How to Know It’s Time to Audit Your Billing Company

Simple indicators that your billing partner may be costing you more than you realize.

1. Collections Aren’t Matching Your Patient Volume

If your monthly patient encounters have stayed consistent or even increased but your deposits haven’t, it’s a red flag. A quality billing company should identify trends, not excuse them. Slow payments, reduced reimbursements, or a sudden rise in patient balances often point to deeper issues like incorrect coding or poor claim follow-up.

Tip: Review your monthly “Charges vs. Payments” report. If your total payments haven’t grown in proportion to your visits, it may be time to audit your billing company.

2. A/R Aging Reports Keep Climbing

Your Accounts Receivable (A/R) tells you everything about billing efficiency. If a large percentage of your A/R sits in the 60–90-day or 120-plus-day buckets, claims are likely being neglected. A proactive billing team should touch every claim within days not months.

Healthy Benchmarks: • 85–90% of A/R under 60 days • Less than 10% of A/R over 90 days

3. You Rarely See Denial Trend Reports

Denials happen but patterns should never be a mystery. If your billing company can’t quickly tell you which payers or CPTs are being denied most frequently, they’re operating reactively, not strategically. You deserve full visibility into what’s driving lost revenue.

Ask your billing partner: “Can you show me our top three denial reasons this quarter and how you’re addressing them?”

4. Communication Feels One-Sided

If you find yourself chasing updates, waiting weeks for replies, or never receiving reports without asking, that’s a concern. A quality RCM partner provides scheduled reporting, regular check-ins, and transparent dashboards not silence until month-end.

Warning sign: You only hear from your billing company when you complain or threaten to leave.

5. There’s No Strategic Growth Discussion

Your billing company should do more than process claims they should help your practice grow.Whether that’s identifying missed procedures, recommending payer contract improvements, or preparing for expansion, your RCM partner should think beyond transactions.

If your billing partner isn’t talking strategy, they’re not a partner, they’re just a vendor.

When to Act

If two or more of these red flags sound familiar, it’s time for a professional billing audit. An audit doesn’t necessarily mean changing companies it’s simply a way to measure whether your billing performance truly matches your potential.

KC Billing Solutions: Your Audit Starts Here

KC Billing Solutions specializes in high-revenue, high-complexity specialties including ENT, Orthopedics, Pain Management, Dermatology, and more. Our team provides detailed billing audits, transparent reporting, and specialty-focused revenue strategies designed to reveal exactly where your collections can improve.

A professional billing audit from KC Billing Solutions helps medical practices uncover lost revenue, streamline workflows, and achieve measurable results.

Schedule your Billing Audit today.