Nashville PLLC, 4 physicians. Recovered $84K stale AR. Collection cycle 62 to 38 days. Provider-level reporting built.
01The Situation
A 4-physician PLLC had $84K in stale AR sitting uncollected, a collection cycle drifting to 62 days, and no way to see revenue by provider. Collection rates had been declining 14 months without anyone noticing.
02What We Did
We audited all open AR across every payer: $42K from commercial insurers payable on appeal, $28K from Medicaid with a resubmission window, $14K from self-pay who had never received a second statement. Within 60 days, $71K was collected. We consolidated all four billing streams and built a daily collections dashboard.
Breakdown
| Provider | Specialty | Collections | Collection Rate | AR Days | Status |
|---|---|---|---|---|---|
| Dr. 1 | Internal Medicine | $1.12M | 95.8% | 34 days | |
| Dr. 2 | Family Medicine | $980K | 94.1% | 37 days | |
| Dr. 3 | Pediatrics | $880K | 93.4% | 40 days | |
| Dr. 4 joined Q2 | Cardiology | $696K | 93.6% | 38 days | |
| TOTAL | 4 Providers | $3.68M | 94.2% | 38 avg |
The practice administrator said the most valuable thing was the dashboard, not the $84K. She can now see the full picture every morning without running four reports and reconciling them manually.
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