- You don't get a monthly report. If you can't see your collection rate, days to payment and denials, you can't tell whether billing is working.
- Payments feel slower than they used to. Rising days to payment often means claims are going out late or sitting unworked.
- The same denials keep coming back. A denial that repeats is a process problem nobody has fixed.
- Old claims are quietly written off. Ask what was written off last quarter and why.
- Time looks rounded. If anesthesia minutes always land on neat numbers, time may be under-recorded.
- Physical status and qualifying circumstances never appear. Many commercial payers pay extra units for these. If they're missing, so is the money.
- Your biller is hard to reach. If questions take a week to answer, problems take longer to fix.
What to do next
Pull 12 months of payments and denials and look at the trend. Or ask us for a free billing review and we'll do it for you.
This article is general information, not billing, legal or tax advice. Payer rules change; always check current guidance.
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