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WORKS INSIDE THE PLATFORMS YOUR GROUP ALREADY RUNS
At scale, small leaks become big numbers.
Across multiple providers and specialties, even a modest denial rate can turn into substantial monthly revenue loss. The issue is usually not effort. It is the way the process is structured. Adding more staff to chase claims in payer portals doesn't fix a system that lets errors through in the first place.
Structure is the fix: one disciplined workflow for every provider, specialty-accurate coding across the group, and reporting your administrators can actually trust. Improving denial performance by even a few points at your volume can recover six figures a year. That is a material financial gain, not a minor adjustment.
Find your numberWhat unmanaged denials cost a 50-provider group
These figures are illustrative only. Use your group’s actual numbers for a precise view of impact. The point holds at any scale: with dozens of providers, even small denial-rate improvements recover six figures a year.
How a 28-provider cardiovascular group recovered $1.4M.
This example involved a large independent cardiovascular group with general, interventional, electrophysiology, and vascular services across nine locations and about 7,500 encounters each month. Billing operations were fragmented across sites.
The challenge
- Growing accounts receivable and aging balances.
- High denial volume from prior-auth failures and complex coding errors.
- Delayed charge entry from busy clinical teams.
- Inconsistent billing workflows across all nine clinics.
- Limited visibility into payer-specific performance.
What OneMed did
- We integrated with their existing EHR and practice management systems without replacing either one.
- Standardized revenue-cycle workflows across all nine locations.
- We applied cardiology-specific coding rules, including global periods and complex modifier handling.
- Structured denial management with clinical appeals.
- Daily workqueue monitoring and weekly leadership reviews with real-time KPIs.
| Revenue Cycle Metric | Before | After | MGMA Benchmark |
|---|---|---|---|
| First-pass claim acceptance | 91% | 97% | 95% |
| Average days in A/R | 54 days | 36 days | 40–50 days |
| Overall denial rate | 11.2% | 6.4% | 5–10% |
| Cost to collect | 4.8% | 3.1% | 3–4% |
| Net collection rate | 93.8% | 98.1% | 95–99% |
| Underpayments recovered | Minimal | $142,000 / yr | — |
$1.4M
in previously written-off revenue recovered in the first 12 months.
+ $142,000 / yr in underpayments recovered+ Denial rate reduced from 11.2% to 6.4%
"OneMed became a true extension of our revenue cycle team. Cardiology billing is incredibly complex, but their structured workflows and proactive denial management took the operational burden off our shoulders. For the first time, our leadership team has complete visibility and trust in our financial performance."— Practice Administrator, Independent Cardiovascular Group
Results measured over the first 12 months of engagement. Benchmark ranges per MGMA. Figures reflect this client's outcomes; results vary by group, specialty mix, and baseline.
What our large group billing services include
The core billing pillars engineered to capture every dollar your group earns, across every provider and location.
Insurance verification
Coverage, referral requirements, and network status confirmed for every provider and location before encounters take place.
Multi-provider credentialing
Provider enrollment, CAQH updates, and payer credentialing tracked for every clinician to prevent billing under inactive enrollment.
Specialty-specific coding
Each provider billed under the correct specialty framework, keeping coding consistent across all disciplines and locations.
Payer contract management
Contracts applied at the claim level, so every provider receives the correct negotiated rate across plans.
Consolidated A/R oversight
Aging accounts across all providers and locations identified, prioritized, and worked under one unified A/R process.
Performance reporting by provider & site
Revenue cycle performance tracked by location and payer to keep decision-makers informed on collections.
Risk by service line
Revenue leakage is not evenly distributed. It tends to concentrate in the same claim types and workflows, whether you operate one facility or an entire health system.
Emergency department
E/M level selection, downcoding risk, charge capture, and medical-necessity documentation at high volume.
Surgery & operating rooms
High-dollar procedures exposed to authorization, implant and supply capture, bundling, and underpayment risk.
Imaging & diagnostics
Authorization precision, medical-necessity rules, frequency limits, and professional/technical component alignment.
Inpatient & observation
Level-of-care determinations, DRG accuracy, CC/MCC capture, and readmission and status-change denials.
Specialty clinics & outpatient
Multi-specialty coding variation, incident-to rules, infusion and procedure billing, and referral or authorization gaps.
Patient responsibility
Eligibility accuracy, upfront estimates, and point-of-service collection as patient balances grow.
Built for billing performance
Our enterprise billing improves revenue visibility, streamlines multi-location operations, and helps large organizations maximize collections.
Net collections
Climbing, month over month
0%*
Enterprise-wide clean claim rate
<0 Days
Average A/R days
0%*
Increase in net collections
0%*
Reduction in multi-location denial volume
*Representative results across onboarded group practices. Actual outcomes vary by specialty mix, payer mix, and baseline.
What our clients say
"We had two providers whose credentialing had lapsed with a major commercial payer and didn't catch it until we saw a pattern of denials we couldn't explain. OneMed identified the credentialing gap, coordinated the reactivation, and resubmitted the affected claims. We recovered revenue we had written off."
Practice Administrator Independent Multi-Provider Group
Enterprise-grade by default
Every provider's data handled inside a controlled, auditable environment.
Transitioning your billing, without the disruption.
Whether you are replacing another billing company or moving away from an in-house team, we transition large groups in planned phases so cash flow is protected throughout the changeover. Most groups are fully live in weeks, not months.
Assessment
We map your providers, locations, payer contracts, and current credentialing status to identify where revenue is leaking today.
Access & configuration
BAA executed, secure EHR and PM access granted, and your provider, payer, and location structure configured in our workflow.
Parallel run
We work alongside your current process and validate performance against live claims so nothing changes until accuracy is proven.
Phased go-live
We transition by location or provider group in planned waves, never all at once, keeping revenue steady throughout.
Stabilize & optimize
Daily monitoring, a first-cycle review, and a dedicated team with regular reporting and quarterly business reviews.
Schedule a call with a group-practice billing specialist.
A 15-minute, no-obligation conversation. Tell us about your group and we will show you where revenue is leaking across providers and locations and how we would correct it.
- Reviewed by a senior specialist, not a call center
- Tailored to your provider count, specialties, and locations
- A free claim / credentialing audit of your current setup
- HIPAA-compliant, with a BAA executed before any data moves
Request received.
Thank you. A member of our team will review your information and be in touch within one business day. We look forward to showing you what your practice should be collecting.
Common questions.
Do you work across multiple facilities and EHRs?
Yes. We work inside Epic, Oracle Health (Cerner), MEDITECH, and others, across single facilities and multi-entity systems, with reporting broken out by facility, department, and payer.
What does the revenue risk review include?
A claim-level review across coding and DRG accuracy, authorization, level of care, documentation, and payment accuracy, with root causes surfaced in a live dashboard by facility, department, and payer.
Do you recover underpayments, not just denials?
Yes. We review paid claims against contract terms, carve-outs, and stop-loss provisions — especially on high-dollar inpatient and surgical claims.
Can you scale to our volume?
Yes. Our delivery scales from 100 to 1,000+ FTEs, so we can start where you are and grow across facilities, service lines, and payers.
How is this different from our monthly reports?
Monthly reports explain what happened. Our live dashboard surfaces claim-level root causes as they emerge, so leadership can act while revenue is still recoverable.
Who is this built for?
CFOs, VPs of revenue cycle, and health-system RCM leadership responsible for net revenue across facilities.
Stop losing revenue across providers and locations
Speak with a group practice billing specialist and get a free audit of your current setup in a 15-minute call with no obligation.