A single leak seems small. The sum shows up on your margins.
While external pressures mount, systematic revenue leakage in claims, coding, and accounts receivable compounds the squeeze turning efficiency gaps into margin loss.
80+
health systems with >$1B net patient revenue
350+
healthcare clients nationwide
1,000+
hospitals & physician practices served
40+ years
of RCM domain heritage (MedAssist)
Everest Group
Featured IT/BPM Provider 2025 – Operationalizing Generative AI in Healthcare
Everest Group PEAK Matrix®
Major Contender 2026 – Revenue Cycle Management Intelligent Operations
Everest Group PEAK Matrix®
Major Contender 2024 – Revenue Cycle Management Operations
Everest Group PEAK Matrix®
Star Performer 2024 – Revenue Cycle Management Operations
WHY THIS MATTERS
What's squeezing physician practice margins
Healthcare providers face mounting financial and operational pressures that are reshaping physician practice economics.
Declining Margins
~2 points
McKinsey projects primary care EBITDA margins will fall one to two percentage points from 2025 to 2027 (driven by the 2.8% Medicare fee-schedule cut and tariffs on medical supplies) — squeezing physician and specialty groups that already operate on thin margins.
McKinsey — What to expect in US healthcare in 2026 and beyond
Declining Independence
60.1% → 42.2%
The share of physicians in wholly physician-owned private practice fell from 60.1% in 2012 to 42.2% in 2024 — eroding the scale and rate-negotiation leverage of independent physician and specialty groups and accelerating their absorption by hospitals and private equity.
AMA — Physician Practice Benchmark Survey
PHYSICIAN PRODUCTIVITY PRESSURE
1 in 3
One in three medical groups lost a physician to burnout in the past year, up from roughly one in four in late 2024. This compounds margin pressure: physician and specialty groups now pay more for scarce talent while patient-visit capacity declines.
MGMA — 2026 Provider Compensation and Productivity Data Report
PROVEN OUTCOMES
Specialty coding results delivered consistently
Performance metrics from live Firstsource physician practice and specialty coding engagements.
30M+
coded annually
95%+ coding accuracy maintained across all practice settings with AHIMA and AAPC certified coders.
~30%
lower coding costs
Reduced coding spend with AI-assisted workflows and specialty-focused coders.
~99%
first-pass rate
Codes accepted on first submission with minimal rework, 48-hour turnaround standard
95%+
coding accuracy
Tap into institutional coding expertise across 15+ physician specialties.
Deep Domain Solutions for Physician Groups and Specialty Practices
One AI-first operating model, run across your revenue cycle
We run coding, claims resolution, and patient access as one AI-first operation, sized to the throughput your practice handles every day.
For large multi-specialty groups, retail health networks, and urgent care organizations carrying real scheduling and contact center complexity, the platform extends to the front end. Eligibility, prior authorization, and registration all connect to the same coding and accounts receivable intelligence that works downstream.
- Real-time eligibility verification at scheduling and registration
- AI-powered prior authorization with peer-to-peer coordination
- Omnichannel, multilingual contact center with AI virtual assistants
Coding is a primary entry point into the revenue cycle for physician groups, and a small error rate compounds quickly across thousands of encounters. We pair certified coders with AI-enabled tools across a broad range of specialties, delivering strong accuracy and rapid turnaround on pricing built for how practices actually run.
- Professional fee coding across all major specialties
- Outpatient and same-day surgery coding with AI support
- Documentation review for complex multi-specialty and faculty practice groups
- Compliance and audit services that feed directly into denial prevention
High-volume accounts receivable and specialty-specific denials are where physician practice revenue leaks.We help physician groups improve reimbursement with AI-powered denial prevention, intelligent workflow automation, and patient engagement designed for the scale and complexity of multi-specialty practices.
- AI-powered denial prediction and smart queuing by code, payer, specialty, and deadline
- AI agents that accelerate appeal preparation and improve overturn rates
- Net collection and aged accounts receivable performance against your targets
- Self-pay early out and patient engagement across voice, text, and patient portals
CLIENT SPOTLIGHT
AI-powered coding. Uninterrupted revenue.
A unified AI-assisted approach to coding across specialties delivered uninterrupted revenue performance for a leading healthcare group. We deployed AI-supported coding solutions, specialty-specific platforms, and dedicated transition teams while maintaining revenue continuity throughout the transformation.
80%
increase in collections
Capabilities powering practice operations
Built on deep expertise — operationalized for your revenue cycle
Take advantage of proven practices backed by deep specialty expertise and technology investments. Spanning your full revenue cycle and customized for your specialty, they deliver measurable margin improvement with accountability.
.svg?tr=f-auto)
Consulting and advisory
We assess your practice operations, redesign the workflows behind denials and accounts receivable, then stand up the operating model that turns recommendations into measurable margin across your group.
.svg?tr=f-auto)
Customer experience
For physician practices, the call center is where patients choose to stay or leave. Firstsource makes it an intelligent front door: omnichannel, HIPAA-compliant, EHR-native, and ready for the full complexity of healthcare financial conversations.
.svg?tr=w-48,f-auto 48w, https://ik.imagekit.io/4kkn0gggh/Landing-pages/Industries/Healthcare%20Provider/Who%20We%20Serve%20-%20Physician%20Groups/Capabilities%20powering%20practice%20operations/Technology-Services%20(1).svg?tr=w-64,f-auto 64w, https://ik.imagekit.io/4kkn0gggh/Landing-pages/Industries/Healthcare%20Provider/Who%20We%20Serve%20-%20Physician%20Groups/Capabilities%20powering%20practice%20operations/Technology-Services%20(1).svg?tr=w-96,f-auto 96w)
.svg?tr=f-auto)
PROOF OF DELIVERY
Specialty practice results. Three engagements.
Three distinct metrics from physician practice and specialty groups.
80%
collections' increase
Our AI-supported coding deployment for a multi-specialty practice across pathology, radiology, oncology, and anesthesia improved financial performance by increasing charges billed, reducing days to bill, and lowering coding denials.
<2%
coding denial rate
AI-assisted coding delivery for a billing aggregator sustained coding denial rates below 2%, achieved 98–99% first-pass coding accuracy, and consistently coded 85% of charts within 48 hours.
~ 30%
coding cost reduction
Multi-specialty physician coding operations achieved approximately 30% lower coding costs, supported by more than 300 AHIMA and AAPC certified coders, AI-assisted workflows, and a scalable operating model.
INSIGHTS
Latest from the Firstsource team
Insights from the field, real operations, real outcomes, and perspectives from the people making it work in live operations.
Case Study
National physical therapy group cuts denials, improves revenues by fast-tracking eligibility and benefit verification
Learn how automation helped a national physical therapy group reduce denials by 30%, double E&B verification speed, and cut AR days by 31%, unlocking faster revenue realization.
CONTACT US
Your coding accuracy gap has a cost. We can show you exactly what it is.
Talk to a physician practice RCM specialist today: your coding accuracy, denial rate, and specialty-specific AR profile benchmarked and gaps identified.
- A coding domain expert managing charts across your specialty mix, not a generalist account manager
- Your current coding accuracy and denial rate benchmarked against Firstsource's live specialty practice data specific to your procedure and payer mix
- A clear view of what deployment would deliver for your practice before you commit to anything