10/22/2026
I'm seeing a pattern with the DSOs we work with that I think is worth naming out loud.
More of them are moving away from letting each office run its own billing and pulling it into one centralized process instead, and it's not because centralizing sounds good on a slide deck.
It's because fragmented billing across offices means fragmented visibility, and fragmented visibility means leadership finds out about a problem months after it started instead of the week it started.
One consistent process, one team that actually knows every office's payer mix and history, one set of standards for how claims get worked and how aging gets followed up. That's the difference between reacting to numbers and actually managing them.
It's not a small lift to make that change, and it's not the right move for every group at every stage. But for the DSOs that are scaling past a handful of locations, it tends to be the point where the math stops working any other way.
If you're running multiple locations right now, is your revenue cycle actually centralized, or does it just feel that way?