--- title: Unhappy With Your Billing but Afraid to Switch? Start Here. | NatRevMD description: Check six billing numbers before you decide anything. Free scorecard with green, yellow and red results and a one-page summary with a 90-day action plan. image: https://eligibility.natrevmd.com/hubfs/1790955828339.png --- [NatRevMD Billing Performance Scorecard](https://natrevmd.com) [Score My Billing →](https://eligibility.natrevmd.com/natrevmd-billing-performance-scorecard-actionable-plan#scorecard) Free Billing Performance Scorecard # Unhappy With Your Billing but Afraid to Switch? Start Here. Check 6 numbers before you decide anything. No switch required. Pull them from your current system and see where you stand. [Score My Billing →](https://eligibility.natrevmd.com/natrevmd-billing-performance-scorecard-actionable-plan#scorecard) [Book a Discovery Call →](https://calendly.com/heather-natrevmd/) Your results show instantly. The discovery call is free, with no commitment. Billing Performance Scorecard Sample result, 3-month average **6/12**2 reds | Number | Result | Green range | Flag | | --- | --- | --- | --- | | Net collection rate | 96% | 95% or higher | Green | | Denial rate | 8% | Under 5% | Yellow | | Insurance A/R over 90 | 18% | Under 10% | Red | | Patient A/R over 90 | Flat | Going down | Yellow | | Days in A/R | 33 | Under 35 | Green | | Charge lag | 9 days | 3 days or less | Red | Sample only. Your own result builds as you type. **6**numbers you can pull from the system you already use **3**colors per number: green, yellow or red, with the range for each **1**page summary written so a manager can hand it to the owner The Scorecard ## Enter Your Six Numbers Use a three-month average where you can. If you cannot get a number, mark it unknown. Unknown counts as a red: a number you cannot see is a number you cannot track or improve. ### Your Average Monthly Collections Optional Add this to see what each yellow or red number is worth in dollars. It stays on this page unless you send us your summary. $Total payments received per month, three-month average. Your Result 0 of 6 numbers entered **0/12**0 reds | Number | Result | Flag | | --- | --- | --- | Send This to Your Billing Team ### A Ready-to-Send Email Asking for These Numbers Every Month Built from your results. Neutral, and it works whether your billing is in-house or outsourced. Edit anything before you send it. Copy Email → Open in My Email → Subject What We Hear Before a Change ## The Concerns Practices Bring Us, and How We Handle Each One Most practices that hesitate have a good reason. Often it is a transition that went badly once. Here is what we hear most, and what we do about it. About cash flow“We will lose money during the switch.” #### How We Handle It Money gets lost in the handoff, not in the decision to move. So we plan the handoff first, with an owner and a date for each step. - Payer enrollment checked for every provider before anything else changes - Remittance and deposit routing mapped, then the first payments verified - Charge lag and denial rate reviewed every week for the first 90 days #### What It Looks Like Before go-live, the practice gets a one-page plan listing each step, who owns it and the date it is confirmed. If a payer enrollment is still pending, the start date moves, not the cash. About systems“We just changed our EMR. We cannot change systems again.” #### How We Handle It Your EMR and your billing partner are two separate decisions. Before anything starts, we map which systems stay, which logins change and what each person does differently, and you see it in writing. - No system change is assumed - Any change to logins or workflows is listed before you agree to it - Front desk steps are reviewed with your team, not handed to them #### What It Looks Like A practice that just went through an EMR move sees the full list of what changes for their team before signing anything. If the list is longer than they want, they know that up front. About your team“Our staff and providers cannot handle another change.” #### How We Handle It Change fatigue is real. In a well-run transition, most of the work sits on the billing side, not with your team. - Front desk trained on anything that changes at check-in before go-live, not after - Providers get a short list of what, if anything, changes for them - One point of contact for your manager during the first 90 days #### What It Looks Like For most providers, the day after go-live looks like the day before. The front desk gets a short walkthrough of any changed steps the week before, and a name to call. About old claims“Our old A/R will fall through the cracks.” #### How We Handle It Claims already in flight on the day of the change are the money most at risk. We treat them as their own project. - A clean cutover by date of service, so ownership of every claim is clear - A named owner and a timeline for old A/R - A weekly old A/R report until it is worked down #### What It Looks Like Visits before the cutover date stay with the existing process. Visits on or after it come to us. Old A/R gets its own weekly report, separate from new claims, so it never competes for attention. About know-how“Our biller knows everything about our practice.” #### How We Handle It That knowledge is valuable, and it should not live only in one person’s head. We write it down as part of the handoff. - Payer quirks, workarounds and fee schedule notes collected before go-live - Practice-specific rules turned into written workflows - Your team keeps a copy #### What It Looks Like During onboarding we ask the questions that usually only come up when a claim denies: which payer needs what, which provider documents how, which workaround is in place and why. About patients“Our patients will get confused statements.” #### How We Handle It Patients notice a transition through their statements. We decide that part ahead of time. - A clear plan for who sends statements for old dates of service - A one-line answer for the front desk when a patient calls - Patient balances tracked on their own during the change #### What It Looks Like The front desk has a short script ready for the patient who calls about two statements, so the answer is the same every time. About timing“Our numbers look fine right now.” #### How We Handle It They might be. One strong month can also hide aging claims or a payer catching up on a backlog. We suggest checking the trend before deciding anything, either way. - Score the six numbers above with a three-month average - Look at the reds before the total - Score again next month and compare #### What It Looks Like A practice with a record month and a rising A/R over 90 sees both on the same page, and decides from the trend instead of the deposit. ### The Order We Follow in Every Transition **01 Credentialing**Every provider enrolled with every major payer, started first. **02 Payment Routing**Remittances and deposits mapped, first payments verified. **03 Clean Cutover**One date of service decides who owns every claim. **04 Old A/R Project**Its own owner, timeline and weekly report. **05 First 90 Days**Charge lag and denials reviewed weekly, not monthly. ### Prefer to Talk It Through? Book a free discovery call with Dr. Heather Signorelli, our physician co-founder. Bring your questions about a change, or your numbers if you have them. No commitment, and nothing to sign. [Book a Discovery Call →](https://calendly.com/heather-natrevmd/) [Or score your six numbers first →](https://eligibility.natrevmd.com/natrevmd-billing-performance-scorecard-actionable-plan#scorecard) From Dr. Signorelli ## Two Things Practices Tell Us Before a Billing Change Most of the fear around a billing change comes from a transition that went badly. Dr. Heather Signorelli, our physician co-founder, talks through the two concerns we hear most. - "We will lose money during the switch." - "Our staff and providers cannot handle another change." What You Receive ## A Clear Read on Your Billing, Without Changing Anything ### Your Score on Six Numbers Green, yellow or red for each one, the range we use, and a total out of 12. On screen right away. ### A Summary and Action Plan Your results on one page, what each red is worth, and a 90-day plan with the next step for each one. Save it as a PDF and share it with your team. ### Where to Find Each Number We email you the report to pull for each number, so next month takes minutes instead of an afternoon. ### A Reminder to Score Again One month tells you very little. We remind you to run the scorecard again so you can see the trend. Who It Is For ## For Practices With Doubts That Are Not Ready to Change Anything ### Practice Owners You are not sure billing is working, but one strong month keeps pushing the question to next quarter. ### Practice Managers You hear "billing is not working" from one side and "everything is fine" from the other. Numbers get you out of the middle. ### Practices Burned by a Past Switch A transition went badly once and nobody wants to repeat it. This lets you check before deciding anything. Why Six Numbers ## One Good Month Is Not a Healthy Revenue Cycle A strong month of collections tells you what came in. It does not tell you what should have come in, what is stuck, or what is getting older. It can be a payer catching up on a backlog or a batch of appeals finally paying. Six numbers, watched every month in the same order, show the trend. Then the decision to stay, fix or move is based on evidence. [Score My Billing →](https://eligibility.natrevmd.com/natrevmd-billing-performance-scorecard-actionable-plan#scorecard) EP**224** ### Unhappy With Your Billing but Afraid to Switch? Start Here. Dr. Signorelli walks through all six numbers, how to improve billing with the team you have, and what a safer transition looks like if you do decide to move. [Listen to the Episode →](https://www.buzzsprout.com/1988812) [Spotify →](https://open.spotify.com/show/2tkjCQUsqBMOwJzHUx20fS) [Apple →](https://podcasts.apple.com/us/podcast/natrevmd/id1624182351) **5+ years**working with independent practices **30+**independent practices we work with today **Under 10%**insurance A/R over 90 at most of our 25+ non-surgical practices **200+**episodes of the NatRevMD Podcast Your Summary and Action Plan ## Take Your Results and Next Steps to Your Team One page with your six numbers, what each red is worth, and a 90-day action plan built from your results. Download it right away, and we email you the report to pull for each number. - Written in neutral language for any billing setup, in-house or outsourced - The questions to ask about each red number - Nothing to switch and nothing to buy ### Download Your Summary and Action Plan Ready in a minute. Anything marked optional can be skipped. - Free - No commitment - No credit card Sent ### Check your inbox Your scorecard and the guide to finding each number are on the way. Your summary and action plan are ready now. Download Your Summary and Action Plan → #### A Second Set of Eyes Two or more reds usually point to a pattern. Send us your monthly numbers and our physician-led team will tell you what the pattern is saying and where we would look first. Free, before you decide anything. [Get a Free Metrics Audit →](https://eligibility.natrevmd.com/metrics-audit-natrevmd?hsLang=en) Next Step, Free #### Book a Discovery Call With Our Team Walk through your results with us and get insights on your numbers from a physician-led team. Free, no commitment, nothing to sign. [Open the Calendar →](https://calendly.com/heather-natrevmd/) [Visit natrevmd.com →](https://natrevmd.com) NatRevMD, 6650 Rivers Ave Ste 105 PMB 25206, North Charleston, South Carolina 29406-4829 US © NatRevMD, LLC. Ranges are working comparison points, not universal benchmarks. [natrevmd.com](https://natrevmd.com) [Download Your Summary and Action PlanFree. No commitment, no credit card required. →](https://eligibility.natrevmd.com/natrevmd-billing-performance-scorecard-actionable-plan#get-summary)