
Home » Services & Solutions » Healthcare Consulting Services » Managed Services Organization (MSO)
Managed Services Organization (MSO Services)
More Time to Do What You Do Best
Independent medical practices, physician groups, and new healthcare practices face growing pressure to manage billing, collections, staffing, compliance, reporting, technology, payor enrollment, credentialing, and financial performance while still delivering quality patient care. LBMC’s Single Source Managed Services Organization, or MSO, helps practices simplify the business side of operations through coordinated support across revenue cycle management, billing and coding compliance, HR, payroll, accounting, procurement, IT, EMR optimization, reporting, compliance, and operational strategy.
LBMC is a strong fit for physicians who want more time to focus on patients, office managers who need better support for daily practice operations, and providers preparing to start, expand, or improve a medical practice. With decades of healthcare consulting and outsourced business operations experience, LBMC provides scalable MSO solutions through a single integrated partner so practices can operate more efficiently, improve visibility, reduce administrative burden, and grow with confidence.
MSO Services for Physicians, Office Managers, and New Medical Practices
Need help starting a medical practice, improving operations, reducing administrative burden, or strengthening financial performance? LBMC provides scalable MSO services including revenue cycle management, credentialing, accounting, HR, compliance, IT, and operational support for independent and growing healthcare practices.
Healthcare Leadership Insights

Building a Vision for Healthcare Innovation
Healthcare organizations are navigating operational complexity, workforce challenges, financial pressure, and accelerating industry change. In this conversation with Nashville Health Care Council President Apryl Childs-Potter, LBMC explores leadership, innovation, and what it takes to build healthcare organizations positioned for long-term growth. Strong healthcare organizations require both strategic leadership and scalable operational support.
Key takeaways:
- Building collaborative healthcare ecosystems
- Creating cultures of continuous improvement
- Empowering teams through accountability and leadership
How MSO Services Work in Practice
Every healthcare practice operates differently, which is why LBMC’s Single Source MSO model is built to be flexible, scalable, and aligned to your operational priorities. Whether you need support in one area or across multiple business functions, our team works alongside your practice to identify gaps, streamline operations, and build the right support structure around your goals.
Our Process
1. Practice Discovery
We start with a conversation focused on your operational challenges, growth goals, and current workflows.
2. Operational Assessment
Our team works with your practice to evaluate operational, financial, staffing, compliance, and technology needs to identify opportunities for improvement and support.
3. Customized Service Planning
We recommend a coordinated MSO support model tailored to your practice’s specific needs and priorities.
4. Implementation & Support
LBMC helps coordinate onboarding, process improvements, system support, and ongoing operational management.
5. Continuous Optimization
As your practice evolves, we help refine workflows, improve visibility, and scale support services alongside your growth.
Why Healthcare Practices Choose MSO Services
Healthcare organizations are under increasing pressure to improve operational efficiency, manage financial performance, navigate staffing challenges, and keep pace with growing administrative complexity. As practices grow, many find that disconnected vendors, manual processes, and limited internal resources create operational strain that takes time and focus away from patient care.
An integrated Managed Services Organization (MSO) model helps healthcare practices streamline business operations through coordinated support across revenue cycle, finance, HR, technology, compliance, and practice management. Rather than managing multiple outsourced vendors independently, practices gain a more connected operational infrastructure designed to support long-term growth and scalability.
Common Reasons Practices Explore MSO Services
- Revenue cycle inefficiencies and reimbursement pressure
- Staffing shortages and administrative burnout
- Rising compliance and regulatory complexity
- Growth through new providers, locations, or acquisitions
- Limited operational visibility and reporting
- Managing multiple disconnected vendors and systems
- The need for scalable infrastructure and technology support
- Reducing administrative burden so providers can focus on patient care
Comprehensive MSO Services from a Single Partner
LBMC’s Single Source MSO model is designed to help healthcare practices streamline operations through coordinated support across financial management, revenue cycle, staffing, technology, compliance, and strategic growth initiatives. Whether your organization needs support in a single operational area or a fully integrated support model, LBMC’s MSO services are built to be flexible, scalable, and aligned to your practice’s evolving needs.
Flexible operational support designed around your practice’s evolving needs.

Revenue Cycle & Practice Management Services
Efficient revenue cycle operations are critical to maintaining financial stability and improving operational performance. LBMC helps healthcare practices strengthen billing workflows, improve collections, support provider credentialing, and streamline practice management processes through coordinated operational oversight and consulting support.
Services include:
- Revenue Cycle Management
- Practice Startup Support
- Payor Enrollment & Credentialing
- Billing & Coding Compliance Review
- Administrative Oversight
- EMR Optimization
- Practice and RCM Assessments
- Strategic Planning
Human Resources & Workforce Support Services
Managing staffing, payroll, benefits, compliance, and employee administration has become increasingly complex for healthcare organizations. LBMC’s HR and workforce support services help practices reduce administrative burden, improve operational consistency, and better support employees across growing organizations.
Services include:
- Human Resources Outsourcing (HRO)
- Professional Employer Organization (PEO) Services
- Payroll Services
- Employee Benefits Administration
- HR Compliance Support
- ACA Compliance Tracking
- Workforce Administration
- Employee Training & Support
Technology & Operational Infrastructure Services
Technology plays a critical role in healthcare operations, reporting, security, and scalability. LBMC helps practices support operational infrastructure, optimize systems, and improve day-to-day technology management across clinical and administrative environments.
Services include:
- Managed IT Services
- Infrastructure & Network Support
- Help Desk Support
- Cloud Infrastructure Deployment
- Data Security & Backup Support
- Office Technology Rollouts
- PM/EMR Consulting
- Reporting & Dashboard Support
- Software & System Optimization
Finance, Accounting & Procurement Services
LBMC helps healthcare organizations improve financial visibility, strengthen reporting processes, and streamline operational purchasing activities through integrated accounting and procurement support.
Services include:
- Outsourced Accounting Services
- Financial Reporting & Analysis
- Accounts Payable & Receivables Management
- Cash Flow Forecasting
- Month-End Close & Reconciliation
- Audit & Tax Support
- Procurement Services
- Vendor & Supplier Management
- Purchasing Optimization
Strategic & Advisory Services
In addition to core MSO operational support, LBMC provides specialized healthcare consulting services to help organizations navigate growth, compliance, governance, and operational transformation initiatives.
Services include:
- Coding & Compliance
- Cybersecurity
- Merger Planning & Facilitation
- Practice Structure & Governance Consulting
- Strategic Planning
- Compensation Modeling
- Data Analytics & Dashboarding
- Wealth Advisory Services
Local Healthcare Expertise. Scalable Support.
Who LBMC Can Help
Focus More on Patients, Not Practice Administration
Independent physicians face increasing pressure from billing complexity, staffing shortages, payer requirements, compliance obligations, and rising operating costs. LBMC’s MSO services provide the financial, operational, and technology support needed to improve efficiency and profitability while allowing providers to focus on patient care.
Best For:
- Independent physicians
- Physician owners
- Specialists
- Multi-provider practices
Get the Operational Support Your Practice Needs
Office managers are often responsible for staffing, payroll, reporting, credentialing, vendor management, compliance, and day-to-day operations. LBMC provides an experienced team to help streamline processes, improve visibility, and reduce administrative burden.
Best For
- Office managers
- Practice administrators
- Operations leaders
- Healthcare management teams
Build a Strong Foundation for Growth
Starting or expanding a medical practice requires careful planning across revenue cycle management, credentialing, technology, compliance, accounting, and HR. LBMC helps physicians launch and scale practices with the infrastructure needed for long-term success.
Best For
- New practices
- Practice startups
- Expanding physician groups
- New market locations
Is LBMC's MSO Right for Your Practice?
Independent medical practices need greater support, resources and expertise. The need is especially great in areas outside of healthcare’s core mission, such as billing, HR, accounting, payroll, and similar business functions. Support models can be tailored around your practice’s operational priorities and growth goals.
LBMC’s Single Source MSO model provides coordinated support across finance and accounting, human resources, technology, physician office operations, revenue cycle management, and strategic consulting — through one integrated healthcare-focused partner.
Coordinated Operational Support
Reduced Administrative Burden
Operational Efficiency & Visibility
Specialized Healthcare Expertise
Who LBMC’s MSO Services are Designed for
LBMC’s Single Source MSO model is designed for:
- Independent physician practices
- Multi-provider physician groups
- Specialty practices
- Growing healthcare organizations
- New medical practices
- Practices seeking a single partner for business operations support
When Practices Typically Turn to LBMC
Many healthcare organizations turn to LBMC when:
- Administrative demands are pulling physicians away from patient care
- Revenue cycle performance, collections, or cash flow need improvement
- Staffing, HR, or payroll responsibilities are consuming internal resources
- Multiple vendors have created inefficiencies and communication challenges
- Leadership lacks clear visibility into operational, financial, or practice performance
- The practice is preparing for growth, expansion, acquisition, or transition
Not sure if an MSO is right for your practice?
Our healthcare advisors can help assess your operational needs and identify the support model that best aligns with your goals.
Supporting Healthcare Organizations at Every Stage
Operate
Support revenue cycle, staffing, payroll, accounting, and day-to-day operational management across growing healthcare organizations.
Grow
Help practices scale through strategic planning, operational infrastructure, reporting visibility, and expansion support.
Manage
Coordinate technology, workflows, reporting systems, compliance processes, and operational oversight more effectively.
Protect
Support healthcare organizations through cybersecurity, governance, compliance, risk management, and operational controls.
Advise
Provide strategic healthcare consulting across practice assessments, compensation modeling, analytics, mergers, and operational planning.
LBMC by the Numbers
Supporting healthcare organizations with integrated operational, financial, technology, and advisory expertise.
40+ Years
Serving businesses and healthcare organizations with operational, financial, and advisory support.
Top 50
One of the largest accounting and business consulting firms in the U.S.
7 Office Locations
Supporting healthcare organizations across Tennessee, Kentucky, North Carolina, Pennsylvania and beyond.
Integrated Service Model
Coordinated support across revenue cycle, HR, accounting, technology, compliance, and strategic advisory services.
National Expertise
Access to experienced healthcare consultants, operational specialists, technology professionals, and financial advisors.
Scalable Support
Flexible support models designed for independent practices, physician groups, and growing healthcare organizations.
Frequently Asked Questions About MSO Services
Healthcare organizations often explore Managed Services Organization (MSO) support when operational complexity, growth, staffing, compliance, or financial management demands begin stretching internal resources. Below are answers to common questions healthcare leaders ask when evaluating MSO services and operational support models.
What is a Managed Services Organization (MSO)?
A Managed Services Organization (MSO) provides operational, financial, administrative, technology, and consulting support services for healthcare organizations and physician practices. MSOs help healthcare providers streamline business operations so internal teams can focus more time on patient care and organizational growth.
What services can an MSO provide?
MSO services can include revenue cycle management, accounting, HR support, payroll, compliance, technology management, reporting, procurement, practice management consulting, cybersecurity, strategic planning, and other operational support services.
Can MSO services be customized for different healthcare organizations?
Yes. MSO support models can be tailored based on the size, structure, operational complexity, and growth goals of each healthcare organization. Some practices need support in one operational area, while others utilize a more integrated support model across multiple business functions.
What are the benefits of an integrated MSO model?
An integrated MSO model helps healthcare organizations reduce operational complexity by coordinating multiple business functions through a single provider. This can improve communication, reporting visibility, operational consistency, scalability, and overall efficiency.
How does an MSO support practice growth?
MSOs help healthcare organizations build scalable operational infrastructure through coordinated support across finance, staffing, technology, compliance, reporting, and strategic planning. This allows healthcare leaders to focus on patient care, provider growth, and long-term operational performance.
Can LBMC help someone start a new medical practice?
Yes. LBMC helps physicians and healthcare entrepreneurs build a strong operational foundation when launching a new medical practice. Through our Single Source MSO model, we can support practice startup planning, payor enrollment and credentialing, revenue cycle setup, accounting, payroll, HR administration, technology infrastructure, compliance, and operational planning. By coordinating these business functions through a single partner, practices can reduce complexity and focus on delivering quality patient care from day one.
How can LBMC help physicians spend more time focused on patient care?
Many physicians find that administrative responsibilities begin competing with the time and attention needed for patient care. LBMC’s MSO services help reduce that burden by supporting revenue cycle management, staffing administration, payroll, compliance, reporting, technology, accounting, and other operational functions. With experienced professionals managing critical business processes, physicians can spend less time navigating administrative challenges and more time focused on patients, practice growth, and clinical outcomes.
What is the difference between an MSO and a medical billing company?
A medical billing company typically focuses on claims processing, collections, and other revenue cycle management activities. An MSO provides broader operational support that may include revenue cycle management, payor enrollment and credentialing, HR, payroll, accounting, technology, compliance, procurement, and strategic consulting services.
Meet Our Healthcare Operations Leadership Team
Our healthcare consulting, operational, financial, technology, and advisory professionals work alongside healthcare organizations to help simplify operations, support growth, and improve long-term performance.
Andrew McDonald
Shareholder, President/CEO, Physician Business Solutions
Build the Right Operational Support Model for Your Organization
Whether your organization needs support with revenue cycle operations, staffing, reporting, technology, compliance, or long-term growth initiatives, LBMC can help build a coordinated MSO support model aligned to your operational priorities.




