What actually matters
- Ask for a denial report by reason code with counts appealed, won, and written off — not just a collections total
- Request your appeal win rate; if no one can state it, appeals aren't being tracked
- Compare billed vs. allowed vs. paid on your top CPTs — the underpayments a biller may never reconcile
- Watch the over-90-day A/R bucket: creeping above 15–20% signals denials parking unworked
- Remember the economics — at 4–8% of collections, working a complex appeal can be a loss for a biller, so the hard ones get quietly dropped
Common questions
What reports should I ask my billing company for?
A denial log by reason code with appeal outcomes, a write-off report, your net collection rate, days in A/R, and the over-90-day A/R percentage. These separate 'activity' from actual performance.
Why would a billing company not appeal denials?
Because appeals are labor-intensive, and under percentage-of-collections pricing a complex low-dollar denial can cost more than it returns. That incentive pushes billers to rebill the easy claims and write off the hard ones.
How can I tell if my collections rate is real?
Ask for the formula in writing. A quoted '97–99%' with no definition is often a gross-collection or massaged number; the meaningful figure is net collection rate against your contracted allowed amounts.
Where Volari fits: Volari gives owners an independent, claim-by-claim view of what's recoverable — and works the abandoned denials the incumbent biller passes on, without replacing your biller.
See what your denials are actually worth.
Volari reads your remittances and shows, claim by claim, what's been denied, underpaid, or written off — the independent view your monthly summary won't give you. No risk, paid only on what we recover.