How a two-location pediatrics practice cut write-offs by two-thirds with 60% managed Medicaid

Verified client

The challenge

Before NatRevMD, this practice was writing off roughly 6 cents of every collectible dollar — about $10,200 a month — with a net collection rate of 92.8%. Four things were compounding the problem:

60% of the patient panel was on managed Medicaid, where write-offs run highest
Each managed-Medicaid plan had its own billing rules, and small mismatches meant denials
Kids switch plans mid-year more than any other population, so claims kept routing to the wrong payer
A backlog of old unpaid claims was aging toward its filing deadlines

The results

Measured over the trailing 12 months.

92.8% → 96.5%

net collection rate, sustained over the last 12 months

−66%

write-offs, per month ($10.2K → $3.4K)

$81K

a year kept that would otherwise have been written off

2,700+

old claims worked and refiled before their deadlines

543

vaccine claims recovered after we found and fixed the one setup problem causing the denials

95%+

net collection rate every period since the fix

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