Year-over-Year Collections
Insurance AR
Patient AR
Understanding Your Collection Rate
Your collection rate is related to your fee schedule setting, insurance, and patient payments. When your fee schedule is set at double the standard Medicare fee, in-network providers may expect around a 50% collection rate.
Revenue Per Visit
Revenue per visit is a simple gauge of how much each encounter earns. It reflects the type of services your office offers, combined with the mix of payers driving revenue into your practice — including patient collections. To increase your revenue per visit, ParaDocs encourages a close look at your top 15 procedures and top 5 payers.
AR Aging — Insurance: Why 90+ Days Is Critical
Claims over 90 days are at risk of timely filing denial. Most payers have a 90–180 day window, and once a claim exceeds that limit the revenue is typically lost. Electronic EOBs allow a faster response to denials. ParaDocs follows up aggressively at 30 days — or sooner if the payer has not responded to a submitted claim.
AR Aging — Patient: Why 90+ Days Is Critical
Collecting your patients' balances is an important part of your receivables, and many practices are unsure or uncomfortable about how to approach it. The longer a balance ages, the less likely the patient is to pay. A strategic patient-collection protocol helps mitigate that revenue loss.
Why Claims Get Denied
Most denials trace back to front-end gaps — inactive or incorrect insurance, eligibility not verified, or missing prior authorization at check-in. The good news is that these are largely preventable before the visit. ParaDocs scrubs every claim before submission and works denials quickly, but accurate verification at your front desk is the first and strongest line of defense.
Documentation Best Practices
As AI advances, so does the enforcement of documentation compliance — your medical notes must match the billed claim. When providing an E&M service and a procedure at the same visit, ensure the E&M is a significant, separately identifiable service, above and beyond the procedure performed.
How Insurance Payments Work
As in-network providers, you are paid based on contracted fee schedules that can vary from plan to plan (HMO, EPO, PPO), and your contracted rate differs from what you charge. Some practices charge a small margin above the fee schedule (around 20%), while others set a broader rate so no service is under-charged (around 100% above).
Responding Fast = Getting Paid Faster
Quick responses to ParaDocs requests for patient info, auth numbers, or documentation directly translate to faster collections — typically a 15–30 day improvement per claim.
Insurance Letters & Offset Requests
Payers sometimes send letters requesting medical records or refunds, or notifying you of an offset — where they recoup a prior overpayment by deducting it from a current payment. These are time-sensitive. Forward any insurance correspondence to ParaDocs right away so we can review, respond, or appeal before the deadline and protect your revenue.
Have a question about your AR, a report, or an invoice? Send us a note below and your ParaDocs team will be notified right away. Messages are stored securely in your portal — a team member will follow up with you directly.