#219 You Don't Have to Fire Your RCM Company to Get a Second Opinion
Most practices don't have a billing problem. They have a not-knowing problem. Dr. Heather Signorelli walks through the three numbers that actually tell you whether your revenue cycle is healthy, and introduces the free Second Opinion Program built to give any practice an independent read.
Denial Rate Isn't the Full Story: A five percent denial rate sounds fine until you ask why those denials are happening, and whether they cluster around one payer, one code family, or one provider.
A/R Over 90 Days, Reported vs Real: “A/R is being worked” and “A/R is moving” are two different claims. Most owners only see the summary number, not the aging bucket broken out by payer.
Payer Mix Trend: A quiet shift in payer mix shows up differently for patients (confusion about what they owe), front desk (more phone calls), and owners (a dip they can't explain three months later).
Introducing the Second Opinion Program: A free, twenty-minute, physician-led review of these same numbers, independent of whoever currently handles a practice's billing. No pressure to switch, no disruption to the current team.
Three Actions This Week
• Pull your denial rate by payer, not just the overall number, and ask why on the top two categories.
• Pull your real A/R aging over 90 days, broken out by payer, not the summary line.
• Compare this quarter's payer mix to last quarter's, and flag anything that moved more than a few points.
Resources
1. Book My Second Opinion →: eligibility.natrevmd.com/natrevmd-get-a-second-opinion (redacted
2. Not ready to book? Free resources: natrevmd.com/trusted-resources (redacted