An operating platform built so you can stay independent.
Fractional CFO, revenue cycle, payor contracting, HR, IT, compliance, marketing, and more — eleven coordinated services under one accountable team. For Florida practices that want to operate like institutions without surrendering equity, control, or strategy.
Four reasons practices choose us.
You stay independent
We run the business side; you keep your practice, your patients, and your autonomy. No ownership, no equity demands, no platform lock-in.
Built for your specialty
Primary care, orthopedics, podiatry, ophthalmology, pain management, urology — office-visit and surgical books alike. Specialty-specific coding posture and payor knowledge.
Investment-grade financial rigor
True monthly and consolidated financials, not just a billing report. We came from investment banking — we run your numbers like an investor would.
One platform, not eleven vendors
CFO, revenue cycle, payor contracting, credentialing, compliance, HR, IT, marketing, and patient access — coordinated under one accountable team. One contract. One escalation path. No vendor management overhead.
Eleven services. One accountable team.
A full operating platform — not a billing company with extra modules. Each service is delivered by senior practitioners who have run the same function inside independent practices, surgical platforms, PE-backed groups, and institutional operators. Engage à la carte, in retainer bundles, or as a full platform.
Revenue Cycle & Collections
Denials worked and appealed. AR followed up. Claims scrubbed. Patient balances collected. We chase every dollar your team can't get to — and report on it the way an investor would, not a billing summary.
- → Denial work-up and appeals
- → AR aging follow-up at 30/60/90/120
- → Claim scrubbing and clean-claim rate improvement
- → Monthly RCM dashboards and KPI reporting
Clinical Prior Authorization
We make prior auth disappear. Imaging, injections, surgery — submitted, tracked, and cleared so care and revenue stop stalling. Specialized teams for ortho, pain, urology, and imaging-heavy specialties.
- → Imaging and diagnostic auth submissions
- → Surgical pre-authorization workflow
- → Injection and infusion authorization tracking
- → Real-time status visibility and reporting
Credentialing & Enrollment
Every new hire enrolled and billing faster. CAQH, PECOS, payer enrollment, and re-credentialing handled on an ongoing basis. We close the time gap between hire date and first billable encounter.
- → CAQH profile setup and maintenance
- → Medicare PECOS enrollment
- → Commercial payer enrollment and re-credentialing
- → Quarterly compliance audits
Call Center & Patient Access
Front-end discipline that protects back-end revenue. Inbound calls answered, appointments scheduled, eligibility verified, patient financial counseling done before the patient walks in. Every call answered. Every appointment ready to bill.
- → Inbound call handling and scheduling
- → Insurance eligibility and benefits verification
- → Appointment reminders and no-show reduction
- → Patient financial counseling and pre-collection
HR
End-to-end human resources for medical practices. Payroll administration, benefits, employment law compliance, hiring workflows, performance management. Built around the unique workforce dynamics of clinical and administrative staff.
- → Payroll administration and benefits enrollment
- → Hiring, onboarding, and offboarding workflows
- → Employment law compliance (FLSA, FMLA, ADA)
- → Performance management and documentation
Staff Development
Continuous training for the people who drive your revenue and patient experience. Front office trained on insurance verification. Billing staff trained on coding compliance. Providers trained on documentation that drives reimbursement.
- → Front office and patient access training
- → Billing and coding staff training
- → Provider documentation training (E&M, surgical)
- → Annual HIPAA, OSHA, and competency assessments
Financials & Fractional CFO
True monthly financials, payor mix margin, provider productivity, board-ready reporting. Fractional CFO support for practices preparing for growth, succession, or sale. Investment-grade rigor that materially affects valuation in diligence.
- → Monthly P&L and balance sheet close
- → Payor mix margin and provider productivity
- → Budgeting, forecasting, and cash flow projection
- → Capital event readiness (sale, recap, succession)
Payor Contracting
Rate benchmarking, contract renegotiation, and network strategy. We identify underperforming contracts, lead renegotiation conversations, and evaluate Medicare Advantage and value-based opportunities. The contract review most practices have never had done.
- → Rate benchmarking vs regional and national norms
- → Underperforming contract renegotiation
- → Network strategy across commercial, Medicare, Medicaid
- → Medicare Advantage and value-based contract evaluation
Compliance & Legal Coordination
HIPAA, OIG, Stark, and Anti-Kickback Statute compliance program management. Coordination with your healthcare counsel on regulatory matters. Annual audit preparation. We don't replace your lawyer — we run the operational side so they focus on counsel.
- → HIPAA compliance program management
- → OIG, Stark, AKS regulatory monitoring
- → Annual compliance audit preparation
- → Coordination with healthcare counsel
IT & Cybersecurity
EHR optimization, HIPAA-grade cybersecurity, system integration, and vendor management. The technology infrastructure independent practices typically can't afford to build well — built and maintained as a managed service.
- → EHR optimization and workflow tuning
- → HIPAA-grade cybersecurity (encryption, MFA, access controls)
- → System integration (EHR, PM, RCM, scheduling)
- → Vendor management and incident response
Marketing & Patient Acquisition
Digital presence, reputation management, patient acquisition campaigns, and referral relationship management. Built for serious practices that take reputation seriously — not generic agency work that doesn't understand healthcare.
- → Digital marketing and SEO for the practice
- → Reputation management (Google, Healthgrades, Vitals)
- → Patient acquisition campaigns (paid digital, content)
- → Referral relationships and physician liaison support
Mix and match. Most practices start with one or two services where the pain is greatest and expand as trust builds. Full-platform engagements span all eleven services under a single monthly retainer with one accountable team.
A billing report is not financial reporting. We give you both.
Most billing companies hand practices a stack of reports — claims submitted, claims paid, denials worked. What practices actually need is a financial view: true monthly P&L, consolidated multi-location financials, payor-mix margin analysis, productivity by provider, and capital event readiness.
MCS MSO is operated by MCS Advisory — a boutique healthcare advisory firm whose core practice areas include Transaction Advisory and Fractional CFO work for PE-backed platforms and family-office investors. The same financial discipline we apply to $50M+ capital events, we apply to your practice's monthly close.
For practices considering a future capital event — sale, partnership, recapitalization, or succession — clean financials with investor-grade rigor materially affect valuation. We position your practice well in advance.
Specialty knowledge, not generic billing.
Each specialty has its own coding posture, payor mix dynamics, prior-auth load, and operational pain points. We staff and structure accordingly.
If your specialty isn't listed, ask — we likely support it.
Before MCS MSO. After MCS MSO.
The honest operational reality. Not metrics we made up.
- Denials piling up. Nobody appeals systematically.
- Office manager swamped with prior auth.
- New providers wait 90+ days to bill.
- Surgical coding done by providers between cases.
- Monthly report = a billing summary, not financials.
- Three or four different vendors, no accountability.
- No visibility into payor mix margin or provider productivity.
- Every denial worked. Appeal yield tracked.
- Prior auth is "submitted and tracked" not "your problem."
- New providers credentialed before start date.
- Certified coders own surgical CPT capture.
- Monthly close with P&L, AR, and KPI dashboards.
- One contract. One escalation path. One accountable team.
- Payor mix margin and provider productivity visible monthly.
Three ways to engage.
No long-term lock-in. Start where it hurts most, expand as trust builds. Monthly retainers tied to your collections volume — not flat fees that punish you for being small.
À La Carte
Pick one service. Solve one pain point. Most common entry points are Collections/RCM (for revenue leakage) or Prior Authorization (for surgical specialties drowning in submissions).
- → Single-service scope, fixed deliverables
- → Month-to-month after onboarding
- → Clear path to expand when ready
Multi-Service Retainer
Two or more services bundled into a monthly retainer. Most common combination is Collections + Prior Auth + Credentialing for procedural specialties. Pricing reflects the operational leverage of one accountable team.
- → Bundled monthly retainer
- → Single point of contact across services
- → Consolidated monthly reporting
Full Platform
All eleven services coordinated under one monthly retainer. Designed for practices building toward a capital event — sale, recap, partnership, or succession — where investor-grade financials and institutional-grade operations materially affect valuation.
- → All eleven services coordinated under one team
- → Monthly KPI dashboard with investor-grade reporting
- → Capital-event readiness as a deliverable
Specific monthly fees are scoped after the initial conversation and intake — pricing depends on practice size, payor mix, and service scope. No standardized fee schedule because no standardized practice.
Why MCS MSO doesn't look like a billing company.
Most billing companies optimize for clean claims. We optimize for practice economics. Different starting point, different output.
- Optimizes for clean-claim rate as the KPI
- Reports = volume of claims submitted and paid
- Long-term contracts with hard cancellation penalties
- One service, your other vendors are your problem
- Built for high volume across many small practices
- Optimizes for net collections, AR days, and margin
- Reports = P&L, AR aging, payor margin, productivity
- Month-to-month after onboarding period
- Eleven coordinated services under one accountable team
- Built for serious independent practices, not volume
The difference matters most when you're preparing for a capital event. A billing report doesn't make your practice sellable. Investor-grade financials do.
What practice owners actually ask.
Do we have to switch our EHR or PM system?
No. We work with whatever you have today — Athena, eClinicalWorks, NextGen, Epic, Allscripts, Kareo, AdvancedMD, Greenway, and most others. If your current system has integration limitations that materially constrain operations, we'll flag it during the intake and discuss options. We won't force a migration.
What happens to our existing in-house billing staff?
Depends on the structure. Common patterns: (1) we replace outsourced vendors, your in-house team keeps their roles, (2) we augment your in-house team with senior expertise on coding or appeals, (3) for full-platform engagements, in-house billing roles often shift to patient-facing operations where the practice gets more value. Every engagement is scoped specifically to your team.
How is pricing structured?
Monthly retainer, scoped to your practice size and services engaged. Pricing reflects practice complexity (specialty mix, payor mix, multi-location, surgical vs office-visit), not a generic per-claim or percent-of-collections that punishes you for being efficient. Specific fees are quoted after the intake conversation. No long-term lock-in: month-to-month after a 60-day onboarding period.
How long does onboarding take?
Most engagements stand up within 30–60 days from signed engagement letter to go-live. The variable is credentialing — if we're enrolling new providers or moving payor contracts, that timeline extends. RCM/collections-only engagements can be live within 30 days. Full-platform engagements typically take the full 60 days plus a 30-day stabilization period.
Are you HIPAA compliant? Where does our data live?
Yes. All staff handling PHI sign annual HIPAA training and BAAs (Business Associate Agreements) are executed before any data exchange. Your patient data stays in your EHR/PM system — we access via authorized credentials, we don't extract and store separately. Operational data (KPIs, financials) lives in encrypted environments with role-based access. Full security overview shared during engagement scoping.
Why "MCS MSO" vs a regular MSO?
A traditional MSO formation takes equity in your practice and operates the back office in exchange. MCS MSO operates the back office as a fee-for-service engagement — we don't take ownership, we don't control your strategy, we don't dilute your equity. You stay independent. Practices that eventually want to roll up into a traditional MSO platform can use MCS MSO as the operational bridge to get to capital-event readiness first. Full institutional MSO services →
Who actually does the work?
Engagements are led by Kays Alali (Managing Partner, MCS Advisory) with day-to-day operations staffed by certified coders (CPC, CCS-P), credentialing specialists with payor relations experience, and senior RCM operators who have run revenue cycles inside PE-backed platforms and independent practices. Adam (Strategic Accounting & IT) leads financial reporting and integration. Noel C. Pace (Senior Counsel) handles regulatory and contracting matters when relevant. Meet the team →
Building a multi-site MSO platform? Different page.
If you're a PE-backed platform, family-office investor, or physician-led group structuring a multi-state MSO for rollup, recapitalization, or platform expansion, our institutional MSO Services page covers MSO formation, PC-structure compliance, payor contracting strategy, and integration accounting.
Institutional MSO Services →From inquiry to engagement.
Initial conversation
A 30-minute confidential conversation to understand your practice, your pain points, and what a successful engagement would look like for you. Schedule a conversation →
Practice intake
A structured intake captures specialty, payor mix, current operations, pain points, growth plans, and diligence inputs. Helps us scope the right services. Complete intake →
Scoped proposal
We return a tailored scope of services, monthly retainer pricing, and an implementation timeline. No long-term lock-in; engagement structures from à la carte to full platform.
Onboarding and go-live
A defined onboarding plan with weekly check-ins, system access setup, payor enrollment if needed, and a clear go-live date. Most engagements stand up within 30–60 days.
A focused conversation with the senior team. Not a sales call.
Whether you're exploring options, ready to start, or just want a sanity check on your current setup, we welcome the conversation.