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Billing under a signed BAA
Group practices · RCM

A group practice has many providers and should still have one A/R.

Group billing fails when per provider numbers get averaged into a practice total. Yours should read provider by provider, so the block nobody is watching gets found instead of hidden.

Physicians and a practice manager collaborating in a group medical practice
A group’s A/R should read provider by provider, not one average
A named point of contactYour existing systemsClear scope and reporting
The scope

A group’s A/R should read provider by provider, not one average

Averaged into a practice total, a single slow block reads as normal. Per provider and per site reporting is the only way the block surfaces while its claims are still inside filing windows.

Report per provider

Work across sites

Track a shared aging

Providers billed to the wrong standard

Providers wrote their notes under different rules before they joined. A coder carrying a “group” label cannot see which physician is costing the panel.

Locations share an A/R but not a process

Three sites, three front desks, one revenue cycle. The claim that dies in site two never shows up in site one’s numbers.

One specialty drifts inside the group

A slow specialty block gets averaged into the group total and reads as normal. Per provider reporting is the only way it surfaces.

The process

How the account runs for group practices

Here is what the work looks like, from the first review to the next action.

A defined task.
A documented action.
A visible next step.

  1. Free 90 day audit

    We read ninety days of your claims and tell you where revenue is stopping for group practices. If your billing is already healthy we will say so, and there is no charge either way.

  2. A team with per provider ownership

    Each provider and location has an owner in the reporting, so a slowdown in one site is visible without digging through a practice total.

  3. Payer rules loaded

    Your payer mix, their edits and their authorization requirements are set up before the first claim goes out.

  4. Parallel run

    We run alongside your current process for the first cycle so nothing is dropped in the handover.

  5. Steady state and reporting

    Monthly numbers at the right level of detail, and the aged A/R worked oldest first from day one.

What we handle

Billed and worked for group practices

Agree the scope with your practice, then keep the day-to-day work organized around it.

  • One team across every location
  • Per provider and per site reporting
  • Credentialing at scale
  • Charge entry across sites
  • Authorization management
  • Denial management by payer and reason code
  • Aged A/R worked oldest first
  • Monthly reporting by provider
Group practices
Report per provider → Work across sites → Track a shared aging
Medical billing and practice administration: credentialing
In practice

The provider the total hides

Per provider numbers get averaged into a practice total and the block nobody is watching disappears. We read the A/R provider by provider so the slowdown is visible, not smoothed over.

Discuss your workflow
The difference

What changes when the whole cycle has one owner

None of this is a criticism of your staff. It is a question of what happens to the queue on a busy day.

SituationIn the practice todayWith iFocusRCM
A claim is returnedReassigned to whoever picks it upReason coded, next action assigned the same day
A payer changes a ruleFound out by getting deniedPicked up in the edit set before submission
A balance starts to ageStatements go out when someone remembersOn a fixed statement and follow up cycle
One person is awayThe queue waits for themThe queue does not know they were away
Two sites disagreeArgued at month endOne aging, one process, one report
Your questions

A few things to know before we start

The right scope starts with a clear conversation.

Not the question you had?

Ask it directly. You will get an answer from somebody who works accounts, not a sales script.

Monday to Friday, 8am to 5pm Central Time
We have providers across several sites. One team?

Yes. One revenue cycle team with per site and per provider reporting, so a slowdown in one location is visible without digging.

Can you report per doctor?

Yes, and a group account should read that way. Provider level numbers by procedure family rather than a practice average.

Do you replace our practice administrator?

No. We run the claims and the A/R. Your administrator runs the practice and still answers to you.

How do you handle onboarding several providers at once?

Credentialing runs in parallel for every provider before the first claim goes out, so no one joins the panel late.

Next step

Find out what your group is losing between the sites

Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.

Get a free A/R review
A clearer picture of your A/R

Get a free A/R review

Tell us about your practice. We will get in touch to discuss your receivables and the next step. Please do not include patient information.

What would you like us to review? (optional)
What is going wrong in your billing right now?

Your details go to our team only. No obligation, and no cost for the audit.

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