30-Days-or-Less-Maintain-MGMA-AR-benchmark-with-AI-analytics-platform

30 Days or Less: Maintain MGMA AR benchmark with AI analytics platform

by Carrie Bauman

Introduction

Efficient accounts receivable management (AR) is crucial to maintaining financial health. One of the key indicators of a well-managed revenue cycle is the ability to maintain accounts receivable within 30 days, aligning with Medical Group Management Association (MGMA) standards. Achieving this benchmark is not just a matter of pride but a necessity to ensure smooth cash flow and operational efficiency. This is where healthcare analytics solutions powered by AI come into play, helping practices maintain MGMA standards for AR and optimize their revenue cycle management best practices.

MGMA AR Benchmarks

MGMA provides industry standard benchmarks for medical practices. Among these, the AR benchmark is particularly important as it reflects how quickly a practice can collect payments after providing services. The goal is to maintain days in AR at 30 days or less, a key indicator of a practice’s efficiency in managing its billing and collections processes. Exceeding this threshold can signal potential revenue leaks, inefficiencies, or other issues in the revenue cycle that need to be addressed promptly.

Benefits of Maintaining Days in AR Within 30 Days

Maintaining AR within the MGMA standards has several benefits. Firstly, it improves cash flow, ensuring the practice has the funds to cover operational costs and invest in growth opportunities. Secondly, it reduces the risk of bad debt, as the longer an account remains unpaid, the harder it becomes to collect. Finally, performing within this benchmark enhances the practice’s reputation with payers and patients, reflecting a commitment to efficiency and professionalism.

How Does AI Use MGMA AR Benchmarking to Identify Revenue Leaks?

AI-powered healthcare analytics solutions can be a game-changer in helping practices adhere to MGMA standards for AR. By continuously monitoring AR metrics against industry benchmarks, AI can identify patterns that suggest revenue leaks or inefficiencies in the billing process. For instance, if AR days start to trend upwards, AI can quickly flag this change and provide insights into the root cause, whether it’s a delay in claims processing, issues with payer reimbursements, or inefficiencies in patient collections. This proactive approach allows practices to address issues before they become significant problems, ensuring they maintain optimal revenue cycle management best practices.

WhiteSpace Health AI Platform Supports MGMA Standards for AR

WhiteSpace Health’s AI analytics platform is designed to help medical practices maintain the MGMA standards for AR. The platform offers comprehensive tools to monitor, analyze, and optimize various aspects of the revenue cycle, ensuring that practices can maintain AR within the 30-day benchmark. By leveraging advanced healthcare analytics solutions, the platform provides real-time insights and actionable intelligence to help practices improve their medical practice benchmarking efforts.

Types of Accounts Receivable KPIs in WhiteSpace Health Platform

The WhiteSpace Health AI analytics platform tracks several key performance indicators (KPIs) that are crucial for maintaining MGMA standards for AR. These include:
Rolling AR

This KPI tracks the total AR balance over time, providing insights into the overall health of the revenue cycle.

Rolling-AR
AR Days

This metric measures the average number of days it takes to collect payments, helping practices stay within the 30-day benchmark.

AR-Days
KPI Smart Card - AR Over 90 Days

Monitoring AR that is over 90 days old is critical, as it represents a higher risk of bad debt.

KPI-Smart-Card-AR-Over-90-Days
AR by Insurance by Patient Excluding Bad Debt

This KPI helps practices analyze AR based on payer and patient, excluding accounts that are unlikely to be collected.

AR-by-Insurance-by-Patient-Excluding-Bad-Debt
AR by Insurance/Patient (monthly trending)

Tracking monthly trends in AR by payer and patient can reveal patterns that need attention.

AR-by-Insurance-by-Patient-Monthly-Trending
AR Aging

This KPI categorizes AR based on how long it has been outstanding, helping practices prioritize collection efforts.

AR-Aging
Rolling AR Daily

Monitoring AR daily ensures that any deviations from the benchmark are quickly identified.

Rolling-AR-Daily
Rolling AR by Aging Buckets

This KPI breaks down AR by specific aging categories, providing a detailed view of where potential revenue leaks might occur.

Rolling-AR-by-Aging-Bucket
AR by Original FC

This metric tracks AR based on the original financial class, providing insights into payer mix and collection trends.

AR-by-Original-Financial-Class

Conclusion

Maintaining AR within the MGMA standards for AR is essential for the financial health of any medical practice. With the help of advanced healthcare analytics solutions like the WhiteSpace Health AI analytics platform, practices can ensure they adhere to industry benchmarks, optimize their revenue cycle management best practices, and ultimately improve their overall financial performance. By focusing on key AR KPIs, practices can proactively address revenue leaks, enhance their medical practice benchmarking efforts, and ensure long-term success.

About Carrie Bauman

Carrie-Bauman

A 30-year veteran in healthcare IT, Carrie Bauman is responsible for marketing, communications and business development strategies that drive brand awareness, growth and value for clients, partners, and investors.  

carrie.bauman@whitespacehealth.com