1026: Why Working Harder Isn’t Paying Off: The Billing Breakdown No One Talks About

Track your collection percentage monthly by dividing total collections by net production (after adjustments) and multiplying by 100, aiming for 98% or higher.

When collection percentage is below 98%, the missing money is typically found in adjustments, patient accounts receivable, or insurance accounts receivable.

Relying on one “hero” biller is risky; practices need repeatable systems that don’t collapse when turnover happens.

Most denied claims are tied to office administrative errors, often due to missing or incomplete documentation and attachments.

Posting insurance payments accurately is critical because incorrect write-offs and misposted EOBs can trigger audits and slow payment timelines.

Rejected claims can sit unseen in the clearinghouse and never reach insurance unless someone works rejections daily.

Claims should be followed up every 14 days with complete claim notes (date, rep, outcome, action taken, reference number, initials) until paid.

1026: Why Working Harder Isn’t Paying Off: The Billing Breakdown No One Talks About - Ashley Bond