Sorso Blog Healthcare finance insights for clinic owners https://www.thesorso.com/blog en-us Fri, 17 Apr 2026 09:06:18 GMT 2026 Medicare Final Rule: What Outpatient Clinics Must Know CMS finalized the CY 2026 Physician Fee Schedule (CMS-1832-F) in October 2025, with effects that carry through the 2027 payment year. Behind the headline pay bump are an efficiency adjustment, a split conversion factor, and a skin substitute reset that change the math for most outpatient clinics. https://www.thesorso.com/blog/2027-medicare-final-rule-impact-clinics https://www.thesorso.com/blog/2027-medicare-final-rule-impact-clinics Thu, 16 Apr 2026 00:00:00 GMT operations Clinic Valuation Guide 2026: How to Price Your Practice Most clinic owners value their practice with a back-of-napkin number that bears no relation to what a sophisticated buyer will pay. Here is how valuation actually works in 2026, and where owners leave the most money on the table. https://www.thesorso.com/blog/clinic-valuation-guide-2026 https://www.thesorso.com/blog/clinic-valuation-guide-2026 Thu, 16 Apr 2026 00:00:00 GMT growth The hidden cost of switching EHRs: a 24-month financial reality check The vendor quote is the smallest number in an EHR switch. The real cost shows up in productivity loss, data migration, training, and the second year of optimization. Here is the 24-month financial picture. https://www.thesorso.com/blog/switching-ehr-hidden-costs https://www.thesorso.com/blog/switching-ehr-hidden-costs Thu, 16 Apr 2026 00:00:00 GMT operations AI billing tools: what they save, what they miss, what your CFO should watch AI coding assistants and billing automation are showing up everywhere. Some save real money. Others create expensive new problems. Here is what we are seeing. https://www.thesorso.com/blog/ai-billing-tools https://www.thesorso.com/blog/ai-billing-tools Thu, 09 Apr 2026 00:00:00 GMT operations The real cost of running a med spa (beyond the Botox) Med spa revenue looks great on paper. But between injectable waste, equipment leases, and marketing spend, the margins are thinner than owners think. https://www.thesorso.com/blog/med-spa-operating-costs https://www.thesorso.com/blog/med-spa-operating-costs Thu, 09 Apr 2026 00:00:00 GMT operations Medicare reimbursement is down 33% since 2001. The math gets worse from here. Adjusted for inflation, Medicare pays physicians 33% less than it did in 2001. For a clinic with 30% Medicare patients, that is a slow-motion financial crisis. https://www.thesorso.com/blog/medicare-reimbursement-down-33 https://www.thesorso.com/blog/medicare-reimbursement-down-33 Thu, 09 Apr 2026 00:00:00 GMT operations Healthcare staffing costs in 2026: the biggest line item keeps growing Staffing is 45-55% of clinic overhead and it went up again this year. Here is what the numbers look like by specialty and what clinics are doing about it. https://www.thesorso.com/blog/staffing-costs-2026 https://www.thesorso.com/blog/staffing-costs-2026 Thu, 09 Apr 2026 00:00:00 GMT benchmarks Where most dental practices leak money: six patterns I see over and over After working with dozens of dental practices, the same financial mistakes show up over and over. Lab costs, PPO write-offs, associate comp — here is what to watch. https://www.thesorso.com/blog/dental-practice-financial-mistakes https://www.thesorso.com/blog/dental-practice-financial-mistakes Wed, 08 Apr 2026 00:00:00 GMT operations The prior authorization API mandate hits January 2027. Here is what to do. By January 2027, payers must support electronic prior auth via API. This changes how your practice handles authorizations and how fast you get paid. https://www.thesorso.com/blog/prior-auth-api-2027 https://www.thesorso.com/blog/prior-auth-api-2027 Tue, 07 Apr 2026 00:00:00 GMT regulatory MIPS reporting for 2026: the checklist your practice manager needs MIPS performance in 2026 determines your Medicare payments in 2028. Here is what to track and when to track it. https://www.thesorso.com/blog/mips-reporting-checklist https://www.thesorso.com/blog/mips-reporting-checklist Sun, 05 Apr 2026 00:00:00 GMT regulatory Tax deductions your clinic accountant probably misses Most clinic accountants handle compliance. Few proactively look for deductions. Here are the ones we find most often. https://www.thesorso.com/blog/tax-deductions-clinics https://www.thesorso.com/blog/tax-deductions-clinics Fri, 03 Apr 2026 00:00:00 GMT tax Selling your practice in 2027? Start the financial cleanup now. Practice sales take 12-18 months. If you want to sell in 2027, the financial prep starts today. Here is the timeline. https://www.thesorso.com/blog/selling-practice-2027 https://www.thesorso.com/blog/selling-practice-2027 Wed, 01 Apr 2026 00:00:00 GMT growth The financial case for staying independent vs selling to PE Private equity is buying clinics aggressively. Before you take the call, know what your practice is actually worth and what you are giving up. https://www.thesorso.com/blog/private-equity-clinic https://www.thesorso.com/blog/private-equity-clinic Sat, 28 Mar 2026 00:00:00 GMT growth The highest-revenue provider was barely profitable. Here is why. Revenue is not profit. Without provider-level P&Ls, you are guessing which providers make you money and which ones cost you. https://www.thesorso.com/blog/provider-profitability https://www.thesorso.com/blog/provider-profitability Tue, 24 Mar 2026 00:00:00 GMT operations Location-level P&Ls: why you need to know which clinic subsidizes the others Most multi-location clinics run one consolidated P&L. That means your profitable location is hiding the losses at your other one. https://www.thesorso.com/blog/location-level-pnl https://www.thesorso.com/blog/location-level-pnl Thu, 19 Mar 2026 00:00:00 GMT operations When your clinic hits $3M, your QuickBooks setup stops working QuickBooks got you here. But once you have multiple providers, two locations, and a billing company, you need financial infrastructure that actually scales. https://www.thesorso.com/blog/clinic-hits-3m-quickbooks-stops-working https://www.thesorso.com/blog/clinic-hits-3m-quickbooks-stops-working Thu, 12 Mar 2026 00:00:00 GMT growth Your accountant sees bank deposits. Do they see your billing data? At most outpatient clinics we review, the accountant has never seen the billing data. They reconcile bank deposits. That is like reading half the story. https://www.thesorso.com/blog/accountant-sees-bank-deposits https://www.thesorso.com/blog/accountant-sees-bank-deposits Thu, 05 Mar 2026 00:00:00 GMT revenue-cycle Insurance reimbursement keeps dropping. What smart clinics do about it. Medicare payments are down 33% since 2001 in real terms. Commercial payers follow. Here is how profitable clinics adapt their financial model. https://www.thesorso.com/blog/insurance-reimbursement-keeps-dropping https://www.thesorso.com/blog/insurance-reimbursement-keeps-dropping Thu, 26 Feb 2026 00:00:00 GMT operations The 6-12% gap between billing and collections that most clinics ignore Based on the practices we've reviewed, the average multi-location clinic loses 6-12% of revenue between what gets billed and what hits the bank. At your scale, that is not a rounding error. https://www.thesorso.com/blog/billing-collections-gap https://www.thesorso.com/blog/billing-collections-gap Thu, 19 Feb 2026 00:00:00 GMT revenue-cycle 65% of denied claims never get resubmitted. Here is what that costs you. The healthcare industry average is brutal: most denied claims die in a pile on someone's desk. At a 3-location clinic, that is $50K-$200K per year. https://www.thesorso.com/blog/denied-claims-never-resubmitted https://www.thesorso.com/blog/denied-claims-never-resubmitted Thu, 12 Feb 2026 00:00:00 GMT revenue-cycle Your billing team says everything is fine. Your bank account disagrees. Most clinic owners trust their billing team's numbers. But when billing data and bank deposits tell different stories, somebody is wrong. https://www.thesorso.com/blog/billing-team-says-everything-is-fine https://www.thesorso.com/blog/billing-team-says-everything-is-fine Thu, 05 Feb 2026 00:00:00 GMT revenue-cycle