FREQUENTLY ASKED QUESTIONS
How We Can Help Your Independent Medical Practice Succeed
Eggleston & Eggleston is a medical practice management and billing firm founded in 1994 to support independent medical practices. We provide everything a private practice needs to succeed, including practice management, medical billing, accounting, credentialing, staffing support and payor contract negotiations.
Eggleston & Eggleston is headquartered in Roanoke, Virginia. We began serving practices in Virginia and West Virginia and quickly expanded throughout the Mid-Atlantic and across the country.
Today, geography is no barrier, and we support practices in Virginia, Maryland, North Carolina, South Carolina, Georgia, Arizona, California and beyond. Learn more about our team and who we serve!
No, all services are handled in-house and never outsourced.
Some challenges that independent practices often face are: inefficient billing, staffing challenges, overstaffing, outdated benefits plans, rising medical supply costs and poor payor contracts.
Staffing used to be straightforward. Now, staffing has also become a major hurdle, from recruiting the right candidates to onboarding and retention. It requires intentional screening, cultural alignment, structured interviews, and strong onboarding. We help practices refine the hiring processes, coordinate interviews and reference checks and stay engaged until the right candidate is found—not just the fastest one.
We also review physician compensation models, often recommending a balanced approach that blends salary and productivity, helping practices recruit and retain high-quality providers while staying financially healthy.
Success means physicians can focus on patient care while the practice runs efficiently and profitably. Thriving private practices require commitment—highly productive days in the office every week along with clear volume goals, effective appointment reminders and firm no-show policies.
Unlike hospital-employed physicians, independent providers start each day at zero and must cover overhead before earning income. Our role is to build a lean, efficient practice so physicians enjoy both professional satisfaction and personal balance.
Medical billing is about denials management and follow-through. We aggressively appeal claims, follow up with payors, and fight for every dollar because what may be a small percentage to a billing company is meaningful revenue to the practice.
Payor negotiations have changed. While double-digit increases are rare, we negotiate regularly, targeting 3–5% increases, multi-year agreements, and carve-outs for high-volume CPT codes.
We often leverage broader network participation to secure better rates and consistently return to the table when negotiations stall. Our philosophy is simple: keep fighting for providers and never accept “no” as the final answer.
We are a practice management firm first and a billing company second. With over 30 years of experience, and a highly tenured team based in Roanoke, VA, we provide hands-on service—not call-center billing.
Unlike low-cost providers that underdeliver, we focus on results, transparency and long-term independence. Our goal is to help practices avoid selling out and instead thrive independently under strong management.
Getting started is easy! Call our office at (540) 345-3556 and request a complimentary practice review through our website. We begin by asking two key questions: What is your lagged net collection percentage? When did you last renegotiate your payor contracts?
Within one week, we provide detailed answers and actionable recommendations, empowering physicians to make confident, informed decisions about their practice’s future.
READY TO GET STARTED?
You don’t have to do it all by yourself. Let us bring you the peace of mind that comes with increased efficiency and maximized cash flow.
Whether you are just starting your practice or have been in business for decades, we will work closely with you to create a custom strategy to help you overcome any challenges you may be facing and ensure that your fullest potential is realized.
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