How a multi-provider OB/GYN practice cut AR over 90 days from 35%+ to under 20%

Verified client

The challenge

Before NatRevMD, this practice's insurance AR over 90 days had climbed past 35% — well beyond any safe threshold. The causes were operational, not clinical:

Claim rejections were piling up without anyone working them
Coding requests from physicians weren't being followed by the coding team
Complex denials had no real follow-up process, so they just aged

NatRevMD took over billing in April 2024.

The results

Measured by date of service, claims at least 120 days old, self-pay excluded.

35%+ → <20%

insurance AR over 90 days

+20%

more monthly collections, sustained ($417K → $500K)

−57%

write-offs ($85K → $37K a year)

98.7%

net collection rate — nearly every dollar owed, collected

$5.86M

collected in 2025 — highest revenue year ever

0.6%

share of collectible revenue written off, down from 1.7%

In their words

“NatRevMD's team has kept us afloat in trying times post-COVID and brought our AR back down to under 20% when it was much higher with our in-house team. It has allowed our leadership to focus on other priorities and grow our business.”

★

Practice leadership★★★★★ Google review

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