DeltaRCM
A CPA-led MSO

Run the practice.We'll run the operations.

Revenue cycle, credentialing, compliance, bookkeeping, payroll, prior auth — delivered by a CPA-led team that treats your practice like a business, not a claims pipeline. Independent, hospital-based, or anywhere in between.

$250M+
Annual charges processed
8–12%
Lift on baseline collections
30+ yrs
In healthcare finance
A physician reviewing practice operations with a colleague

Illustrative outcome

$420K recovered

First 6 months. Denials 18% → 4.5%.

See case studies
The problem we solve

If any of this sounds familiar, we should talk.

  • Your front desk quit two weeks ago.

    The next round of billing is already slipping. Nobody has the bandwidth to chase denials, much less train the replacement hire.

  • Denials have been climbing for six months.

    Nobody can tell you exactly why. The dashboard shows the trend — it doesn't tell you which codes, which payers, which documentation gaps.

  • You're spending nights on insurance calls.

    Not with your family. And you still don't know where the money is leaking — just that revenue is softer than it should be.

A medical practice team reviewing financials

CPA-led

The billing report reads like a P&L.

Why "CPA-led" matters

Most billing companies chase claims. We run the financial operations of your practice.

A billing company bills. An MSO runs the business. A CPA-led MSO runs it with the discipline your accountant wishes your last billing vendor had — monthly close on the calendar, audit-ready books, denial trends tied to the P&L instead of a dashboard nobody opens.

That's what we mean by "partner with the practice." You focus on the medicine. We handle revenue cycle, credentialing, compliance, bookkeeping, payroll, prior authorization, vendor payments, and the strategic calls that keep the practice profitable. Whether you own it, lead a hospital-based department, or run a provider group inside a skilled nursing facility — the practice is the unit we serve. Ownership structure is beside the point.

  • Monthly close, every month.
  • Audit-ready books. Not quarterly.
  • Tax implications in every decision.
Why DeltaRCM

Three reasons this works.

01

CPA-led

We think about your practice the way your CFO would — if you had one. Books close every month. Reports are GAAP-readable. Tax implications are part of the conversation, not an afterthought.

02

Specialty-deep

We chose six specialties and went deep on each. Your modifier quirks, your audit exposure, your payer mix — we've seen them before.

03

Partner, not acquirer

We don't take equity. We don't consolidate you into a bigger platform. We run your operations so you can keep running your practice.

Multi-location podiatry group case study

Illustrative case study

Multi-location podiatry group

4-location podiatry group · Multi-provider

$420,000 recovered in six months.

The group had an 18% denial rate, 45-day AR, and a billing team one resignation away from chaos. Six months later, the practice wrote a bonus check for the first time in two years.

Recovered in 6 months
$420K
Denial rate (from 18%)
4.5%
AR days (from 45)
24
Clean claim rate
96%

Illustrative example — a representative scenario, not a specific client.

Read the full story

Free audit

Curious where your practice is leaking money?

We'll audit your current workflow for free and show you exactly where to act — usually in under a week. No contract. You keep whatever we find.