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The 10-Point RCM Health Check

Run through this quarterly. Most practices fail at least three of these — and those are the three that hurt the most.

1. Denial Management

Your denial rate is under 5%

Industry benchmark is 5–8%. Anything above 10% means a systemic problem — not random bad luck.

Every denial gets worked within 14 days

Denials that sit go stale. Most payers have 90–180 day appeal windows — don't burn them.

2. Accounts Receivable

AR over 90 days is under 15% of total AR

The older a claim gets, the less likely it pays. Track this number monthly, not quarterly.

Days in AR is under 40 for your specialty

Primary care averages 28–35 days. Specialties run 35–50. Know your benchmark — and beat it.

3. Coding & Documentation

E/M level distribution matches your patient mix

If 80% of your visits are 99213, that's probably right for a primary care practice. If you can't explain your distribution, a payer can challenge it.

Modifiers are used correctly, not just to bypass edits

Modifier 25, 59, and 51 are the ones auditors scrutinize most. Use them only when documentation supports it.

4. Credentialing & Payer Contracts

Every provider is credentialed with every payer they see patients for

One gap here can mean months of claims paid at out-of-network rates — or rejected entirely.

You've reviewed your fee schedule against payer reimbursement in the last 12 months

Payers update fee schedules. If you haven't re-checked, you might be accepting rates that were set years ago.

5. Compliance & Risk

You've run an internal coding audit in the last 6 months

Pull 10–15 random charts per provider. Compare what was billed against what was documented. Surprises here are better found internally than by a payer.

Your NPP supervision documentation matches how you're billing

Incident-to billing at 100% requires the supervising physician to be on-site. If that's not happening, don't bill it that way.

Want us to run this audit for your practice?

We'll do a full RCM review — denials, AR, coding, contracts — and tell you exactly where revenue is leaking.

Get Your Free Revenue Assessment