Home Specialities Multi-Specialty Group
Specialty-aware review
not one-size-fits-all
Credentialing tracked
billing from day one
Leadership visibility
across every specialty
Underpayment recoveryy
on claims marked paid
More providers. More specialties. Thinner margin.
Growth was supposed to compound. Instead, every addition quietly taxes the one function that has to know everything: billing. A new specialist arrives and can't be billed for two or three months. A new specialty arrives with rules a generalist biller has never seen. And your revenue team, already processing hundreds of thousands of claims, has no way to be expert in all of it at once. That forces the team to triage, and the complex, high-value claims are often the ones that get missed.
Across the 19 large groups we've analyzed, an average of 5–8% of revenue quietly disappears this way. In a USD 20M group, that can mean USD 1M to USD 1.6M in lost revenue each year, not from fraud or waste, but from operational friction.
See where it's leakingWhat 5–8% looks like on a $20M group
The 5–8% range reflects OneMed's analysis of 19 large multi-specialty revenue cycles; the dollar figures apply that range to a $20M example group. Your actual exposure depends on specialty mix, provider turnover, payer mix, and how enrollment is managed.
You hired the doctor. The revenue starts ninety days later.
This kind of revenue loss hides in plain sight because it rarely appears as a denial. It shows up as physicians staying busy while deposits remain flat. Salary and overhead begin on day one. Billing can't begin until the payer finishes enrollment. Everything in between is real work you'll mostly never collect on.
A new specialist starts. Watch the two lines.
Illustrative of the enrollment gap groups routinely absorb. Actual timelines vary by payer, state, and specialty.
Five leaks that only appear at scale.
None of these is dramatic on a single claim. These losses persist because each one looks too small to matter on its own, but together they add up quickly.
The doctor you can't bill for yet
A productive specialist may start seeing patients immediately, but the payer may not recognize that provider until credentialing and enrollment are complete, which often takes 60 to 90 days. Claims from that period may be held or denied, so the practice carries the salary and overhead while collecting little or nothing for work already performed.
A dozen specialties, one rulebook
Billing teams are often asked to handle everything from routine primary care visits to complex cardiology and orthopedic procedures, each with different billing rules. When a generalist applies standard logic to a complex specialty claim, the payer may underpay it or bundle services that should have been paid separately. In one cardiovascular group, specialty-specific heart-monitoring codes were routinely missed, quietly underpaying those claims.
The wrong ID on the claim
In a large group, providers work across locations and a single clinic may carry several billing IDs. Put the wrong provider or facility ID on a claim and it's rejected outright or paid at a lower rate. At your volume this happens dozens of times a week, and your team burns hours chasing and rebilling.
Rework instead of collection
A clean claim costs a few dollars in staff time. A rejected one a typo, a missing authorization, the wrong ID costs several times more to investigate, fix and resubmit. With turnover in large billing departments, new staff take months to learn each specialty's rules, and rejection rates climb while they do.
The claim that says paid but wasn't
Your team is trained to fight denials, so a claim marked paid gets no second look. Payers often underpay claims in small amounts, such as USD 20 or USD 30 per claim, through bundled lines, missed modifiers, or other specialty-specific issues. Multiply small shortfalls across hundreds of thousands of claims and it's a serious number nobody is watching.
Volume and variety
Your revenue team is not failing. It is being asked to operate as an expert across every specialty, every payer, and every workflow at once, which is not realistic for any general team.
Drowning in volume and variety
Hundreds of thousands of claims a month across a dozen specialties, each with unique rules. No team can manually verify every payment against every specialty contract, so it has to prioritize. In practice, that often means the complex, high-value claims lose attention first.
Built to fight denials, not underpayments
Your staff chases claims marked denied. A cardiology or orthopedic claim may be paid, but still paid short because a specialty rule was applied incorrectly. Because the claim was paid, nothing automatically flags it as a problem.
No system-wide view for leadership
From the top you see monthly summaries. These small revenue leaks live inside individual claims across multiple specialties. They are invisible in summary reporting, so you can't manage them unless you measure them at the claim level.
Specialty-aware visibility, without the rip-and-replace.
You don't need new software or a disrupted clinic. You need each claim seen by someone who knows that specialty, credentialing tracked so billing starts on day one, and leadership able to see all of it on one screen. That's the whole model, and it runs alongside what you already have.
Route each claim to someone who knows the specialty
Our ClearView dashboard tracks claims across every specialty and flags where a payment came in below what the care should have paid. We route flagged complex claims to coders who specialize in that field, not to generalists applying broad rules.
Start the billing clock on day one
We track credentialing and enrollment for every new hire and manage the process so each provider is ready to bill correctly from the first patient encounter, closing the 90-day gap instead of absorbing it.
Recover what was quietly underpaid
Where a payer paid a complex claim short, our specialist builds the appeal around the exact clinical and coding detail and pursues it — including the “paid” claims your team never had reason to reopen.
Fix the front end so it stops recurring
We put identification and authorization checkpoints in place so repeated clerical rejections stop draining staff time and slowing collections.
The 2026 OneMed Multi-Specialty Profit Index.
We reviewed anonymized results from every large group we supported over the last 18 months and looked at claims specialty by specialty instead of in the aggregate. That is where the real patterns became visible.
19
large groups analyzed
1.2M+
claims reviewed
$385K
average recovered per group
↓ 65%
new-provider billing delay
Clean claim rates increased by an average of 11 percent. The recovered revenue was concentrated, as it often is, in the more complex specialties that a general billing process does not catch well.
| Where the money was found | Share of what we recovered |
|---|---|
| Complex-specialty claims coded correctly | 31% |
| New-provider credentialing and enrollment | 24% |
| Group-wide rework reduced | 20% |
| Provider and location ID corrections | 15% |
| Underpaid "paid" claims recovered | 10% |
Aggregated across OneMed multi-specialty group engagements over the trailing 18 months. Individual results vary by group, specialty mix, payer mix, and starting point.
A 40-provider group recovered $210K in six months.
In a 40-provider cardiovascular and multispecialty group, the general billing team was consistently missing specialty-specific add-on codes for complex heart monitoring. That kind of issue is obvious to a cardiology coder and easy for a generalist covering many specialties to miss. Once each claim was reviewed by someone who knew that specialty, the underpayments surfaced quickly.
Reviewing those claims by specialty recovered USD 210K in six months. It was revenue the group had already earned but had been quietly underpaid on.
Complex-claim recovery
Illustrative of one engagement; results vary by group and specialty mix.
Who We Serve?
Specialty-aware billing and revenue recovery for large physician groups.
Large multi-specialty groups
Fifty to two hundred-plus providers across many specialties, where complexity compounds faster than collections.
Fast-growing groups
Practices adding providers regularly, where the ninety-day enrollment gap is a recurring, predictable drain.
Multi-site networks
Groups operating across locations and billing IDs, where a single wrong identifier costs a claim.
Hospital-affiliated groups
Employed and affiliated physician groups where specialty-aware recovery and clean leadership reporting both matter.
Your group's data, handled properly
We provide enterprise-grade handling across every specialty and location, with controlled access, audit logging, and a signed agreement before any protected data is shared.
See it in your most complex specialty.
You don't need to hand a new vendor months of records to find out whether this is real. Bring ten recent payment records from your most complex specialty, remove the patient details, and we will review them with you to show where specialty rules were applied incorrectly or complex procedures were underpaid.
- Pull ten payment recordsfrom your most complex specialty and your top payer. 2. Remove patient details, including names, dates of birth, and member IDs. We only need the codes and payment amounts.
- 2 · Black out the patient details Remove patient details, including names, dates of birth, and member IDs. We only need the codes and payment amounts.
- 3 · Send them securely Send them securely through our portal before the call.
- 4 · See it live Review them live with us so we can show you misapplied specialty rules, underpaid procedures, and front-end leakage.
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.
Why doesn't adding providers add proportional profit?
BBecause each new hire and each new specialty adds friction your billing team absorbs rather than money it collects. A new doctor generates cost from day one but often can't be billed for 60 to 90 days, and every added specialty brings rules a general biller wasn't trained for. Growth scales the work faster than it scales the collections.
What is the unenrolled-provider gap?
When you hire a provider, that provider often starts seeing patients right away, but insurers typically do not recognize them until credentialing and enrollment are complete. That process usually takes 60 to 90 days.
Our claims say paid. Isn't that fine?
Not always. A complex cardiology or orthopedic claim can be paid at less than it should be because a specialty-specific rule was missed. The claim reads as paid, your team moves on, and the shortfall is never recovered. Across hundreds of thousands of claims, small silent underpayments become a large number.
Do you make us replace our practice management system?
No. We work alongside the systems you already use and adapt to your workflow, with no software change and no disruption to clinical operations.
What happens on the 15-minute review?
You bring ten recent payment records from your most complex specialty with patient details removed, and we show you where specialty rules were misapplied or a complex procedure was underpaid using your own numbers. There is no bulk upload of protected health information.
Do we have to switch billing companies?
No. The review works alongside your current billing, and many groups start there before expanding.
Make growth compound again
Bring ten claims from your most complex specialty to a 15-minute review and see what scale is quietly costing you.