Benchmarking

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As doctors, you are trained to collect patient vitals to detect or monitor medical conditions; but how many providers actually monitor the success of their practice? How many actually know the age of their account receivables or whether they are achieving their optimal collection percentage?

The effectiveness of any billing department or billing company can be determined by some simple monthly reports and benchmarking. Benchmarking is a process of defining AR standards against which your current collection performance can be measured. It is estimated that 20% of all practices meet the criteria that would define their performance as a successful practice in terms of Accounts Receivables.


The two basic benchmarks which will give you some insight as to how your practice is doing are: “Percentage of AR over 90 Days” and “Average Days in AR”.

What is “Percentage of AR over 90 days old?” This is a simple formula of adding all of your aging buckets over 90 days and dividing this number by your total AR.  Although the calculation is simple, we have found that many practice managers do not run monthly aging reports and don’t know how old their AR is.

What is “Days in AR?”  Days in AR is a calculation that indicates how long it takes a claim to get paid. The calculation is a simple formula of dividing your total AR by your average charges for 90 days. Sounds confusing but it is not.

Step 1. Add your total charges for the last three months and divide by 90 days. This gives you the average daily charges.

Step 2.  Divide the average daily charges into your total AR.  This is your practice’s “Days in AR.”

Benchmarks will vary depending on payer mix and specialty. Specialties with a high volume of office visits should have a ‘Days in AR’ lower than 30 days. Practices with a higher ratio of procedures to office visits can expect their claims to take longer. To get the averages for your specialty, you can reach out to your specialty association or MGMA. Below you can find general benchmarks, national averages and where AMPM clients’ fall on the grid.


AMPM beats national averages and industry benchmarks.

ASC Comps *

Top 25% Best Performing ASCs
National Average for ASCs
Multi/Ortho
GI
Eye
AMPM Average for ASC Clients

Days In A/R

28
35
44
33
29
24

90+ Days

11.60%
17.80%
18.00%
15.00%
13.00%
6.15%

Physician Practice Comps *

National Average Multispecialty
National Average Primary Care
Surgeons National Average
AMPM Average for Professional Clients

Days In A/R

38
36
51
28

90+ Days

12.92%
12.50%
13.00%
7%
* Based on 2016
ASC Comps * Days In A/R 90+ Days
Top 25% Best Performing ASCs 28 11.60%
National Average for ASCs 35 17.80%
Multi/Ortho 44 18.00%
GI 33 15.00%
Eye 29 13.00%
AMPM Average for ASC Clients 24 6.15%
Physician Practice Comps * Days In A/R 90+ Days
National Average Multispecialty 38 12.92%
National Average Primary Care 36 12.50%
Surgeons National Average 51 13.00%
AMPM Average for Professional Clients 28 7%
* Based on 2016
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Benchmarking

BENCHMARKING

As doctors, you are trained to collect patient vitals to detect or monitor medical conditions; but how many providers actually monitor the success...