A Texas practice was collecting 18% of patient balances. We added 20% on top.
| Client | Diagnostic practice |
| Location | Texas |
| Size | $4M net patient revenue, about 5,000 visits a year |
| Billing before us | Outsourced to a billing company |
| Our position | Secondary: only balances the billing company had finished with |
| Service | Patient advocacy |
The situation
The practice's billing company was recovering about 18% of patient balances. The practice was not unhappy with its billing company. The rest was simply aging out.
They did not want to change vendors. They wanted to know whether anything could be recovered from what the existing process had already closed.
What we did
- Took only the finished accounts. The billing company's work continued unchanged. We received balances after its statement cycle had ended.
- Checked every account for coverage first. Accounts where an insurer should have paid were rebilled or appealed before any patient was contacted.
- Gave each patient a clear breakdown. What the plan paid, what it didn't, and why, with a person to ask.
- Offered plans sized to the patient. Monthly amounts that households could keep up with.
- Reviewed results with the practice every month. Including patient feedback and what registration could change.
What happened
Within 60 days of launch we had recovered 10% of the balances that remained after the billing company's efforts. By the end of the six-month placement that figure was 20%.
All of it was in addition to the 18% the practice was already collecting. The practice paid nothing up front; our fee came out of what we recovered.
What this suggests for a provider like you
If your billing company or team recovers somewhere near 18% of patient balances, the other 82% is not all uncollectible. Some of it is coverage that was missed. Some of it is patients who would pay if they understood the bill. Finding out which costs you nothing.
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