BillingParadise has 15+ years of experience in working with Hospital, health systems and Hospital.
Our team of 150+ AR callers ensure your AR management services are super-efficient. We make 1701000 calls annually.
All our AR management services meet and exceed HFMA benchmarks. We have developed tools based on HFMA benchmarks
Let your in-house team work alongside our accounts receivable experts or select the gaps in which you lack the staff / expertise
and implement a co-managed workflow system
Hire temporary Accounts Receivable resources for short periods until your staffing gaps are fulfilled.
BillingParadise not only has the best resources it also has the best AR management software that can keep your practice AR under check and prevents AR buckets exceeding 30-60 days.
|Medical groups and individual practices||Days in AR||90+ days|
|Top 25% Best Performing Practices||38||12.92%|
|National Average Primary Care||36||12.50%|
|Surgeon National Average||51||13%|
|ASCs||Days in AR||90+ days|
|National Average Multispecialty||26.3||11.60%|
|National Average for ASC's||36.8||17.80%|
|National Average for Multi/Ortho||42||18%|
|National Average for GI||30||13%|
|National Average for Eye||27||12%|
The question from all medical groups and hospitals is how can one know and measure the rate of success resolving and getting reimbursed for pending accounts receivable. Well, the answer is simple: BillingParadise follows MGMA and HFMA benchmarks and also helps your hospital and medical groups to achieve the HFMA MAP award.
50 or more A/R days = Below Average or Poor PerformanceIn healthcare RCM, billing, and collections, BillingParadise uses more than 7 KPIs, and our 15 KPI model keeps track of almost every corner of RCM processes, especially Accounts Receivables.
One of our mental health clients had a problem sending claims to the right payer and more than $100K was in pending AR.
BillingParadise analyzed their AR and found that a particular group of patients had an insurance carrier that had separate mental health coverage that the front office staff failed to notice.
One of our orthopedic and spine surgery clients was not receiving payment and no denial information for a particular payer.
Our AR experts identified that the doctor has updated the service location address but the payer end did not update it successfully. Our AR team then expedited by calling the respective payer and asking them to take $150K worth of claims to reprocess and issue payment ASAP.
Our OBGYN client stated that their in-house AR staff does follow-ups and does not get the claims paid.
When we investigated we found that their AR staff only refiled the claims that received payment and did not fix the underlying problems resulting in them eventually writing off $50K worth claims every quarter. We then identified it to be a pending documentation claim where insurance has sent multiple correspondences to submit. Our AR team quickly coordinated with their records department, recovered the correspondence and had those claims submitted with proper documentation, and got them paid.
Calculate your MGMA AR Aging Benchmarks
Analyse the reason for your uncollected AR using our Lost Revenue Recovery Audit
Our affordable AR recovery and management service helps you lower internal costs
Advanced knowledge of healthcare insurers’ payment mechanisms
BillingParadise follows a tried and tested call structure that makes a tangible difference to your outstanding receivables
Our AR management system integrates AR processes & offers advanced AR metrics
We Reduce pending AR, eliminate AR cycle lags & automate processes with AR Automation
We isolate high risk receivables to enable quicker follow-up
Hospitals who sign service level agreements with BillingParadise can be assured of year-over-year improvement in yield. To drive the movement towards best practice, we use MGMA MAP keys to compare the performance of your AR and set targets against industry standards.
It eliminates the need to run multiple reports. View AR summaries at a glance
AR Analyzer automatically isolates high risk receivables
Detailed AR reports that will enable you to manage AR days and AR relationships with payers
See how a large integrated healthcare system based in Dallas successfully reduced outstanding AR and reduced average days in AR by 60%
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks