What Percentage of Primary Care AR Is Uncollectible — and What Does the MGMA Benchmark Say?

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  In most high-performing practices, 3%–5% of primary care accounts receivable (AR) may become uncollectible, according to MGMA benchmark comparisons. When that percentage climbs higher, it signals breakdowns in revenue integrity, denial management, or patient collection workflows. For primary care practices operating on tight margins, even a 2% shift in uncollectible AR can significantly impact profitability and long-term financial stability. Understanding Uncollectible AR in Primary Care Uncollectible AR includes claims or patient balances that remain unpaid and are eventually written off as bad debt. In primary care, this typically happens due to: Insurance eligibility errors Missed the timely filing limits Weak denial follow-up High patient deductible balances Documentation gaps Coding inaccuracies Without strong primary care billing services , these issues compound over time, quietly reducing net collections. What MGMA Benchmarks Reveal While MGMA does not publis...
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General Surgery Medical Coding Steps to Avoid Denials

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Physicians in general surgery are facing an uphill task of medical billing keeping in check the different needs of the facilities and keeping a tab on the effective revenue cycle management to look for frequent denials and which of the claims need more efficient coding. The channel of insurance payment has been one of the most straining factors for general surgery physicians today affecting the bottom line of the revenue and in turn affecting the facility.  Individual physicians have the high cost of staffing and also revenue management which has led to many of them being absorbed by groups acquired by the hospital. General Surgery is one such facility that has seen a rise in individual costs and most of the facilities are either in the group or combined with hospitals.

Tracking different types of patient care from appointment scheduling to registration and different steps for collection of the balance fall under the revenue cycle management. The healthcare revenue cycle is a financial system that has brought in the work of administrative and clinical functions associated with billing. The process happens to take into consideration different data points which are coded into a format that helps the understanding of an insurance company. These codes are usually laid by the Center for Medicare and Medicaid Service (CMS) and also the price value of each procedure or diagnostic is decided beforehand to help cover the cost and also a margin of profit for the doctors.

If you want to read the complete blog then click below: General Surgery Medical Coding Steps to Avoid Denials


Location: Louisiana, USA

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