracked all the way to payment
The honest timeline
Credentialing typically runs 90–150 days, payer-controlled. We can't shorten the payers; we can make sure nothing else is the bottleneck. While they take their time, we build everything else — so go-live day is a switch flip, not a scramble.
At go-live, most launches step straight into Complete's Ramp band: your whole back office for $995 a month while the caseload builds.
Founding cohort: the first three practices get Practice Launch at a flat $2,950. Founding terms →
Where this fits
Practice Launch is the start line. Most launches continue into Complete at the Ramp band; if you only need panels, Credentialing is the à-la-carte door.
Complete · monthly, by session band
Your entire back office. One flat fee.
Everything in Essentials, plus the full revenue cycle — eligibility, claims, denial work, posting, patient invoicing — and a monthly revenue report you'll actually read. Priced by session band. Never by percentage.
Complete
from $995/moBands use completed sessions per calendar month on a 3-month rolling average. Band changes take effect the following month, with notice. Annual review each January.
What's inside
- Everything in Essentials — the full front office
- Eligibility and benefits verification before first sessions
- Claim scrubbing and submission
- Denial work and appeals
- ERA and payment posting
- Patient invoicing and balance follow-up
- Monthly revenue report: charges, collections, denial rate, AR aging, payer mix
What good looks like
We publish the bar we hold ourselves to — as activity commitments, never outcome promises: a clean-claim rate of 95% or better, and accounts-receivable days under 35, trending the right direction every quarter.
Our definition of done
- Claims submitted within 2 business days of session completion
- Denials worked within 5 business days
- Monthly revenue report delivered by the 7th
- Accounts receivable over 60 days flagged with an action plan
What Complete is not
- Payer contract negotiation — we inform you; you decide
- Collections-agency work
- Any promise of reimbursement
Groups and transitions
Groups (2–5 clinicians): Complete base $1,595 plus $595 per additional clinician per month — each assumed at up to 100 sessions a month, with a $200 per-clinician band uplift above that.
Coming from another setup? A one-time $750 transition fee covers the systems audit, payer portal mapping, and the AR transition plan — waived for Practice Launch graduates.
Where this fits
If you only need the front office, that's Essentials. If you're not on panels yet, start with Credentialing — or the full Practice Launch.
Essentials · monthly
A professional front office. Without handing off billing.
Scheduling, intake, reminders, and the inbox — handled every business day, for the price of a few sessions a month. Your billing stays wherever you want it.
Essentials
from $795/moFront office only — no billing. Same band mechanics as Complete: calendar-month sessions on a 3-month rolling average.
What's inside
- Scheduling and calendar coverage
- Intake coordination
- Appointment reminders
- Voicemail and inbox handling during EST business hours — async, with scheduled callbacks
- EHR admin
- A weekly ops snapshot, every Friday
Our definition of done
- Same-business-day response to all patient scheduling messages
- Zero unworked inbox items older than 24 hours
- Weekly snapshot delivered every Friday
What Essentials is not
- Billing and claims — that's Complete
- Live phone reception — a later add-on, priced when it activates
- Clinical communication content — the care is never ours
When you're ready to hand off billing too, Essentials steps up into Complete — same team, one flat band fee.
Where this fits
Most practices that start here move to Complete within a few months. If panels are the bottleneck, see Credentialing.
Credentialing · à la carte
On the panels. Without losing 10–20 hours per application.
Per-payer application prep, submission, CAQH attestation, and a follow-up cadence that runs until determination. The value isn't the form — it's the follow-through, which is where applications usually stall.
Credentialing
$325/payerWhat's inside, per payer
- Application prep and submission
- CAQH attestation
- Follow-up cadence until determination — every contact logged
- Effective-date verification
The timeline, plainly
Typically 90–150 days, payer-controlled. We say that everywhere, because it's true: the payer owns the clock. What we own is the cadence — submitted fast, followed up on schedule, status visible to you the whole way.
Practices that hand us credentialing usually meet the rest of the back office next. When the panels land, Complete is ready.
Where this fits
Need the whole runway, not just panels? That's Practice Launch. Already credentialed and drowning in claims? Complete.
Growth · add-on, monthly
More right-fit clients. Without crossing a single line.
HIPAA-aware marketing for therapy practices — reputation, local search, and content that respects every boundary the work demands. Available with Essentials or Complete.
Growth
+$1,200/moAdded to an Essentials or Complete agreement — Growth doesn't run alone.
What's inside
- Reputation and review system — HIPAA-aware: no PHI, no soliciting testimonials about treatment
- Local SEO: Google Business Profile optimization, citations, local content
- Two content pieces a month
- Quarterly growth review
Delivered by our in-house marketing team, inside the same client relationship — one vendor, one invoice, one set of standards.
What Growth is not
- Paid ads — available separately if you want them
- Any promise of rankings or client volume — activity commitments only
Where this fits
Growth rides on top of Essentials or Complete. Not there yet? Start with the back office.
Pricing · flat, published, never a percentage
Every price we have, on one page.
Yes, these are the prices. There isn't a different list behind a call.
Flat tiers and project fees. Session-volume bands, never percentages. What follows is the entire list.
Complete — the whole back office
from $995/moWhat would Complete cost at your volume?
Practice Launch — the whole runway
$3,950 flatUp to 5 payer panels — Medicaid counts as one — and +$295 per additional payer. Paid $1,975 at signing and $1,975 at first commercial panel approval. $1,000 credit when a 12-month Complete agreement signs at go-live — an effective $2,950. The founding price and the $1,000 credit do not stack.
Founding cohort — three practices, then it retires
30% off baseThe first three practices get 30% off the Essentials or Complete base monthly fee, locked for six months — it doesn't apply to Growth, Credentialing items, the transition fee, or per-clinician group add-ons. Practice Launch comes in at a flat $2,950.
Founding clients agree to a case study using percentage-only results, with approval rights on every published number. After three, founding pricing retires permanently.
Essentials — the front office
from $795/mo$795/mo at up to 60 completed sessions a month · $995/mo at 61 and up. Front office only — no billing. Full scope →
Credentialing — à la carte
$325/payer$1,750 six-panel bundle · $45/mo CAQH maintenance · $195 per payer re-credentialing. Full scope →
Growth — the add-on
+$1,200/moHIPAA-aware reputation, local SEO, and content. Requires Essentials or Complete. Full scope →
The fine print, in large type
Questions we actually get
Complete is priced by completed sessions per calendar month, measured on a 3-month rolling average. If your average moves into a new band, the price changes the following month — with notice from us first. We review bands and prices once a year, in January.
Never. Every Grasshopper price is a flat, published number. For practices that bill Medicaid, that is a compliance feature as much as a preference — and either way, your growth is yours.
We never provide clinical services, supervision, or clinician staffing. We do not give legal, tax, or accounting advice — we coordinate those steps administratively while your attorney and CPA advise. We do not negotiate payer contracts for you (we inform; you decide), and we do not do collections-agency work.
Cleanly, anytime, per the published terms. Your practice, your data, and your payer and client relationships are yours — we built offboarding before we built the sales page.
Typically 90–150 days, and the timeline is payer-controlled. We submit fast, follow up on a logged cadence, and tell you the truth about the wait.
The first three practices get 30% off the Essentials or Complete base monthly fee, locked for six months, and Practice Launch at a flat $2,950. The founding price does not stack with the $1,000 Complete-commitment credit. Founding clients agree to a case study using percentage-only results, with approval rights on every published number. After three, founding terms retire permanently.
A one-time $750 transition fee covers the systems audit, payer portal mapping, and the accounts-receivable transition plan. It is waived for Practice Launch graduates.
Different Grasshopper. They do small-business phone systems; we run the back office for therapy practices. Plenty of our therapists use them too.
How it works
Three steps. Then it's just handled.
The fit call
20 minutes, honest disqualification included. We figure out whether we're right for your practice — and say so plainly if we're not. No deck, no pressure, no follow-up sequence you have to escape.
Launch, or hand it over
Starting fresh? We file, follow up, and set up your systems — every payer follow-up logged where you can see it. Switching? We run the systems audit, map your payer portals, and run the AR transition plan.
We run it. You run the practice.
Claims out within 2 business days. Denials worked within 5. Your revenue report by the 7th. The front desk handled every business day. All of it logged, all of it visible.
The Commitment Ledger
Most vendors describe services. We publish our definition of done.
Activity commitments, in writing. What you'll never find here: outcome promises — more on that in Trust & boundaries.
Where this fits
The scope behind each row lives on the service pages: Complete, Practice Launch, Essentials.
For therapists leaving group practice
Leaving the group isn't a transformation. It's a molt.
You were never the apprentice. You were always the therapist — the group's shell just got too tight: someone else's panel, someone else's schedule, someone else's cut. Going independent is you, with more room.
What actually stalls the leap
It's almost never the clinical work. It's credentialing — the 90–150 day wall — payer contracts, the entity paperwork, the systems, the billing you've never had to touch. Twenty body lengths is a long way to jump on hope.
So we built the runway. Practice Launch takes you from "I'm leaving" to your first insurance-paid session: entity coordination, CAQH, up to 5 panels including NC Medicaid, EHR and intake systems, fee schedules, the go-live checklist, and the first claim watched through to payment. $3,950 flat, split $1,975 and $1,975. While the payers take their 90–150 days, everything else gets built.
The ownership math
On a platform, the contract is theirs and the economics ride your sessions. Independent, the contract is yours: every negotiated dollar, every client relationship, every decision about your own calendar.
Our fee is flat and published — $995 a month at the Ramp band for the whole back office while your caseload builds. When the practice grows, the growth is yours.
Then you're not alone in it
At go-live, most launches step into Complete: claims out in 2 business days, denials worked in 5, the report by the 7th, the front desk handled. You make the leap. We carry the rest.
Ready to talk it through?
A 20-minute fit call. Honest disqualification included — if you're not ready yet, we'll say so, and tell you what would make you ready.
For practices already running
You shouldn't pay your biller more because you got busier.
Percentage billing means your best months are their best months. Flat bands mean your growth is yours. And one team means the front desk, the claims, and the report all answer to the same standard.
The two-vendor tax
Illustrative market comparison — typical figures, not a quote.
A full-caseload solo practice collects around $9,400 a month. The usual setup: a specialist biller at 7% ≈ $655 a month — for billing only — plus a separate VA for the front office at $800–$1,200. That's $1,455–$1,855 across two vendors, with nobody owning the report and every handoff falling to you.
Complete at $1,595 sits inside that range — one team, one flat fee, the entire back office, and a monthly revenue report someone is actually accountable for.
What switching looks like
A systems audit, payer portal mapping, and an AR transition plan — the one-time $750 transition fee covers all of it, and it's waived for Practice Launch graduates. The transition runs on a written plan with named owners, not on hope.
Or start smaller
Hand off just the front office with Essentials, from $795 a month. Or fix the panels first with Credentialing at $325 per payer. Both roads lead to the same place when you're ready: one team carrying the whole thing.
You grow the practice. We carry the back office.
A 20-minute fit call. Honest disqualification included.
About · the company
We started inside a working practice's back office.
Grasshopper grew out of the day-to-day operations of a therapy practice in North Carolina — real claims, real denials, real Mondays. We built the systems first. Then we built the company around them.
That order matters. Most operations companies design a service and then go looking for practices to fit it. Ours was shaped by one practice's actual workload — the payer follow-ups, the calendar, the inbox, the report the owner actually reads — and then standardized so it could carry more than one. Everything we publish on this site is something that work taught us to commit to.
Why a grasshopper
Here's something most people don't know about grasshoppers: they're never larvae. A grasshopper doesn't start as something else and transform. It hatches as a small, complete version of itself — and grows the only way it can: by molting. When the shell gets too tight, it leaves the old one behind and steps out larger. Same animal. More of it.
That's what going independent actually is. The therapist who leaves a group practice isn't becoming someone new — they were always the therapist. The group's shell just got too tight: someone else's panel, someone else's schedule, someone else's cut. Starting your own practice isn't a transformation. It's a molt. You, with more room.
And then there's the leap. A grasshopper can jump twenty times its own body length — but only because everything underneath it is built for exactly that. Nobody makes that jump on hope.
That's where we come in. Grasshopper is the practice-operations team for therapists going — and staying — independent. We run the entire back office: billing and revenue cycle, credentialing and paneling, scheduling, intake, admin. Flat price, published plainly, never a percentage of what you earn. The clinical work never passes through our hands; it was never ours to touch.
You make the leap. We carry the rest. And every stage after that — more yourself, never anyone else's.
What we believe
- The care is never ours. We never touch, shape, or comment on clinical decisions — or imply we could.
- Flat and plain. Published prices, plain English, short agreements. Never a percentage, never fine print that changes the deal.
- Carry it like ours, return it like yours. Complete ownership of the work while it's on our desk. The practice, the data, and the payer and client relationships always belong to you.
- More yourself at every stage. Built for steady molts — each quarter the practice more your own. Leaving us must always be clean.
What you won't find here
A logo wall. We're a new company, and we'd rather show you exactly what we do than imply a history we don't have. What you'll find instead: published prices, published commitments, and a founding cohort of three practices whose results — shared as percentages only, with written approval — will become the proof.
About the name
If you were looking for the phone service of the same name — different company. They do small-business phone systems; we run the back office for therapy practices. Plenty of our therapists use both.
Trust & boundaries
The lines we don't cross.
Plain answers to the questions a careful clinician should ask any operations company. These boundaries aren't marketing — the service is built on them.
We never touch clinical work
Grasshopper is an administrative service. We do not provide clinical services, supervision, or clinician staffing, and we never shape, review, or comment on clinical decisions. Clinical questions belong with you, your supervisor, or your licensing board — never with us.
Coordination, not advice
During Practice Launch we coordinate entity and tax registration steps administratively — filings prepared, submitted, and tracked. We do not provide legal, tax, or accounting advice. Your attorney and CPA advise; where their direction applies, we work to it.
A BAA before any access
A Business Associate Agreement is executed before any access to protected health information. Access is minimum-necessary by design — people see only what their function requires — and HIPAA training stays current for everyone who works on practice operations.
Flat fees are a boundary, not just a price
We never charge a percentage of your collections — not as a fee, not as a bonus, not as a hybrid. Your growth is yours. For practices that accept Medicaid, this is more than a pricing preference: flat fees keep a bright compliance line around how billing help can be paid.
Why we don't make outcome guarantees
Every commitment we publish is an activity commitment: what we will do, and by when. We don't guarantee revenue, reimbursement, panel acceptance, or timelines, because no honest operations company controls a payer's decisions. What we publish instead is our definition of done — claim timing, denial timing, reporting dates — in the Commitment Ledger. A guarantee about an outcome someone else controls isn't a stronger promise; it's a weaker kind of honesty.
Proof standards
Any client result we publish is shared as a percentage only, with the client's written approval, and never with client or patient information. No approved number, no claim.
Offboarding by design
You can leave cleanly, anytime, per the published terms. The practice, the data, and the payer and client relationships are yours; we documented the offboarding process before we wrote a sales page. A service you can't leave isn't a service — it's a dependency.
Contact
Start with a fit call. Or just write.
A fit call is 20 minutes, honest disqualification included. If we're not the right fit for your practice, we'll say so plainly and point you somewhere better.
Online booking opens with our scheduling link. For now, the form below reaches us directly.
Privacy
Privacy policy
DRAFT — pending counsel review; not yet in effect.
Who we are
Grasshopper Practice Operations LLC ("Grasshopper," "we") provides administrative back-office services to therapy practices. This policy describes how this website handles information. It does not describe service delivery: when we serve a practice, a signed services agreement and, where protected health information is involved, a Business Associate Agreement govern how information is handled.
Information you send us
If you use the contact form, we receive what you type: your name, email address, the state your practice operates in, and your message. We ask you not to include any health or client information in the form — we don't need it to answer you.
Information collected automatically
Like most websites, we use standard web analytics to understand how the site is used — pages viewed, approximate region, device and browser type. Analytics data is used in aggregate to improve the site, not to identify you. Final disclosures for the specific analytics tools in use will be confirmed in the counsel-reviewed version of this policy.
How we use information
To respond to you, to evaluate fit if you've asked about our services, to operate and improve this site, and to meet legal obligations. We do not sell personal information, and we do not add form submissions to advertising lists.
Retention
We keep correspondence as long as needed to respond and to maintain ordinary business records, then delete it in the normal course.
Your choices
You can ask us what we hold about you, ask us to correct it, or ask us to delete it by writing to hello@grasshopperpractice.com or through the contact page. We'll respond to any reasonable request.
Children
This site is for practice owners and clinicians. It is not directed to children, and we do not knowingly collect information from them.
Changes
When counsel review is complete, this draft will be replaced with the effective policy and dated. Material changes after that will be noted here.
Terms
Terms of use
DRAFT — pending counsel review; not yet in effect.
Agreement
Using this website means you accept these terms. If you don't accept them, please don't use the site.
The site is informational
This website describes our services and pricing. It is not an offer that can be accepted by browsing; service relationships begin only with a signed services agreement and, where protected health information is involved, a Business Associate Agreement. If anything here differs from a signed agreement, the signed agreement controls.
Not professional advice
Content on this site is general information about practice operations. It is not legal, tax, accounting, or clinical advice, and it does not create a professional relationship of any kind. Decisions about your practice should be made with your own advisors.
Pricing shown
Published prices reflect our current standard pricing as of the page's last update. The price that applies to a practice is the one in its signed agreement.
Acceptable use
Don't misuse the site: no attempts to break, probe, or overload it; no automated harvesting of the contact form; and no submitting information you don't have the right to share — including anyone's health information.
Our content and marks
The content of this site, the Grasshopper name, and the wordmark belong to us. Grasshopper™ is a trademark of Grasshopper Practice Operations LLC. You may not use them in a way that suggests affiliation or endorsement.
Third-party sites
Links to other sites are provided for convenience. We are not responsible for their content or practices.
Disclaimers
The site is provided "as is" and "as available," without warranties of any kind, express or implied, to the fullest extent permitted by law. We work to keep the site accurate, but we don't promise it is error-free or always available.
Limitation of liability
To the fullest extent permitted by law, Grasshopper Practice Operations LLC is not liable for indirect, incidental, or consequential damages arising from use of this website.
Governing law
These terms are governed by the laws of North Carolina, without regard to conflict-of-law rules.
Changes
When counsel review is complete, this draft will be replaced with the effective terms and dated.
Not found
Nothing here.
This page doesn't exist — a thing we'd never let happen to one of your claims.