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You Think Your
Billing is Clean.
We analyzed 55+ practices that are now our clients and uncovered an average [18]% in missed revenue.
What Was Slipping Through?
Revenue loss can happen across many areas
but a clear, recurring pattern emerged. These are the areas driving most of the missed revenue we found.
Eligibility & Prior-Auth
- Member eligibility checks
- Timely Prior-Auth
- Co-ordination of Benefits Updates
- Secondary payer Insurance Verification
~27% of denials
Denial & AR Management
- Unworked AR & Denials
- Adhering to appeal's timelines
- Working on high value AR
- Timely filling limit
16.8% denial rate; 65% never reworked
Payment Posting and Patient Balances
- Inefficient & inaccurate Payment posting
- Patient balance attrition (greater than 120 days will turn into bad debts 90% of the times.)
15% Loss of net revenue
Credentialing & Revalidation
- Non-credentialed billing triggers audits.
- Missed revalidation loses patients.
- Slow revalidation delays revenue.
- Wrong payer mix, low footfall.
upto 12% loss of revenue
The Pattern is Consistent : You likely can't quote your own numbers on these four right now — and that gap is the finding. A 20-minute review tells you exactly where you stand.
Real practices. Real recovery.
Pick a practice to see what changed after Qualigenix took over their revenue cycle.
Minnesota
Texas
Delaware
Ready for a transformation?
Let Qualigenix show you what your current billing is missing — in one 20-minute call, with nothing to share up front.