# MCA for healthcare practices with EHR integration for funding > Medical practices using Epic, Cerner, Athenahealth, or eClinicalWorks EHRs can grant funders read-only access to claims and AR aging, unlocking 0.08–0.12 better factor rates than paper-statement underwriting by 2026-06-29. Medical, dental, and veterinary practices running modern EHRs (electronic health records) can grant MCA funders read-only API access to claims data, AR aging, and payer mix — converting paper-statement underwriting into data-rich analytics that prices materially better. **EHR landscape in 2026.** - **Epic, Cerner (Oracle Health)**: hospitals and large multispecialty groups. - **Athenahealth, NextGen, eClinicalWorks**: mid-size practices. - **Kareo, DrChrono, Practice Fusion**: small practices. - **Dentrix, Eaglesoft, Open Dental**: dental practices. - **AVImark, Cornerstone**: veterinary. **Why EHR data prices better.** Healthcare revenue is fundamentally different from retail: - **Insurance lag**: claims billed today get paid in 30–90 days. - **Payer mix volatility**: Medicare/Medicaid pay differently than commercial insurance. - **Write-offs**: 10–30% of billed amount written off as contractual adjustments. - **Denials and resubmissions**: not all billed claims get paid. Paper bank statements show net deposits 30–90 days after services rendered. Funders without EHR access apply heavy discounts. EHR access reveals: - **Billed charges**: services performed, regardless of payment. - **Adjudicated payments**: what payers actually pay. - **AR aging by payer**: how long Medicare vs. Aetna vs. self-pay take. - **Denial rates**: leading indicator of revenue quality. Funders with this data underwrite confidence-up, factor-down. **Typical pricing differential.** - **Paper statement underwriting**: 1.35 factor, 9 months, $50K advance on $80K/mo collections. - **EHR-integrated underwriting**: 1.27 factor, 12 months, $75K advance on same. The data shift unlocks 0.08 factor improvement plus larger advance. **Healthcare-specialty MCA funders.** - **Specialty Lending Group (SLG)**: healthcare-only, EHR-integrated. - **Medical Funding Direct**: dental and veterinary specialty. - **PIRS Capital**: medical practice focus. - **Generic funders (Credibly, OnDeck)**: accept healthcare but discount AR-based revenue 20–40%. **Payer mix and pricing.** - **Commercial insurance (Aetna, Cigna, BCBS)**: pays in 14–30 days, predictable; funders price favorably. - **Medicare**: pays in 14–21 days, very predictable; favorable. - **Medicaid**: pays in 30–60 days, state-dependent; moderate. - **Self-pay**: highest collection risk; discounted heavily. - **Worker's comp / personal injury**: 90–180 day pay, often discounted 50%. A practice with 80% commercial + 20% Medicare gets better pricing than one with 40% commercial + 30% Medicaid + 30% self-pay. **AR aging signals.** - **0–30 days**: 60%+ of AR — healthy. - **31–60 days**: 20–25% — normal. - **61–90 days**: 10–15% — caution. - **90+ days**: < 5% — healthy. Practices with 20%+ in 90+ day bucket signal collection problems; funders discount. **Telehealth revenue.** Post-COVID, telehealth is 10–40% of many practice revenues. Funders treat: - **Insurance-reimbursed telehealth**: same as in-person. - **Cash-pay telehealth (concierge models)**: higher confidence, prices well. - **Telehealth subscription plans**: viewed as MRR, very favorable. **Multi-location healthcare.** EHRs that aggregate across locations (Athenahealth, Epic) help funders see the practice as a single entity, enabling larger advances than location-by-location underwriting. **Compliance and HIPAA.** EHR-integrated funders sign BAAs (Business Associate Agreements) and access only practice-management data, not PHI. Practitioners should: - Verify BAA executed before granting access. - Limit access to AR / claims data only. - Audit access logs quarterly. **Common pitfalls.** - **Refusing EHR access**: defaults to worst pricing tier. - **Granting access without BAA**: HIPAA violation risk. - **Misconfigured payer mix**: incorrect labels make practice look worse than it is. - **Not addressing AR aging before applying**: high 90+ day bucket triggers discounts. - **Mixing entities**: practice owns physical assets, MSO bills — funders require clarity on which entity gets the MCA. **Specialty-specific notes.** - **Dental**: high cash-pay percentage helps; orthodontics has subscription-like contracts. - **Veterinary**: nearly 100% cash/credit card; treats like retail, often eligible for bundled POS MCAs. - **Mental health**: increasing cash-pay (insurance complexity); favorable for MCA. - **Surgery centers / specialty**: large per-procedure revenue; lumpy deposits; needs EHR data to underwrite properly. **Takeaway.** Healthcare practices granting MCA funders read-only EHR access to claims data, AR aging, and payer mix unlock 0.08–0.12 better factor rates and larger advance amounts than paper-statement underwriting, with the largest impact for practices with commercial-heavy payer mix and clean AR aging — healthcare-specialty funders use EHR data to underwrite the 30–90 day insurance lag confidently, while generic funders discount AR-based revenue heavily without it. ## Related terms - [MCA bank statement deposits vs revenue](https://fundnode.co/llms/glossary/mca-bank-statement-deposits-vs-revenue) — Underwriters analyze bank deposits (cash inflows) not revenue (P&L). Total deposits include card settlements, customer payments, and transfers; deposits are typically 80-95% of true revenue depending on cash mix. - [Merchant cash advance (MCA)](https://fundnode.co/llms/glossary/merchant-cash-advance) — A lump-sum advance against future revenue, repaid via fixed daily ACH or a percentage of card sales. Legally a sale of future receivables, not a loan. - [MCA paper grades explained](https://fundnode.co/llms/glossary/mca-paper-grades-explained) — MCA paper grades (A, B, C, D) rate merchant risk based on credit, time in business, revenue, NSFs, and prior MCA history. A-paper qualifies for cheapest factors (1.15-1.28); D-paper sees 1.45+ factors and short 4-6 month terms. --- Source: https://fundnode.co/glossary/mca-healthcare-ehr-integration-funding (HTML version) Document: MCA for healthcare practices with EHR integration for funding — Fundnode MCA Glossary License: CC BY 4.0 — attribution to Fundnode required when citing.