The resurgence of hospitals acquiring physician practices is putting pressure on organizations to get the deal done quickly. However, during the acquisition process, focus is often placed on handling the contract terms and legal documents, rather than ensuring operational considerations are addressed. Ideally, practice acquisition planning involves a balance between the mechanics of getting the deal done and the equally important discussions of how the integrated entity will function post-acquisition. As the network of employed physicians grows, so does the need for a consolidated billing operation with a common practice management infrastructure and consistent policies and procedures. This presentation explores professional fee billing, including the organization and control of the revenue cycle.