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Medical BusinessSolutions

Practice operations since 2011

The business side of medicine, handled.

You spent over a decade training to be a doctor — not to chase denials, reconcile payroll or argue with a payor. We run the billing, the books, the hiring and the reporting, so the practice stays focused on patients.

  • Pay-for-performance billing
  • No fee until placement
  • A monthly close, on a fixed date
A physician reviewing a care plan with a patient in a consultation room

“This is not free, but it makes you free.”

On keeping control of the practice

  • Medical billing
  • Coding & compliance
  • A/R recovery
  • Medical transcription
  • Practice bookkeeping
  • Payroll coordination
  • Tax & audit
  • Physician recruitment
  • Clinical staffing
  • Team development
  • Healthcare marketing
  • Patient relations
  • KPI reporting
  • Strategic planning

01Four desks, one practice

Everything a practice needs behind the exam room door.

Nine services grouped into four working desks. Take one, or hand us the whole back office and get a single monthly report instead of six vendors.

All nine solutions
01

Revenue & finance

Get paid for the work you have already done, and know where every dollar sits.

02

People & placement

Hire the right clinicians and staff, and keep the team you already have.

03

Growth & reputation

Fill the schedule and keep the patients who walk through the door.

04

Strategy & insight

Plan the next three years, and measure the next thirty days.

02How we start

Five steps from first call to running.

Nobody signs a retainer on the first call. We look at the numbers first, tell you what we find, and only then propose the work.

Read the full engagement model
  1. 01

    Discovery

    A 30-minute call about the practice, the systems you run and the month you are having.

  2. 02

    Diagnostic

    We pull the real numbers — A/R aging, charge lag, denial reasons, the ledger, the staffing plan — and read them back to you plainly.

  3. 03

    Design

    A written scope: what we run, what stays with your team, what it costs and how performance gets measured.

  4. 04

    Operate

    Our desks take over the work. Your team keeps everything that touches a patient.

  5. 05

    Review

    A monthly close and KPI review, plus a quarterly reset against the plan. Nothing is left to a surprise.

03What we commit to

Four promises we put in writing.

Every practice we work with gets these four terms in the engagement letter. They are not marketing language — they are the clauses that decide whether we get paid.

“This is not free, but it makes you free.”

On keeping control of the practice

Our fee moves with your revenue

Revenue cycle work runs on a pay-for-performance basis. When collections improve, the fee improves; when they do not, it does not.

How RCM works

No fee until a placement is made

Staffing and recruitment are billed only on a successful placement, and the placement is guaranteed.

Staffing terms

A monthly close, not a quarterly surprise

Reconciled books, a written variance note and a live view of A/R — every month, on a fixed date.

Bookkeeping cadence

The data is yours

Claims, notes, ledgers and reports belong to the practice. Any transition includes a complete export at no cost.

Data & security

04Measurement

The five numbers we answer to.

Every report we send begins with these. If one of them is moving the wrong way, the report says so in the first paragraph rather than on page nine.

See the full KPI framework
Charge lag
Days from date of service to claim submitted.
Clean claim rate
Claims paid without rework, first time through.
Days in A/R
Average age of everything still outstanding.
Denial rate
Denials as a share of claims, tracked by reason.
Net collection rate
Cash collected against allowed amounts.

Definitions follow MGMA convention; the thresholds are set with your clinical and administrative leads during onboarding.

A quiet office workspace with daylight and plants

05Who you are talking to

We are not consultants. We are the back office.

Medical Business Solutions has run administrative operations for physician practices since 2011. You keep complete control of the practice and the profits; we take the day-to-day minutiae — claims, ledgers, filings, hiring, reporting — off the desk.

When you look at the bottom line at the end of the year, we would like it to be considerably larger than it was when you were managing it alone.

Operating since
2011
Focus
Physician-owned practices
Model
Fractional back office
Reporting
Monthly, with a variance note
About the practiceTalk to a person

06From the desks

What we are seeing in practices right now

Short, specific notes on revenue, staffing and operations — written by the people doing the work, not a content team.

All insights
Revenue cycle6 min read

Where revenue leaks out of a medical practice

Practice revenue rarely disappears in one dramatic event. It leaks, a little at a time, through five ordinary points in the cycle — and each one is fixable.

Strategy8 min read

Strategic planning for a physician practice, in five steps

Most practices know they should plan and never do. Here is the process, the reasons it gets postponed, and what a usable plan actually contains.

Patient experience5 min read

Why patients leave without telling you

Patient attrition is rarely a clinical failure. It is usually a communication gap that nobody logged, in a practice that believed its satisfaction scores.

07Questions

The things practices actually ask.

Anything not covered here, ask directly — you will get a straight answer, not a discovery call.

Ask your own question
Do we have to replace our EHR or billing software?
No. We work inside the systems your clinicians already use. Replacing clinical software is a much bigger decision than outsourcing the back office, and we do not ask you to make it as a condition of working together.
What does an engagement cost?
It depends on the scope, and we quote in writing before any work begins. Revenue cycle work is priced on performance, staffing is billed only on placement, and bookkeeping and advisory work is a fixed monthly fee. There is no charge for the initial operations review.
How quickly can you take over?
Most practices are running with us inside three to five weeks, including the systems access, the workflow design and a parallel run against your existing process so nothing is dropped at the handover.
How do you handle HIPAA and patient data?
We work under a signed business associate agreement, with access limited to the people doing the work, encryption in transit and at rest, and audit logging on every system we touch. The details are on the security page.
What happens if we want to leave?
You give notice, we finish the current cycle, and you receive a complete export of your data in a documented format at no cost. There is no exit fee and no data hostage-taking.

→Next step

Bring us the part of the practice you dread.

A 30-minute operations review, no cost and no obligation. We will tell you where the leakage is and which of it you can fix without us.

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