For Different Practice Sizes

Solo and small practices (1 to 3 providers) are served by a 2-person service team: one dedicated specialty-trained Coder/Biller handling daily charge entry, claim submission, and ERA posting, plus a shared Account Manager covering 8 to 12 similar-sized practices for monthly KPI review and escalations. Pricing typically falls in the 6 to 8 percent of net collections range reflecting the proportionally higher per-claim service cost at lower volume. Reporting includes monthly KPI dashboards benchmarked against MGMA 2024 small-practice medians (28 days in A/R, 94 percent net collection rate, 12 percent A/R over 90 days) plus weekly written status notes during the first 90 days of onboarding. Solo practices benefit disproportionately from outsourcing because billing labor at 1 to 3 providers rarely justifies a dedicated W-2 biller; MGMA data shows solo practices with in-house billing run net collection rates 3 to 5 points below outsourced peers.

Group practices (4 to 20 providers) are served by a 3 to 5-person dedicated pod: a specialty Senior Coder, 2 to 3 Coder/Billers, a dedicated denial-management specialist, and a dedicated Account Manager (not shared). Pricing typically falls in the 5 to 7 percent of net collections range, reflecting volume economies on per-claim labor. Reporting depth expands to weekly KPI dashboards, provider-level performance breakouts (RVU production, charge lag, denial rate per provider), and monthly executive reviews with the practice administrator. Group practices receive specialty-specific reporting when the group spans multiple specialties (multispecialty group practices route claims to multiple specialty pods coordinated by the Account Manager). MGMA 2024 data places median group practices at 26 days in A/R and 95 percent net collection rate; MedPrecision targets 22 days and 97 percent for clients in this segment within 120 days of cutover.

Large multi-site groups are served by an enterprise pod model: 6 to 12 dedicated billing staff structured by site, specialty, or function (charge entry, denial management, A/R follow-up, payer-specific specialists for major contracts) plus a Director of Account Operations (not shared) and an executive sponsor for quarterly business reviews. Pricing typically falls in the 4 to 5.5 percent of net collections range. Enterprise reporting includes daily operational dashboards, weekly variance reports against budget, monthly multi-site rollups with site-level and specialty-level drill-downs, and quarterly executive reviews benchmarking against MGMA specialty-and-size-matched peers and the HFMA MAP Keys metric set. Enterprise clients also receive a dedicated implementation manager for site rollouts, custom HL7 or FHIR interface support for the typical multi-site EHR architecture, and a SOC 2 Type II report on demand. Onboarding for enterprise groups typically runs 6 to 8 weeks rather than the standard 2 to 4.

Team dedication scales with practice size: solo and small practices (1 to 3 providers) share an Account Manager across 8 to 12 similar-sized clients but receive a dedicated Coder/Biller for daily work; group practices (4 to 20 providers) receive a fully dedicated 3 to 5-person pod with no shared resources at the operational level; and enterprise groups (21+ providers) receive a fully dedicated pod plus a dedicated Director of Account Operations. Dedication matters because billing accuracy improves measurably as the team learns the practice's documentation patterns, payer mix, and provider-specific habits: clean claim rate typically improves an additional 2 to 3 points in the second 90 days for clients with stable dedicated teams. MedPrecision's contract specifies team continuity: any planned staff change (vacation coverage, role transition) is communicated to the practice in advance, and replacement staff complete a documented 30-day shadow before primary responsibility transfers.

Yes. Hospital-employed physician groups and faculty-practice plans typically receive enterprise-tier pricing in the 3.5 to 5 percent of net collections range, reflecting both higher claim volume and higher complexity from professional-component billing alongside hospital facility charges. Hospital-employed groups have specific billing requirements MedPrecision handles: (1) split/shared visit rules under CMS PFS 2024 final rule for inpatient and outpatient encounters, (2) place-of-service code accuracy across POS 22 (outpatient hospital), POS 23 (emergency department), and POS 31 (skilled nursing), (3) modifier 26 (professional component) and TC (technical component) correct application, and (4) CMS Stark and Anti-Kickback compliance reporting for the practice's compliance officer. Reporting includes physician-level wRVU production for compensation calculation, payer-mix analysis for contract negotiation, and quality measure performance feeding into MIPS and ACO reporting under CMS QPP.

Reporting scales with practice size across four dimensions. Solo and small practices receive monthly KPI dashboards benchmarked against MGMA 2024 small-practice medians, plus quarterly business reviews. Group practices receive weekly KPI dashboards, monthly executive reviews with provider-level breakouts, and quarterly business reviews including MGMA specialty-and-size-matched comparisons. Enterprise groups receive daily operational dashboards, weekly variance reports against budget, monthly multi-site rollups, and quarterly executive reviews aligned to HFMA MAP Keys. All practice tiers have access to an on-demand reporting portal showing real-time A/R aging, denial trends by CARC code, payer payment lag, and clean claim rate. Custom reporting for specialty-specific needs (RVU production for compensation calculations, payer-mix analysis for contract negotiations, CMS quality-measure rollups for MIPS reporting) is available across all tiers; complexity of custom reporting drives whether it is included in the base fee or quoted separately.