PracticeCore, a newly launched revenue cycle management services organization, sticks out in a sea of healthcare RCM companies, Chief Medical Officer Matthew McGirt, MD, said.
The MSO has a unique hyperfocus on a small set of specialties.
“If you look at the industry right now, RCM is a fairly crowded space, with a lot of companies and organizations offering broad services,” Dr. McGirt, a neurosurgeon, told
Becker’s. But none specifically specialize in neurosurgery, brain and spine care. Just like in healthcare, it’s hard to become a master of all specialties in clinical care, which is why the clinical health system has evolved as it has. Practice Core is an RCM specialist.”
That focus on one specialty, instead of trying to cover the needs of multiple, is something Dr. McGirt said he thinks will set PracticeCore apart.
“To achieve the highest level of key performance indicators in the field financially and to drive profits for groups we think larger retail, unspecialized RCM companies are not built to reach that elite top one and two percentile of national norms of performance,” he said. “Our goal is not to provide solutions to every hospital and service line and physician group. It’s specifically to be the best in the U.S. healthcare system for neurosurgery, brain and spine care; whether for physician groups or hospital service lines.”
PracticeCore launched in October with three contracts, which includes two ASCs, a hospital system, and an independent neurosurgery practice, and there are talks with other groups and health systems in the South and West, Dr. McGirt said. The company was built on 34 full-time
employees with an average of 17 years of experience each.
In the first quarter of 2026 Dr. McGirt said PracticeCore plans to have more customers on contract.
“Our customer target is hospital system service lines, but really the unmet need is independent physician groups who traditionally have coding, billing and revenue cycle, all in-house, and we believe that it’s a great place to find margin with economies of scale,” he said.
In five years, he envisions PracticeCore as a consolidated RCM for dozens of independent spine and neurosurgery groups with shared economies of scale and shared resources.
“Our goal is not to go and take over management of practices at PracticeCore,” he said. “It is to work underneath the management leaders, under the hood, under their brand name, but help power them efficiently. In the future, if 30 independent groups can share a single RCM company that powers all of them, economies of scale become real, and then the collaborative nature that can spin out of that enable a number of synergies.”
