AR over 90 days keeps climbing and our billing company isn't really working it. Stay or switch?
Our AR over 90 has been climbing for about four months (we're a 6-provider derm practice). When I ask our billing company about it i get a version of "we're working on it" without a real plan. denial reasons, payer-by-payer breakdown, follow-up cadence, nothing comes back in any structured way.
I'm split on what to do:
- push harder and demand real reporting, give them a 90-day window to turn it around
- start looking at other RCMs and just rip the bandaid
What I'm worried about with option 2 is the transition, specifically: what happens to the existing 90+ AR when we switch? Does it just sit there with the old vendor who has zero incentive to work it once we give notice. or does the new biller take it over as part of onboarding.
Anyone been in this spot recently and gone either route? Curious what tipped you one way or the other and how the transition actually played out if you switched.