Cutting Insurance A/R in Half in Just Six Months

Client Background

A multi-provider periodontal practice reached out to Better Practice Solutions after years of insurance claims building up in their aging report. With multiple providers and complex surgical procedures, outstanding insurance balances were creating cash-flow problems and leaving providers uncertain about their true reimbursement.

The Challenge

At the start of reporting in late 2018, the practice’s insurance A/R over 60 days totaled more than $1.4 million, including $1.26 million over 90 days. Years of unresolved and unworked claims had tied up revenue and made it difficult to reconcile provider compensation.

Our Solution

Better Practice Solutions applied our proven claims workflow systems to aggressively pursue resolution of outstanding insurance claims. We targeted the oldest and highest-value claims first, while also addressing process gaps that allowed claims to age in the first place. We provided insight into the underlying causes of claim delays, giving the practice tools to prevent recurrence.

The Results (Oct 2018 – Mar 2019)

• Insurance A/R over 60 days reduced by 52% (from $1.42M to $687K)
  
• >90-day insurance claims cut nearly in half (–$625K, –50%)
  
• 60–90-day insurance claims reduced by two-thirds (–$108K, –68%)
  
• Providers gained confidence in reimbursement accuracy and leadership regained control of cash flow
  

Ongoing Partnership

We continue to actively manage the practice’s insurance A/R, ensuring that new claims are processed efficiently, denials are addressed promptly, and balances do not slip back into aging.

Key Takeaway

Even for specialty practices with complex, high-dollar treatment plans, aged insurance claims can be brought under control. In just six months, this periodontal practice cut its insurance A/R in half and established systems to keep it that way — proof that better is always possible.