❓ FAQs
Popular FAQs
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Billing & Collections
Accounts Receivable, Denials & Rejections
How do you manage accounts receivable and reduce AR days in medical billing?
Keeping your monthly AR under 1.5 times the monthly charges is our ideal target. Measuring Accounts Receivable (Days in AR) works like this:Days in AR = Total AR ÷ Avg. daily charges(Avg. daily charges = total charges in the last 6 months ÷ number of days in those 6 months) As days in AR increase, cash flow decreases. This limits your ability to pay healthcare organization staff or hire better staff and physicians. It also affects your practice’s ability to invest in modern tools and technology. So, the higher your average AR days, the more negative the impact on your ability to provide better patient care.
Do you offer denial management services for existing claims?
Yes. An Analytics survey found that 44% of participating hospital executives use revenue cycle management vendor solutions to manage denials, 31% use manual processes, 18% use homegrown tools, and 7% are unsure about their denial practices. Should your billing company handle denied claims, or should your practice manage them internally? A proven fact is that a dedicated medical billing company is more efficient at managing payer denials than a medical practice.
How do you reduce claim rejections in medical billing?
Research shows that 20–30% of claims are rejected regularly. Another report suggests that nearly 80% of rejected claims are left unprocessed. This means healthcare organizations may lose tens of thousands of dollars annually due to rejections. Poor documentation or coding errors (upcoding/undercoding) are among the many reasons claims get rejected.
Coding & Revenue
Medical Coding, Payer Contracts & Medicare
Do you provide medical coding services with historical code analysis?
Claim rejections, denials, and low reimbursements are major causes of revenue loss. Reports like Top Used Codes, Top Paying Codes, and Most Denied Codes help practices find and improve revenue flow. A strong billing partner not only analyzes these but also provides alternative coding solutions to improve outcomes. We stay updated with the latest industry changes and continuously train our team to ensure your organization has an edge in revenue management.
How do you analyze payer contracts to improve revenue?
Coverage plans vary by state. Some offer extended benefits, while others only meet minimum federal requirements. Understanding the pros and cons of these contracts can significantly improve your revenue performance.
How does the Medicare fee schedule impact my reimbursements?
Medicare fee schedules are updated annually and directly impact reimbursements. Your billing partner must understand these updates in detail. Example: a doctor sees 1,000 patients per month, and 500 of them are billed under CPT code 99241, which Medicare pays at $150 per claim.Total = 500 × $150 = $75,000 If updated to $100 per claim → new total = 500 × $100 = $50,000 Loss = $25,000 This shows how critical fee schedule knowledge is.
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