Management Services Organization (MSO)

The Alianza MSO Advantage

Independent physicians in Puerto Rico face mounting administrative burdens: prior authorizations, complex payer contracts, quality reporting requirements, and rapidly evolving compliance obligations. Many lack the scale to hire specialized staff for each of these functions. The Alianza MSO solves this problem by delivering enterprise-grade administrative infrastructure to practices of all sizes, enabling physicians to compete in a value-based environment without sacrificing independence.

Practices that affiliate with the Alianza MSO retain full ownership of their patient relationships and clinical decision-making. What they gain is a comprehensive operational partner that manages everything from billing and collections to technology deployment and staff training.

Revenue Cycle Management

Alianza’s revenue cycle team manages the full billing lifecycle—charge capture, coding, claim submission, denial management, and payment posting. Our certified professional coders specialize in risk adjustment and HCC coding, maximizing appropriate reimbursement under Medicare Advantage and Medicaid managed care contracts. Practices consistently see improvements in clean claim rates, days in accounts receivable, and overall collections within 90 days of MSO onboarding.

Credentialing, Contracting, and Compliance

Maintaining active credentials across Puerto Rico’s payer landscape is a full-time job. Alianza manages primary source verification, CAQH profiles, payer enrollment, and re-credentialing cycles on behalf of affiliated practices. Our contracting team negotiates fee schedules and value-based agreements, leveraging the collective volume of the Alianza network to secure better rates than any individual practice could achieve alone. A dedicated compliance officer monitors regulatory changes and ensures every affiliated practice meets CMS, HIPAA, and Puerto Rico Department of Health requirements.

Technology and Reporting Infrastructure

MSO affiliates receive access to Alianza’s technology stack, including the MyChron population health platform, a shared EHR infrastructure option, and a quality reporting dashboard that provides real-time visibility into HEDIS measures, risk scores, and care gap closure rates. IT support, cybersecurity monitoring, and staff training on clinical and administrative systems are all included in the MSO service package.