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. So it triages — and the complex, high-value claims are exactly the ones that lose.
Across the 19 large groups we've analyzed, an average of 5–8% of revenue quietly disappears this way. On a $20M group that's $1M–$1.6M a year — not to fraud or waste, but to 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 is the leak that hides in plain sight, because it never appears as a denial — it appears as a doctor who's busy while the deposit stays 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. That's exactly why they survive — each one is small enough to ignore and repeated often enough to matter.
The doctor you can't bill for yet
You hire a productive specialist to grow the group. They see patients from day one — but the payer won't recognize them until credentialing and enrollment finish, usually sixty to ninety days out. Claims in that window are held or denied, so you carry the full salary and overhead and collect little or nothing for real work already done.
A dozen specialties, one rulebook
ExYour billing team is asked to handle everything from a routine primary-care visit to a complex cardiology or orthopedic procedure — each with its own rules. When a generalist processes a complex claim with standard logic, the payer pays it short or folds critical services in. 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. But payers routinely settle a claim a little short — twenty or thirty dollars off, a bundled line, a missed modifier. Multiply small shortfalls across hundreds of thousands of claims and it's a serious number nobody is watching.
Volume and variety
Your revenue team isn't underperforming. It's being asked to be expert in everything, everywhere, all at once — which no team can be.
Drowning in volume and variety
Hundreds of thousands of claims a month across a dozen specialties, each with unique rules. No team can verify every payment against every specialty's contract by hand, so it triages — and the complex, high-value claims are the ones that lose.
Built to fight denials, not underpayments
Your staff chases claims marked denied. A cardiology or ortho claim that was paid — just paid short because a specialty rule was misapplied — sails through, because nothing marks it as wrong.
No system-wide view for leadership
From the top you see monthly summaries. The micro-leaks live on individual claims across different specialties, invisible from that altitude — and you can't manage what you can't measure.
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. Flagged complex claims go to a coder who specializes in that field — not a generalist applying standard rules.
Start the billing clock on day one
We track credentialing and enrollment for every new hire and manage the process so a provider is set up to bill correctly from their first patient — closing the ninety-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 ID and authorization checkpoints in place so the same clerical rejections stop draining staff time — turning rework back into collection.
The 2026 OneMed Multi-Specialty Profit Index.
We aggregated the anonymized results from every large group we worked with over the last 18 months — here's what surfaced once someone looked at the claims specialty by specialty instead of in bulk.
19
large groups analyzed
1.2M+
claims reviewed
$385K
average recovered per group
↓ 65%
new-provider billing delay
Clean-claim rates rose 11% on average. Here's where the recovered money had been hiding — concentrated, as it usually is, in the complex specialties a general process can't see.
| 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 multi-specialty group, the general billing team was consistently missing specialty-specific add-on codes for complex heart monitoring — the kind of detail that's obvious to a cardiology coder and invisible to a generalist processing a dozen specialties. Once each claim was reviewed by someone who knew that specialty, the underpayments surfaced quickly.
Reviewing those complex claims specialty-by-specialty recovered $210,000 in six months — money the group had already earned and was quietly being paid short 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
Enterprise-grade handling across every specialty and location — controlled access, audit logging, and a signed agreement before any protected data changes hands.
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. Pull ten recent payment records from your most complex specialty, black out the patient details, and we'll walk through them with you — showing exactly where specialty rules were misapplied or a complex procedure was paid short.
- 1 · Pull 10 payment records — from your most complex specialty and your top payer.
- 2 · Black out the patient details — names, dates of birth, and member IDs. We work from the codes and amounts.
- 3 · Send them securely — into our secure portal before the call.
- 4 · See it live — misapplied specialty rules, underpaid complex procedures, and where the front end is leaking.
Book your 15-minute review
We'll confirm a time within one business day.
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, they start seeing patients immediately, but insurers won't recognize them until credentialing and enrollment finish — typically 60 to 90 days. Claims in that window are held or denied, so you carry the salary and overhead while collecting little or nothing for real work already done.
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 — 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 blacked out, and we show you where specialty rules were misapplied or a complex procedure was underpaid — using your own numbers. No bulk PHI upload.
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.