Payer Mix Analysis

The mix of the different payer types (Medicare, Medicaid, HMO plans, etc.) will greatly affect the revenue within an office. If the volume of low-paying insurances become too large, not only will your collections suffer, you may also unknowingly be turning away the higher paying customers or insurances for lack of available appointment times. We extract data from your software to determine the mix of insurance types within your practice to evaluate if changes are needed to improve the financial stability of your practice. Each specialty has different expected payer mixes but frequently they are not appropriately balanced for a viable practice.