I do billing and posting for our practice. The only way for YOU to know is know how to run and read billing reports. For our PM software, I have to run 4 different reports to really cover every single visit and what their paid status is.

The first report is finding all the unbilled charges. We use a paper superbill, which means it can sometimes get lost. This report will display all the visits that have been signed off in AC but has not been billed yet. (When a note is signed off in AC, a "bill" is created in our PM software automatically.) I find at least one of these per month.

The 2nd & 3rd reports are primary and secondary insurance aging. This report shows the "age" of each generated claim that has not been paid yet. I look at the ones older than 30 days. These would then have to be checked with the payers to see why they're not paid.

The last report is called "patient aging." These are charges patients owe, after insurance has paid. Forgot to pay copay, insurance denied the claim, etc.

A note about the ins aging reports. Most of the old unpaid claims are claims that I'm "working" on, whether I had to send a corrected claim or if I'm in dispute with the payer. I keep track of these claims in a folder but having this report is good in case papers go missing or I had forgotten about one of theses claims.

If your PM can run the equivalent of these reports, then you should be able to see how well your practice billing is doing.


Serene
Office Manager
General Pediatrics
Houston, Texas