What we heard from DSO at

ADSO 2026

Three days. Dozens of conversations with DSO leaders, operators, and PE teams. Five issues came up repeatedly:
HIPAA - aligned workflows SOC 2 & HITRUST R2 Ready Works with your existing EHR Built for different health operations HIPAA - aligned workflows SOC 2 & HITRUST R2 Ready Works with your existing EHR Built for different health operations
What practices told us

One event, dozens of conversations, five recurring challenges

We didn’t go to Chicago to pitch. We went to listen. Across dozens of discussions, a clear pattern emerged: many DSOs are still battling the same workflow inefficiencies.

Intake Still Slows Everyone Down

Patients fill out paper forms at the front desk. Staff retype the same data. It creates a bottleneck before care even starts.

Eligibility Checks Happen Too Late

Verifying insurance after the patient arrives means claim denials nobody planned for. Front-end fixes save back-office headaches.

Collections Vary Too Much by Location

One office collects upfront. Another sends statements for weeks. Groups with 20+ locations can't afford that inconsistency.

Communication Gets Missed

Reminders, follow-ups, and recall campaigns run differently at every location. Patients miss important touchpoints, while staff spend more time manually following up.

Scale Doesn't Fix Bad Workflows

Adding locations just copies the same friction. Leaders said they want consistent operations, not just bigger ones.

A RECURRING SENTIMENT WE HEARD

Scale alone is no longer the goal. The
conversation has shifted from expanding footprints to standardizing operations.

- Common thread across DSO conversations, ADSO 2026
ON THE GROUND

On the Ground at ADSO 2026

The DSO Problem

Five places CERTIFY Health makes an immediate difference

Shift Intake Before the Visit

Digital forms, eConsents, and insurance card capture happen before patients walk in. Front desks spend less time on paperwork and more time on care.

Verify Eligibility Before Patients Arrive

Real-time eligibility checks run before the appointment. Fewer surprises at checkout. Fewer denials in the back office.

Collect Payments the Same Way at Every Location

Text-to-Pay, AutoPay, and automated reminders run the same process across every office. No more chasing balances location by location.

Keep Patient Communication on Track

Automated reminders, follow-ups, and recall campaigns help DSOs deliver consistent patient messaging across every location, so no office is running its own outreach process.

Standardize the Workflow Without Replacing Your PMS

CERTIFY Health helps DSOs standardize intake, eligibility, payments, and patient communication across locations, without replacing their existing PMS.

Ready to standardize across locations?

Same workflow, every office, every patient.

By the numbers

When the workflow is consistent, the numbers follow

87%

Pre-registration completion

80%

Same-day eligibility checks

73%

Payment methods collected

4,900

Appointments booked monthly

$100M+

Total collections impact

Missed Us in Chicago? Let's Pick Up the Conversation.

If what you’re hearing sounds familiar, let’s talk. A focused 20-minute call, no pitch deck, no pressure, just your specific workflows and where the gaps are.

Download: Kiosk & Mobile Check-In Readiness Checklist

Download: Patient Identity & Check-In Risk Checklist

Download: Medical Practice Software Evaluation Checklist

Download: EHR Integration Readiness Checklist

Download: Patient Communication Workflow Audit

Download: Eligibility & Denial Prevention Checklist

Download: Digital Intake & Pre-Visit Readiness Checklist

Download: Revenue Leakage & Patient Payment Workflow Audit

Download: No-Show & Waitlist Recovery Checklist

Download the Free Checklist

Schedule a free demo

Eliminate Check-In Delays | Prevent Claim Denials | Simplify Patient Workflows