Where the targets come from
We compare your numbers with targets commonly used in medical billing: a net collection rate of 96% or more, first-time denials of 5% or less, 40 days or fewer in accounts receivable, no more than 15% of receivables older than 90 days, and a coding audit at least once a year. Anesthesia groups with a lot of workers' compensation or out-of-network work may run a little higher on A/R.
Don't have the numbers?
That's a finding in itself. A good biller sends these every month. Ask yours for them, or send us 12 months of reports and we'll work them out for you as part of a free billing review. See also net collection rate, days in A/R and the cost of denials.
Estimates only. The uncollected amount assumes the gap to a 96% net collection rate is money that could be collected, which won't always be true.
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