Medical billing for solo practices
You are the provider, the owner, and often the billing department. Every hour spent on claims is an hour not spent seeing patients.
What actually goes wrong
A solo practice has the same billing complexity as a twenty-provider group and none of the staff. The payer rules are identical. The denial codes are identical. The filing deadlines are identical. What is different is that there is nobody whose job it is to watch them.
So the work gets done in the evening, or at the weekend, or not at all. Denials accumulate in a folder. A claim that needed a corrected modifier sits until the filing window closes. Nothing dramatic happens on any single day, and then the practice looks at its A/R and finds a year of small losses stacked on top of each other.
The usual alternative is hiring. A full-time biller costs salary, payroll tax, benefits, software, training and cover for holiday — and when they leave, the practice loses both the person and everything they knew about its payers. For a single-provider practice that is a large fixed cost carried against a variable revenue line.
We are built for the other side of that decision. There is no minimum claim volume, no setup fee, and no annual contract. You get a named account lead who knows your payers and your specialty, weekly reporting in plain language, and full visibility inside your own system.
How we work with solo practices
- No minimum claim volume and no setup fee
- Month-to-month, with 30 days notice
- One named account lead — the same person every time
- We work inside your existing EHR or practice management system
- Weekly reporting you can read in five minutes
- Aged A/R worked alongside new claims from day one
What the first ninety days look like
The A/R analysis comes first, and for a solo practice it is usually the most informative document anyone has produced about the business in years. It states the denial rate, the ageing distribution, the net collection rate and the top denial reasons, and it does that before any commitment exists.
From there the parallel run matters more than it does for a larger practice. A solo provider has no second person who knows how the billing works, so nothing can be allowed to drop while responsibility transfers. For two weeks both processes run, and we reconcile what each produced before taking the cycle end to end.
The aged A/R gets worked alongside new claims from the start rather than after. In a solo practice the old pile is usually the fastest return available, because it has been sitting unworked for the same reason everything else has — nobody had the hours.
What is genuinely different about a solo practice
The biller and the front desk are the same person, and often the provider. Any process that assumes a dedicated billing role will fail here. Eligibility verification, charge capture and point-of-service collection have to fit into the gaps between patients, which is exactly why moving them off-site changes the day.
There is no coverage. Holiday, illness and leave do not pause billing. Work accumulates, and accumulated billing work ages into uncollectable A/R faster than most people expect.
Every payer relationship is small. A solo practice has less leverage in a contract negotiation and less attention from a payer's provider relations team. Follow-up discipline substitutes for leverage, and it is what most of the recovery work depends on.
Cash flow is personal. A month of slow collections in a group is a management problem. In a solo practice it is the owner's income. That is why we report weekly rather than monthly, and why the report leads with what was collected.
What we do not do
We do not require a minimum claim volume, and we do not price a solo practice as though it were a small group. We also do not take the practice's own visibility away: you keep working inside your own system, and every claim we touch is visible to you at any time.
How onboarding works
The same five steps whatever the size of the practice.
- 1 Free A/R analysis We review your last 90 days of claims data and show you where money is being lost. No cost, no obligation.
- 2 Proposal and scope A written scope and fee, based on your collections volume and specialty.
- 3 Systems access We connect to your EHR/PM system in read-and-write mode with a signed BAA in place.
- 4 Parallel run We run alongside your current process for the first two weeks so nothing drops.
- 5 Full handover We take the cycle end-to-end, with weekly reporting from day one.
Questions from solo practices
Is there a minimum claim volume?
No. There is no minimum volume and no setup fee.
Will I be dealing with a different person each time?
No. You get one named account lead who knows your payers and your specialty.
What does this cost compared with hiring a biller?
Percentage-of-collections pricing scales with your revenue instead of sitting as a fixed salary cost. The comparison is on our pricing page.
Related
Where this connects to the rest of the cycle.
Medical Billing
Charge entry, claim scrubbing, submission, and payment posting across all major payers.
See medical billingDenial Management & Appeals
Root-cause analysis, corrected claims, and clinical appeals filed inside payer deadlines.
See denial managementAccounts Receivable Recovery
We work aged and legacy receivables other billers gave up on.
See A/R recoveryPatient Billing & Collections
Statements, payment plans, and patient support that doesn't damage the relationship.
See patient billing