A monthly medical billing performance report should show more than total collections. It should help practice owners and managers understand revenue, collections, A/R, denials, claim performance, payer behavior, and unresolved billing issues. A useful report turns monthly billing data into actionable information so the practice can identify revenue leakage and decide where follow-up is needed. The Medicator’s supports this process through medical billing services.
Which Financial Metrics Should Be Included?
The report should summarize:
- Total charges and payments
- Contractual adjustments and other adjustments
- Net collection rate
- Outstanding A/R
- Days in A/R
- Month-over-month collection trends
These figures help establish whether the practice is collecting efficiently and whether outstanding balances are increasing or declining.
What Should the A/R Section Show?
A useful A/R aging report should separate outstanding balances into age categories such as 0-30, 31-60, 61-90, and 90+ days. Insurance A/R and patient A/R should also be reviewed separately.
Managers should pay particular attention to older balances. A growing 90+ day A/R can indicate unresolved denials, delayed payer follow-up, missing documentation, or claims that require escalation.
Should Denials and Rejections Be Reported?
Yes. Monthly reporting should show the clean claim rate, denial rate, rejection volume, and major denial reasons. Breaking denials down by payer, procedure, and root cause can reveal recurring problems rather than simply showing how many claims were denied.
For example, repeated authorization-related denials from one payer may indicate a front-end workflow problem that should be addressed before additional services are billed.
What Payer Information Should Be Included?
A strong report can compare payer collections, expected reimbursement, payment turnaround, and outstanding balances. This helps identify payers with recurring delays, underpayments, or unusually high denial activity.
The Medicator’s RCM services can help practices monitor billing performance, manage denials, and follow up on aging A/R. Practices can also explore The Medicator’s broader revenue cycle support.
