By Brandon Seigel, Chief Problem Solver · July 14, 2026 · 5 min read
The warning signs
- Your A/R keeps growing, and nobody can explain why.
- You can't see what your billing team did today.
- Your point of contact changes every few months.
- Denials sit for weeks before anyone touches them.
- Your data is pulled out of your EMR into their system.
- They call your patients — and you hear about it afterward.
- You're spending hours reviewing their work to find their mistakes.
What to do next
Start by pulling your A/R aging report and denial report. Look at trends over the last six months. Then ask your current company direct questions about who works your account and how often.
If the answers aren't clear, it may be time for a partner who works inside your EMR every business day, with a stable team you get to know.
Quick answers
How do I know if my billing company is doing a good job?
Look at days in A/R, A/R over 90 days, denial rate, and net collection rate over time — and whether you can see the work being done in your own EMR.
See exactly what's included in our medical billing services for therapy practices, how our percentage-of-collections pricing works, or browse common questions from practice owners.
Want this handled inside your EMR, every business day?
Our US-Based W2 employees work your claims daily. Tell us about your practice.
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