-2.83%
CMS conversion factor change, 2025
Healthcare · Physicians Clinics
Independent practice shouldn't mean independent from financial visibility.
Physician-owned practices operate under the same payer pressure as large health systems — with a fraction of the administrative infrastructure. When the CMS conversion factor drops, coding complexity increases, and front-desk turnover erodes billing accuracy, the financial system has to compensate. That starts with getting clinical data out of your EHR and into NetSuite without manual re-entry.
36%
Of practices outsourcing RCM in 2025
<5%
Target denial rate for physician practices
90–95%
Net collection rate benchmark
<30 days
Target Days in A/R
Where independent practices feel the most pressure
Payer complexity is a large-health-system problem that landed in every independent practice.
Independent physician practices face the same coding requirements, prior authorization burdens, and payer rule changes as major health systems — without the billing departments to absorb the administrative load. When clinical and financial systems don't talk to each other, every billing cycle starts with manual data entry that introduces errors before the first claim is submitted.
Reimbursement rates that decline while costs don't
The CMS 2025 physician payment conversion factor dropped to $32.35 from $33.29 in 2024 — a 2.83% reduction that lands directly on the top line. For practices already operating on thin margins, rate compression without offsetting cost reduction changes the financial picture quickly.
CMS conversion factor: $32.35 in 2025, down from $33.29 in 2024
EHR and billing systems that require manual reconciliation
When clinical encounter data — diagnosis codes, procedure codes, visit documentation — has to be re-entered or manually reconciled between the EHR and the billing system, the error rate is a function of human bandwidth. Busy practices with high visit volume accumulate billing errors faster than staff can catch them.
36% of practices plan to outsource or automate RCM in 2025 due to staffing pressure
Prior authorizations that consume hours the practice doesn't have
Specialist referrals, imaging orders, and high-value procedures increasingly require prior authorization — each requiring documentation, follow-up, and tracking that consumes clinical and administrative time that should be spent on patients.
PA management consumes 13+ hours per week for many practices — at significant annual cost
Financial reporting that doesn't give ownership what it needs
Practice owners need to understand profitability by provider, location, and payer — not just total collections. When the financial system can't generate that granularity without manual extraction, the decisions that determine the practice's future are made without complete information.
Practices without provider-level P&L visibility make compensation and growth decisions on incomplete data
Built for independent physician practice operations
The tools that give independent practices enterprise-grade financial visibility.
Archer configures NetSuite — with an EHR/EMR connector and purpose-built revenue cycle modules — to give physician-owned practices the billing controls, credentialing oversight, and provider-level reporting that their payers have and their practice management systems typically can't deliver.
Archer Module
EHR/EMR Integration
Archer's NetSuite connector bridges your practice EHR and financial system — pulling encounter data, charge codes, and diagnosis information directly into the revenue cycle, eliminating manual re-entry and the coding errors that accompany it in high-volume practice environments.
Archer Module
Revenue Cycle Integration
End-to-end reimbursement visibility from charge capture through collections — surfacing denial patterns, payer-specific underpayment, and A/R performance in real time so practice leadership can act on revenue cycle trends before they compound across a billing period.
Archer Module
Provider Credentialing Workflow
Automated tracking of physician and APP license status, DEA registration, and payer enrollment — triggering renewal workflows before credentials lapse and preventing the retroactive claim denials that occur when billing eligibility expires without the practice's awareness.
Archer Module
Contract Lifecycle Management
End-to-end management of payer contracts and referral agreements — with fee schedule tracking, renewal alerts, and contract-term-driven billing logic so reimbursement rates are always current in the financial system and underpayment is identified automatically.
What becomes possible
A practice that collects what it earns and knows exactly where its money goes.
When EHR data flows cleanly into billing, credentialing is tracked proactively, and payer contract logic drives revenue recognition, independent practice ownership has the financial visibility that large health systems spend millions to acquire.
Provider-level
P&L visibility
Profitability by provider, location, and payer
Understand which providers, payers, and service lines are actually profitable — and make compensation, staffing, and contract decisions based on real financial data rather than top-line collections figures.
Current
Payer contract rates in the system
Billing that reflects your actual payer terms
Contract lifecycle management ensures fee schedules are current, renewal dates are tracked, and billing logic reflects actual contracted rates — reducing underpayment and the manual reconciliation required to identify it.
Cleaner
EHR-to-billing data flow
Fewer denials from coding errors that never needed to happen
EHR integration that delivers clean encounter data to the revenue cycle eliminates the manual re-entry step where most independent practice billing errors originate — reducing preventable denials and freeing staff to manage the authorization work that actually requires human judgment.
Get started
Ready to run your practice on financial infrastructure that matches its ambition?
Schedule a discovery call with Archer. We'll assess your EHR environment and show you what purpose-built NetSuite configuration looks like for independent physician practices at your scale.