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Case study · Family Medicine

$216K more in annualized collections for a 5 provider family medicine practice

Denials were running at 14% and $210K sat in A/R past 90 days. Patients were paying only 76% of what they owed. Ninety days after WeBill Health took over the revenue cycle, every one of those numbers had moved.

5 providers$1.5M annual collections beforeResults measured at day 90
+$18KMonthly collections, from $125K to $143K
5%Denial rate, down from 14%
$100KCleared from A/R over 90 days
90%Patient balances collected, up from 76%

The practice

Care was delivered. Payment was not keeping up.

A five provider practice seeing every age group, with preventive care, chronic conditions and same day problems all landing on the same schedule. Each visit type carried its own billing rules, and the gaps added up.

SpecialtyFamily Medicine
Providers5
Annual collections$1.5M, about $125K a month

What we found in the audit

14% of claims denied

Too many claims came back unpaid, with the same denials repeating month after month.

$210K stuck past 90 days

Earned money was sitting in aging A/R with no one working it by payer or by filing deadline.

91% clean claim rate

Too many claims needed rework before a payer would even process them.

76% of patient balances collected

Copays and balances were left behind at checkout and never recovered.

What WeBill Health changed

Seven fixes before the visit, in the coding and after submission

Every claim received human pre submission review by family medicine coding experts, checked against our payer rule libraries for each carrier this practice bills.

Before the visit

Catch coverage problems early

  • Eligibility verified before every appointment
  • A patient balance workflow so copays and balances are collected at checkout
Coding

Match every code to the chart

  • E/M levels coded from medical decision making or total time, matched to the documentation
  • Preventive visits and same day problem visits billed correctly with modifier 25 when both are documented
  • Chronic care claims checked for the consent and monthly time the codes require
After submission

Work every open dollar

  • Payer follow up on every unpaid claim
  • Aging A/R worked in priority order by payer and by age

90 day results

Before and after WeBill Health

Denial rate

Lower is better
Before14%
After5%

Clean claim rate

Higher is better
Before91%
After98%

A/R over 90 days

Lower is better
Before$210K
After$110K

Patient balances collected

Higher is better
Before76%
After90%

Monthly collections

Higher is better
Before$125K
After$143K

Every bar starts at zero. Figures come from the practice's own billing reports, comparing the baseline month with month three.

Where the $216K comes from

An extra $18K collected every month

Monthly collections rose from $125K to $143K by day 90. Held for a full year, that is $216K the practice collects on care it was already delivering.

The gain came from specialty specific coding and fewer days in A/R. Fewer claims were denied, and balances that had aged past 90 days were finally collected.

Monthly collections before$125,000
Monthly collections at day 90$143,000
Increase per month$18,000
Annualized increase$216,000
Net return on the WeBill Health fee152%

Net return is the annualized increase in collections, minus the annual WeBill Health fee, divided by that fee. It is calculated before any savings from the practice's previous billing arrangement.

What other family medicine practices can take from this

Three family medicine billing gaps worth checking this week

Code E/M by decision making or time

Since 2021, office visit levels are chosen by medical decision making or total time on the date of service. Notes that still follow the old history and exam format often support a lower level than the care delivered.

Document both services when a checkup turns into a problem visit

A preventive visit and a separate problem oriented visit on the same day can both be paid when the note supports each one and modifier 25 is applied.

Keep chronic care management claims audit ready

Chronic care management codes require documented patient consent and a minimum amount of clinical staff time each month. Missing either one turns the claim into a denial.

Your practice next

Find out what your family medicine practice is leaving uncollected

The Revenue Health Audit reviews your denials, aging A/R and patient collections the same way we did here. You get a written report that ranks the fixes by dollars at stake. We reply within one business day.

Questions

About this case study

How fast did the results appear?

Every figure on this page was measured at day 90, comparing the practice's baseline month with its third month on WeBill Health.

Why is the practice not named?

We protect our clients' privacy. The figures come from the practice's own billing reports.

What drove the biggest change?

The denial rate. Cutting denials from 14% to 5% meant far more claims were paid the first time, which lifted monthly collections and stopped new balances from piling up in aging A/R.

Does WeBill Health work with other family medicine practices?

Yes. Family Medicine sits in our Office Visit and Consultation billing group. Every account is handled by coding experts who work family medicine claims every day.