Should a DSO with fewer than 10 locations centralize billing?

Below 10 locations, full centralization often isn’t worth the setup cost. A hybrid model, claims and AR centralized with local front-desk collections, usually delivers most of the benefit at a fraction of the lift.

What’s the biggest risk in centralizing DSO billing?

Losing location-specific payer nuance. A centralized team that doesn’t build location-level payer logic into its workflow will see denials spike instead of drop.

How long does it take to centralize billing across DSO locations?

A phased rollout across 10 to 20 locations typically takes 90 to 120 days, covering PM standardization, workflow migration, and denial pattern stabilization.

Does centralized billing reduce days in AR for DSOs?

Yes, in most cases. Centralized teams that specialize by payer instead of by location tend to close claims faster because they see denial patterns across the whole portfolio.

Can a DSO centralize billing without switching practice management systems?

It’s possible but harder. Many DSOs centralize the team first and consolidate the PM stack over the following 12 to 18 months.

What should a DSO centralize first: claims, credentialing, or AR follow-up?

Credentialing first. It’s the lowest-risk function to centralize and directly affects how fast new locations can start billing.

Is a hybrid billing model permanent or a transition phase?

For many DSOs it’s permanent. Front-end collections stay local while claims, coding, and AR follow-up stay centralized because they benefit from specialization and scale.

Running billing across multiple DSO locations: centralize or keep it site-by-site?

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