MSN offers a wide range of services for every area of a Client’s practice — including developing additional services for areas of concern that are unique to a particular client.

MSN also offers a broad array of practice management services, including financial, executive level assistance, consulting, and credentialing.

Whether your physicians are hospital employees or in private, multi-specialty practice, MSN knows how to apply its core billing and A/R management principles to your setting. The results we achieve consistently outperform industry benchmarks, and the communication we provide enables your organization to gain visibility into its operation, growth and profitability.

Our sub-specialized team offers extensive experience in practice management.


  • Design and customization of practice financial statements
  • Budgeting
  • Analysis of practice financial results
  • Financial modeling for new ventures
  • Year end corporate financial planning
  • Practice benchmarking
  • Benefits research, design, and recommendations
  • Business based review of corporate documents and other agreements
  • Human resources consultation
  • General strategic planning
  • Annual strategic planning retreat
  • Assistance with negotiations of professional service and vendor agreements

Many services provided are customized for each client.


  • Annual budget preparation
  • Annual meeting with client leadership to review budget
  • Monthly financial statements – cost center based
  • Quarterly analysis of variance of actual results in comparison to budget
  • Quarterly analysis of variance from prior years’ financial results
  • Cost center based financial statements with quarterly variance analyses
  • Payables
  • Payroll (management of ADP account)
  • Bank account management including reconciliations
  • Consultation with outside accountant on year end tax planning
  • General financial analyses needed by client
  • Preliminary year end bonus calculations, coordination with outside accountant
  • Benefits management
  • General (non-legal) benefits and human resources matters consultation
  • Coordination with outside counsel, pension administrators, or other outside experts as appropriate
  • Hospital credentialing
  • Maintenance of physician’s and other clinical provider’s Continuing Medical Education records
  • Imaging Center evaluation including evaluation of profitability by modality
  • Imaging Center development services
  • System evaluations/RFP’s including RIS and PACS
  • Strategic planning
  • Financial pro formas for business ventures
  • Development of clinical service line
  • Merger/acquisition facilitation
  • Merger/acquisition operational integration plans
  • Marketing plan development and assistance with implementation



Nicole Palmer
Vice President of Practice Management and Consulting Services

Nicole provides client financial and practice management services and also manages the MSN Consulting Division.  Nicole has worked specifically with radiology practices for more than 31 years to increase financial management effectiveness as well as managing billing operations.  In the last 15 years, she has focused on strategic planning, consolidation design and facilitation, implementing several large divisional radiology practice mergers.  Nicole is an active member of the RBMA and has served as the Chairman of the Data Reporting and Collection Committee and as President of the Northeast Chapter.  She is currently the Chair of the SEAC of the RBMA, the steering committee ultimately in charge of all RBMA educational offerings and is a Board Member of the RBMA Northeast Chapter.

Justin Boykin, Practice Manager and Consultant

Justin Boykin
Practice Manager & Consultant

Justin brings a valuable perspective to MSN clients, beginning with his nine-year background as a radiology technologist and imaging services manager.  He speaks the language of radiology and his clinical and operational knowledge are valuable assets to the practice management team and MSN clients.  He is also proficient in budgeting, financial planning and communications.  Justin is a graduate of the nuclear medicine program at Vanderbilt University and completed his MBA at Louisiana State University.  

Keith Chew, Senior Practice Management Consultant

Keith Chew

Senior Consultant

Keith has been a healthcare thought leader for more than 35 years, with experience assisting physicians, hospitals and health systems with practice leadership solutions, management, operations improvement, governance, strategic planning and strategic positioning.  Keith holds multiple degrees and certifications, is a past president of the Radiology Business Management Association (RBMA) and has been a guest speaker for numerous national professional associations.


Joseph Payne, Practice Manager and Consultant

Joseph Payne
Practice Manager & Consultant

Joe has owned and operated numerous outpatient imaging centers and worked for imaging providers, radiology practices and national radiology services development companies so he brings an extensive level of experience to MSN clients.  Joe previously served as Chief Financial Officer for a large, complex San Diego-based radiology group covering eight hospitals and multiple outpatient imaging facilities.

He was a former auditor for a Big Eight accounting firm and offers a strong level of financial expertise to his MSN clients.  

Brent Silver, Practice Manger and Consultant

Brent Silver
Practice Manager & Consultant

Brent has worked as an MSN Practice Manager for six years and brings a strong background in financial analysis, as well as accounting, to the practice management team.  He has worked with various practices and addressed a diverse set of business needs.  Brent is also skilled with MSN’s Business Intelligence software and provides consulting services for the practice management division.  He is a member of the Radiology Business Management Association (RBMA).  

Nancy Zink, Financial Services Manger

Nancy Zink
Financial Services Manager

Nancy has more than 25 years of experience in human resources management and earned Certified Professional status from the Society for Human Resource Management (SHRM).  She provides MSN clients financial services support, including accounts payable and receivable, payroll processing, physician bonus calculations and budget development.  In addition, she provides benefits management, oversight of retirement plans, development of employment agreements and other human resources management consulting.


Sarah Gosnell, Hospital Representative

Sarah Gosnell
Hospital Privileging

Sarah manages the MSN OnTrack hospital privileging program, including initial and reappointment applications, CME tracking, maintenance of documentation and reminders to help physicians stay on top of the process with no lapses in maintaining privileges.

Terese J. Lee, Financial Services Manager and Practice Manager

Terese J. Lee
Financial Services Manager & Practice Manager

Terese offers more than 30 years of accounting experience and has specifically provided financial management services to radiology practices for 10 years.  She is proficient with numerous accounting software programs and has hands-on experience with key accounting tasks, including accounts payable/receivable, payroll, employee benefits management as well as management and supervision of accounting staff.  

Jackie Pope, Financial Services Representative

Jackie Pope
Financial Services Representative

Jackie has more than 27 years of accounting experience, including payroll, accounts payable, invoicing, accounts receivable and financial statement preparation.  She offers a valuable range of expertise to MSN clients.

Heather Thonn, Financial Services Representative

Heather Thonn
Financial Services Representative

Heather provides financial services support to MSN clients across the country and has specific expertise in marketing, in addition to finance and accounting.


How can we help? Select an option below and complete the form to get in touch.

MSN Services Inquiry

If you would like to learn more about MSN services for your practice, please call us or use the form below.

1-866-567-7405  / Local: 706-653-8150