Case Study · Pediatrics · Managed Medicaid
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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