Multi-location · Group practice RCM

Billing built for two locations or twenty.

Multi-NPI handling, multi-state credentialing, per-location P&L visibility, and consolidated reporting that lets regional managers compare performance side by side. The infrastructure your billing partner needs to keep up with you.

Per-location dashboards Multi-state credentialing Provider onboarding workflow
Multi-location healthcare group reviewing consolidated billing reports
What scale demands

What your single-location billing partner can't do anymore

The friction shows up around year three: a new location can't see its own collections, credentialing for a new provider takes six months, and the regional report nobody trusts is in three different formats.

Per-location reporting

Each location sees its own days-in-A/R, denial rate, and net collections. Regional managers compare locations side by side. Operations leadership rolls up to a single corporate dashboard. No spreadsheet acrobatics.

Multi-NPI claim handling

Each location has its own group NPI, each provider an individual NPI. Claims must route to the right combination. Misroutes equal denials. We maintain the NPI map so claims always go out clean.

Multi-state credentialing

Telehealth across state lines means each provider needs licenses in each state they serve, plus payer enrollments for each state\'s Medicaid and commercial plans. We map the full footprint and execute in parallel.

New provider onboarding

A new hire takes 60 to 120 days to be in-network. Without a structured onboarding workflow, that becomes 180+ days. We start day one: license verification, CAQH setup, payer applications, PECOS, supervised billing windows.

Consolidated patient billing

Patients seen at multiple locations should get one consolidated statement, not four. Online payment portals scoped to the right organization, not the wrong one. Payment plans that hold across visits. We architect the patient billing experience.

M&A and acquisition support

Acquired a practice? We handle the billing migration: preserve the old NPI for run-out claims, transition to your group structure, port aging A/R, and integrate the new location into your reporting in 30 days, not six months.

Group practice FAQ

What multi-location operators ask before switching billing partners

Practical answers about scale, reporting, and what breaks at growth inflection points.

How many locations can you support?

We support practices from 2 locations to 50+. Architecture and onboarding flex with size: smaller groups get a single account lead and consolidated dashboards; larger groups get a regional lead per cluster of locations and access to operations leadership for monthly reviews.

Do you handle DSO billing specifically?

Yes. DSOs have unique requirements: management services agreement (MSA) structure, separation between professional and DSO entities, dental-specific KPIs (case acceptance rate, hygiene reappointment rate, collections per visit), and per-clinic P&L roll-ups to the parent company. Our DSO clients get the dental specialty depth plus the multi-location reporting infrastructure.

How do you handle different specialties at different locations?

Coders match the location's specialty. A pediatric location gets a CPC with pediatric experience; an ortho location gets an ortho-trained coder. Cross-specialty rules (modifier 25, modifier 59, NCCI edits) are applied per claim, not generically. Specialty-mismatched coding is one of the biggest hidden revenue leaks in growing practices.

Can you provide per-location P&L visibility?

Yes. Standard reporting includes per-location revenue, collections, A/R aging, denial rates, payer-mix breakdown, and provider-level productivity. Custom KPIs (case acceptance, no-show rate, prior-auth turnaround) get added on request. Reports export to your accounting system.

What's your provider onboarding timeline?

New provider, no prior contracts: 60 to 120 days to be fully in-network across major commercial payers, 90 to 180 days for Medicaid managed care. Existing provider joining your group: 30 to 60 days if they're already credentialed with the same payers. We start submitting clean applications day one and chase movement weekly.

How do you handle a practice acquisition?

Day 0 we audit the acquired practice's billing state: open claims, aging, credentialing status, payer mix. Day 1 to 14: we run parallel operations on the old structure to keep cash flow steady. Day 15 to 60: transition to your group's billing structure, NPIs, and contracts. Run-out claims (services rendered before close) keep flowing under the old NPI per the asset purchase terms.

Can you support remote-first or 100% telehealth groups?

Yes. Pure telehealth groups have specific challenges: per-state licensure compacts (IMLC, PSYPACT, NLC, PT Compact), payer-specific telehealth modifier rules, originating-site documentation, and audio-only vs video distinctions. We have run telehealth-only books for several years and handle the credentialing and modifier complexity routinely.

Free, no-obligation

See what your practice is leaving on the table.

30-minute free billing audit. We'll surface the leaks (undercoding, denials never appealed, eligibility errors) and quantify the dollars you can recover this quarter.

What you get

  • A line-by-line review of your last 90 days of claims
  • Specialty benchmark on clean-claim ratio & days in A/R
  • A written estimate of recoverable revenue this quarter
  • Zero pressure. Zero commitment.