Most group practices outgrow their billing operations every 5 years. Adding providers triggers credentialing delays. Partner compensation reporting falls behind. Provider productivity becomes invisible across vendors. We’re One O Seven RCM, a group practice billing operation built around provider-level visibility, RVU tracking, partner compensation reporting, and the Provider-to-Paid framework that ties every provider’s encounter directly to their share of practice revenue. AAPC-certified billers. Provider-aligned account teams. No long-term contracts.
Here’s how group practice billing operates differently when one team owns the full provider revenue cycle. Provider-level dashboards delivered to managing partners. RVU reports running monthly with wRVU breakdowns. Partner compensation calculations supported by clean billing data. Multi-NPI submission across every provider in your group. New provider credentialing handled in 60 to 90 days, not 6 months.
Medical groups choose One O Seven RCM because we’re built around provider-level visibility, RVU tracking, partner compensation reporting, and the Provider-to-Paid framework that ties every provider’s encounter directly to their share of practice revenue. Group practice billing requires governance-grade reporting most billing companies don’t provide consistently across the engagement.
We tie every provider encounter directly to a posted payment through eight connected stages. Provider-level dashboards, provider-attributed denial tracking, provider-aligned AR follow-up, and productivity visibility show each partner exactly what their work generated this month.
Most billing companies don't track RVUs or support partner compensation calculations. We do both natively. Monthly wRVU reports keep partner compensation data clean, audit-ready, and tied directly to clinical schedules, provider productivity, and documented effort.
Adding new providers shouldn't trigger six months of billing chaos. We complete provider credentialing in 60 to 90 days, integrate new providers into reporting from day one, and support group practice growth without slowing billing operations.
Tiered flat-rate pricing is based on provider count and practice complexity, starting at 3.49% of collections for groups with 2 to 10 providers. Larger groups receive volume discounts, with no setup fees, hidden charges, or long-term contracts.
Most group practices manage credentialing through one vendor, billing through another, RVU reporting through a third spreadsheet, and partner compensation through a fourth manual process. Each handoff loses revenue and delays partner clarity. We handle every stage of group practice billing under one engagement, one supervisor, and one transparent pricing structure tied directly to your collections across every provider.
New provider credentialing completed in 60 to 90 days versus industry-standard 4 to 6 months. CAQH management, payer enrollment, hospital privileges coordination, NPI registration, and re-credentialing tracking handled centrally. Provider onboarding billing delays eliminated through structured workflow.
Real-time insurance eligibility verification 48 to 72 hours before every appointment across every provider in your group. Provider-specific benefits validation. Prior authorization handling per provider. Coverage validation posted to your EHR before patient arrival every visit cycle.
AAPC-certified coders assigned by specialty and provider type within your group. Provider documentation reviewed against payer-specific requirements. CPT, ICD-10, and HCPCS coding by certified specialists. Modifier-aware coding catches billing pairs generic billers miss systematically.
Charges entered against correct provider NPI within 24 hours of encounter lock. Multi-NPI claim submission across every payer. Group billing entity properly applied. Claims scrubbed for provider-specific edits. Acknowledgment tracking handles every claim end-to-end consistently.
Every denial worked within 48 hours by senior billers with denial trending tracked at the provider level. Provider-specific denial patterns identified and prevented. Payer-specific appeals letters drafted with supporting documentation per provider per encounter type.
Aged claim work prioritized by dollar value, provider, payer, and timely filing window. Days in AR by provider reported weekly. Provider-level cash flow optimization drives recovery prioritization decisions. Insurance collections handled before patient billing escalation begins.
HIPAA-compliant patient statements covering every provider visited in one consolidated document. Payment plan setup. Patient balance follow-up. Soft and hard collections. TCPA-compliant outbound communication. Patient experience preserved across multiple providers within your group practice.
Monthly performance reports broken down by provider plus consolidated practice-wide reporting. Days in AR, denial rate, clean claim rate, NCR by provider tracked continuously. wRVU reports. Partner compensation data clean. Productivity analytics for managing partners.
Different group practice models have fundamentally different billing requirements. Single-specialty cardiology groups bill differently than multi-specialty primary care groups. Hospital-affiliated physician groups operate under provider-based billing rules. IPAs combine capitation with fee-for-service. Concierge groups carry retainer billing alongside insurance. Our group practice teams have deep operational experience across every group practice configuration in modern medicine across the country today.
Most billing companies will tell you they handle medical groups. Few will show you exactly how their operational depth differs at the provider level. Here’s what running group practice billing looks like when run by people who’ve operated inside medical group cash flow realities for years across hundreds of multi-provider engagements nationwide.
Group practice compliance carries unique frameworks beyond standard medical billing compliance. Stark Law and Anti-Kickback statute considerations affect partner compensation methodologies. CMS group practice rules influence billing entity structure. We treat compliance as the foundation of every group practice engagement. Operational practices we run daily, audit quarterly, and improve continuously across every provider in every group practice.
Every team member completes HIPAA Privacy Rule and Security Rule training before account access. Annual recertification mandatory across the entire team. Encrypted PHI access using TLS 1.2 or higher. Continuous audit logging on every system. Incident response procedures tested quarterly. We follow HHS guidance on PHI handling for group practice billing operations.
BAA signed before any group practice data access begins. Non-negotiable across every engagement regardless of provider count or specialty mix. Our BAA includes all required HHS provisions: permitted uses, safeguards, breach notification, subcontractor accountability, and termination rights. We provide a BAA template review session before contract signing for compliance clarity always.
Group practice partner compensation methodologies operate under Stark Law and Anti-Kickback Statute frameworks. Designated Health Service compensation cannot be based on volume or value of referrals. Our team understands the group practice exception requirements, in-office ancillary services exception, and the specific compensation methodology constraints that distinguish compliant from non-compliant partner arrangements consistently
Group practice account hosting in SOC 2 Type II audited environment. Annual security audits performed by accredited third-party auditors. Continuous monitoring of access controls, change management, system operations, and risk mitigation. Encryption at rest and in transit. Multi-factor authentication mandatory for every team member with PHI access. Security incident response within 4-hour service level.
Stop letting provider credentialing delays drain $15,000 to $30,000 per new provider during onboarding. Stop running RVU tracking manually in spreadsheets. Stop letting partner compensation disputes trace back to billing data inaccuracies. Start working with group practice billing supervised by AAPC-certified billers, provider-aligned account teams, native RVU tracking, and partner compensation reporting standard. Provider-to-Paid, all under one engagement, with one senior director accountable for every provider in your group.
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