Sample
What your monthly scorecard looks like
Every client gets a scorecard like this each month, plus a call to go through it. This one uses sample data so you can see the format.
Sample data. This is an illustrative eight-CRNA group, not a real client. Your scorecard uses your own numbers.
Monthly scorecard · October
Example Anesthesia Group
8 CRNAs · 3 surgery centers and 1 hospital · 1,240 cases this month
Collected this month$468,200Up 1.3% on September
Net collection rate96.1%Target: 95% or higher
Days in A/R31Down from 34
Clean claim rate95.4%Claims accepted first time
Denial rate6.2%Down from 7.0%
Underpayments recovered$5,120From $8,940 identified
Missing or wrong modifier31%
Eligibility or coverage22%
Diagnosis or medical necessity14%
Duplicate claim9%
Timely filing6%
Other18%
Most modifier denials came from one surgery center's schedule feed. Fixed on October 14.
- 0 to 30 days 64%
- 31 to 60 18%
- 61 to 90 9%
- 91 to 120 5%
- Over 120 4%
9% is over 90 days. Each of those claims has an owner and a next step below.
Filed42
Won29
Pending9
Appeals won this month were worth $11,460.
What we're doing next month
- Add a modifier check for the new surgery center before claims go out.
- Appeal the 14 eligibility denials where coverage was active on the date of service.
- Chase two commercial payers paying below the contracted conversion factor.
- Close out the 22 claims over 120 days: rebill, appeal or write off, with your sign-off.
Net collection rateTarget: 96% or more
96.1%
85%100%
First-time denial rateTarget: 5% or less
6.2%
0%15%
Days in accounts receivableTarget: 40 days or fewer
31 days
20 days70 days
Receivables older than 90 daysTarget: 15% or less
9%
0%35%
The shaded part of each bar is the target range commonly used in medical billing. The marker shows this sample group.
Our terms
Low risk to try
- No long-term contractMonth to month. Leave any time with 30 days' notice.
- No setup feeNothing to pay to switch to us.
- Old claims on contingencyWe're paid a share of what we recover. Nothing recovered, nothing owed.
- Your money, your dataPayments go straight to your account. If you leave, we hand your data to you or your next biller.
See pricing and a sample monthly scorecard.