Veteran-Owned · National Infrastructure · Local Ownership
Zero employees. By design.
Stay independent. We handle everything else.
Precision Surgical Resources is a veteran-owned national practice built exclusively for independent surgical assistants. We don't employ anyone — every PSR provider is an independent 1099 practitioner who keeps their surgeon relationships, keeps 80% of every case, and gets paid every Friday. Our side covers the entire back office: credentialing, contracting, op notes, coding, billing, collections, compliance, and group malpractice — all run under the PSR Standard, so every claim holds up under scrutiny.
Who We Serve
Whether you're a solo assistant ready to simplify, a leader ready to build a team, or a facility looking to restructure — PSR was built for your situation.
CSFA · SA-C · PA · RNFA
The Solo Independent
PSR becomes the contracting party with your facility. You upload face sheets to Google Drive — we do the op notes, CPT codes, billing, and collections. Direct deposit every Friday. Your entire back-office overhead drops from 40–50% to 20%.
Your only job: upload the face sheets.
CSFA · SA-C · PA · RNFA
The Market Builder
You're the recognized leader in your area. PSR brings the whole machine — facility contracts, credentialing, billing, recruiting, backfill, and travel coverage. You expand beyond your first hospital into the broader market and earn profit-sharing in your regional group — real partnership, not a franchise.
You grow your regional group — on national infrastructure.
Hospital Leadership · CFO · General Counsel
Hospital & Health System
Reliability first: the same credentialed assistants your surgeons already trust, every case — with credentialing, scheduling, and compliance fully managed and the entire revenue cycle handled. We convert your W-2 assistants to 1099 contractors and hold all facility contracts. Same assistants, same surgeons, same cases. Your facility also sheds salary, benefit load, and the hire-fire-credential burden.
We bill commercial payers under a documented, transparent standard.
What Makes PSR Different
Most billing companies and staffing agencies are transactional. PSR is structural — we remove every downside of going independent and hand you the upside.
PSR carries a group malpractice policy that covers every assistant in the network, at real limits. You never have to buy or manage your own policy. A facility's policy doesn't cover a contractor anyway — ours does.
A full private practice runs 40–50% overhead. PSR's management fee is 20% — and that buys you a complete back office: facility contracts, op notes, coding, billing, collections, credentialing, compliance, and benefits access.
PSR doesn't take a cut and disappear. We set you up with a complimentary tax consult, quarterly market workshops, a vetted CPA/insurance/retirement bench, and a provider advisory council. We show up in person.
Our revenue cycle runs on national billing infrastructure with a documented compliance standard behind every claim. And as a team builder, you earn profit-sharing in your regional group — real partnership, not a franchise, not a royalty.
CSFA · Founder & CEO · USAF Veteran · 20+ Years in the OR
PSR wasn't built from theory. It was built from more than two decades of actual operating room experience — nights, weekends, trauma cases, long-term surgeon relationships — and a clear-eyed understanding of what the old model cost independent practitioners.
Christopher founded PSR to build a better model: one where independents keep 80%, carry group malpractice, earn profit-sharing in their regional group, and never have to navigate a billing cycle, a credentialing process, or a compliance question alone.
“Stay independent. We handle everything else.”
How It Works
Practitioner-owned means practitioners stay. Here's exactly what PSR does after you sign on.
You upload your face sheets to Google Drive. That is your entire administrative job. PSR takes it from there.
PSR writes the op notes, assigns the CPT codes, and invoices the right payer — commercial insurers directly, government cases to the facility at a set rate. No case goes uncompensated.
Direct deposit. Your 80%. No waiting, no chasing, no mystery. The same credentialed team your surgeons trust — every case.
As you expand — more hospitals, more cases, a team — you move from the solo track to the partnership track. Real partnership, not a franchise. Profit-sharing from your team's cases.
The PSR Standard
The PSR Standard is our published compliance and transparency standard — the documentation, billing, and credentialing discipline that runs on every case, so every claim holds up under anyone's review.
Whether you're a solo FA ready to simplify, a team builder ready to grow a regional group, or a facility looking to restructure — the conversation starts here.
PARTNER · OWN · PROFIT · GROW