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Since I started working together with Danielle I’ve tripled my income and can fully focus on patient care. Our monthly meetings help me grow the business while staying compliant, and Danielle is both incredibly encouraging and flexible, allowing me to pay for the services I need and manage the rest myself.If you need support with medical billing or eligibility, I highly recommend Upstate Healthcare Administration.
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Maggie Strode, OT Private Practice Owner
CHOOSE YOUR TRACK
Find Services Built for Your Specialty
Most of our clients fall into one of two categories. Find yours below and we will show you exactly how we can help.
EXITING PLATFORMS
Outgrowing Alma, Headway, Grow, or Rula?
Leaving a platform doesn't have to mean losing your caseload. Most providers stay longer than they need to because the exit feels too risky to plan alone. We help you build a transition that protects your revenue while you move toward direct billing on your own terms.
Danielle Wagar is a Certified Provider Enrollment Specialist, one of the healthcare industry's newest and most specialized certifications in provider enrollment and payer credentialing, offered through NAMSS.
Industry's first and only provider enrollment certification through NAMSS
Advanced training in provider enrollment credentialing and payer operations
Committed to accuracy, compliance, and provider success
RESOURCES TO HELP YOU GROW
Read Before You Book
Everything you need to run a smoother, more profitable practice — all under one roof.
HOW WE CAN HELP
Services That Support Your Practice at Every Stage
Four core services designed to get your practice billing cleanly, credentialed correctly, and paid consistently.
Credentialing & Payer Enrollment
Get credentialed correctly the first time and stay enrolled without delays.
Billing Oversight and Reimbursement
Clean claims, fewer denials, and better reimbursement for the care you provide.
Practice Operations and Workflow
Build systems that save time, reduce stress, and help your practice run smoothly.
Consulting & Strategy Sessions
Get expert guidance for specific challenges or big-picture planning.
DIY Guides and Tools
The Hidden Spread Calculator
See exactly how much revenue you're surrendering to platform billing, in minutes.
UN-PLATFORMED: Direct Aetna Credentialing Guide
Stop paying platform fees. Credential directly with Aetna using the exact process independent therapists use.
Intake to Income: Billing Workflow Guide
Every step between client intake and payment, mapped out for therapy practices.
CAQH Set Up & Mastery Guide
Fix the one thing quietly holding up your credentialing applications.
CLIENT SUCCESS STORIES
What Practice Owners Are Saying
Hear from the providers and business owners who've transformed their practices with our support.
A
Danielle has been an absolute asset to our practice. She’s efficient, knowledgeable, and always on top of our billing. She makes the insurance side of our business far less stressful, which allows us to focus on client care.
M
I can’t recommend Danielle highly enough. I started my out-of-network occupational therapy practice in February 2025 with the goal of making my services accessible while prioritizing true one-on-one care. I hired Danielle in May to help with eligibility and out-of-network, Workers’ Compensation, and Medicare billing, and the results have been incredible.
Since working together, I’ve tripled my income and can fully focus on patient care. Our monthly meetings help me grow the business while staying compliant, and Danielle is both incredibly encouraging and flexible, allowing me to pay for the services I need and manage the rest myself.
If you need support with medical billing or eligibility, I highly recommend Upstate Healthcare Administration.
D
Upstate Healthcare Admin is a life saver! When billing, EHR navigation and admin work gets complicated Danielle swoops and saves the day. She is kind, thoughtful and thorough. So grateful for this resource.
NOW AVAILABLE
Meet Upstate Access
The self-serve credentialing portal built for independent providers who want to stay organized, track their progress, and get expert help exactly when they need it.
Track Everything in Real Time
See exactly where every enrollment and credentialing application stands without chasing anyone for updates.
One Place for Every Document
Store licenses, applications, and payer correspondence in a single organized portal instead of scattered folders and email chains.
Expert Help When You Need It
Access Ask an Expert sessions starting at $49 or full Strategy Sessions at $199 directly inside the platform whenever you hit a wall.
THE FRAMEWORK IS LED BY
Meet Danielle Wagar, CPES
Danielle Wagar is a Certified Provider Enrollment Specialist and the expert behind the Upstate Revenue Framework™. With 15+ years of experience and one of the most specialized credentials in provider enrollment and payer credentialing, she builds the systems that help therapy practices get paid correctly and consistently.