Skip to main content
Serving Providers Nationwide
Konnext SolutionsBook a Discovery Call
Start Your Practice
AboutContactBook a Discovery Call

New York · Internal Medicine Practice

A new practice connected from payer enrollment through collections

The New York physician needed payer enrollment, technology setup and daily revenue-cycle responsibilities organized as one launch workflow.

Starting point

The New York physician needed payer enrollment, technology setup and daily revenue-cycle responsibilities organized as one launch workflow.

Konnext support
  • Medicare, Medicaid and private-payer credentialing
  • Office Ally, EDI, ERA and EFT setup alongside Practice Fusion
  • Eligibility, claims, payment posting, patient payments and invoicing
Outcome

With enrollment and day-to-day revenue-cycle workflows operating together, the internal-medicine practice now averages approximately $35K in monthly collections.

Client-identifying and patient information is excluded. Figures are rounded and supported by Konnext internal service, enrollment and collection records through August 2026. Results vary and are not guaranteed.

Launching the administrative foundation

The physician engaged Konnext while building a new internal medicine practice in New York. Because the work began with credentialing, the payer plan and operational plan could be developed together instead of adding billing after patient activity had already started.

The practice needed participation with Medicare, Medicaid and private payers, along with the systems and electronic connections required to submit claims and receive payments. Each dependency affected the practical launch date, so progress was measured by billing readiness rather than application submission alone.

Coordinating payer enrollment

Konnext prepared and followed the applicable enrollment work for government and commercial payers. Provider identity, entity information, practice location and billing relationships had to remain consistent across the relevant applications and supporting records.

The process also accounted for downstream activation. Payer approval, effective dates, provider-group relationships and any remaining electronic setup were reviewed before the practice treated a payer as ready for routine billing.

Connecting Practice Fusion and Office Ally

Practice Fusion and Office Ally formed the practice’s clinical and billing environment. Konnext supported Office Ally setup and the EDI, ERA and EFT connections needed to move claims, receive remittance information and route deposits.

This implementation treated electronic claim submission, remittance and funds transfer as separate checkpoints. A successful claim route does not prove that an ERA will arrive in the intended system, and an EFT deposit does not replace claim-level payment detail. Each connection needed its own confirmation.

Building the daily revenue-cycle workflow

The operating scope covered eligibility verification, claim submission, payment posting, patient payments and invoicing. These responsibilities were organized as a continuous workflow so information discovered at one stage could improve another.

Eligibility findings informed front-end decisions. Claim responses identified corrections. Remittance and posting information showed how payers adjudicated services. Patient balances and invoices could then be based on the available payer outcome rather than incomplete assumptions.

Documented outcome

With payer enrollment and daily revenue-cycle operations working together, the practice reached average monthly collections of approximately $35K. The result reflects an operating practice with connected administrative and billing support rather than credentialing activity alone.

The amount is a rounded historical result supported by Konnext internal records. It does not predict what another new practice will collect. Provider schedule, patient volume, specialty mix, payer contracts, documentation, coding and local market conditions all influence revenue.

What new practices can learn

A new practice should define the full path from payer application through posted payment. Credentialing, effective-date confirmation, system configuration, EDI, ERA, EFT, eligibility, claims and patient billing are connected launch dependencies.

A readiness tracker should show which payers are submitted, approved, effective, electronically connected and tested. This gives leadership a more accurate view than a single credentialing status and reduces the risk of scheduling covered patients before the billing relationship is operational.

Operational takeaways

What to carry into your own plan

  • Plan credentialing and billing infrastructure as one launch program.
  • Track payer approval, effective date and electronic readiness separately.
  • Connect eligibility, claims, remittance, posting and patient billing.
  • Use a payer-by-payer readiness view before scheduling at scale.
Documented outcome$35K

average monthly collections

With enrollment and day-to-day revenue-cycle workflows operating together, the internal-medicine practice now averages approximately $35K in monthly collections.

Your practice has its own starting point

Build the next step around your actual payer and workflow context.

Share a high-level overview of the challenge. Do not include patient information, claim details, passwords or other sensitive information.

Explore Revenue Cycle ManagementBook a Discovery Call