40+
percentage point reduction in Insurance AR>90
>85%
total improvement from baseline
Client Need
Reduce Insurance A/R over 90 days to industry benchmarks and stabilize cash flow
Industry Benchmarks
- HFMA Best Practice: ≤ 15% Insurance AR >90
- MGMA GI Benchmark: 15–20%, with top performers <15%
At baseline, the practice was operating at more than 2× benchmark levels
PayrHealth’s Solution
PayrHealth deployed a payor-driven, GI-specific AR optimization strategy focused on permanent improvement— not episodic cleanup.
Key components included:
- Aging-based prioritization aligned to payor behavior
- Structured follow-up workflows for GI claim types
- Denial root-cause analysis addressing authorization, medical necessity, and bundling
PayrHealth helped this GI practice convert Insurance A/R over 90 days from a chronic risk into a measurable competitive advantage, outperforming HFMA and MGMA GI benchmarks with durable, best-in-class results.
