Gene Spirito, MBA

By: Gene Spirito, MBA on October 30th, 2025

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How to Improve Revenue Cycle Management: 9 Proven Strategies for Faster Payments

Medical Billing / RCM

Your biller says AR “feels slow.” Your physician owner wants to know why collections dipped last quarter. Nobody has a number, just a feeling, and feelings do not pay the rent.

Every week a claim sits unresolved is a week of cash flow your practice does not have. Faster payments do not happen by accident. They come from specific habits, and most of them cost nothing but discipline to put in place.

 

Start With the Numbers That Actually Tell You Something

Before you fix anything, know where you stand. MGMA sets its benchmark for days in accounts receivable at under 40 days for physician groups, with top performers keeping that number below 30. MGMA also holds net collection rate at 96 percent as the standard practices should hit after contractual allowances. If your practice is not tracking these two numbers monthly, you are managing blind.

 

9 Strategies That Move the Needle

Faster payments come from fixing the revenue cycle at the point where problems start, not chasing them after a claim gets denied. The strategies below work whether you run a five provider practice or a fifty provider group, and none require a full system overhaul to start.

 

  • Verify eligibility before the appointment, not after. Confirming coverage and benefits ahead of time prevents the single most common cause of first-pass denials.
  • Submit claims within 24 to 48 hours of the encounter. Every day a claim sits unsubmitted is a day added to your AR cycle before payment even starts.
  • Scrub claims against payer specific edits before submission. A rules engine built from real claims history catches coding and modifier errors a person will miss under deadline pressure.
  • Work denials within 48 hours, not at month end. MGMA's aggregate first-pass denial rate sits near 8 percent industry wide, and denials worked immediately get overturned far more often than ones left to sit.
  • Track first-pass clean claim rate by payer and by provider. The industry average hovers around 95 percent. The pattern in your own data tells you exactly where the leak is.
  • Give patients a cost estimate at check-in. Patients pay faster when they know the number before they leave, not weeks later in a mailed statement.
  • Post payments and reconcile daily. Delayed posting hides denial trends and slows every downstream collection step.
  • Review payer contracts annually for reimbursement drift. Fee schedules change every year. Practices that never revisit contract terms leave money on the table.
  • Give your billing team software built for their workflow. A billing team fighting a generic system cannot outperform a broken process, no matter how skilled they are.

 

What This Looks Like in a Real Practice

Park Avenue Medical Professionals ran into exactly this problem before working with ADS. Claim denials were quietly costing the practice roughly $40,000 a year in rework, write-offs, and delayed collections. After moving to a billing system with a rules engine that validates claims before submission, that leak closed.

 

Numbers like that do not come from working harder. They come from catching errors before a claim ever leaves the building. A practice does not need to rebuild its entire process overnight to see movement. Most groups that commit to even three or four of these nine strategies see measurable improvement in AR and denial rates within a single quarter.

 

The order matters less than the consistency. Eligibility checks and claim scrubbing stop errors before submission, and denial follow-up recovers what still gets through. Skip either half and the other one is working twice as hard to compensate.

 

The Cost of Waiting

CMS's own Interoperability and Prior Authorization Final Rule, in effect as of January 2026, now requires impacted payers to decide urgent prior authorizations within 72 hours and standard ones within 7 calendar days, and to publicly report their denial and prior authorization metrics. That transparency cuts both ways. Becker's Hospital Review has reported claim denials costing hospitals and health systems tens of billions of dollars a year in recovery costs alone, and practices with slow, undocumented processes now have nowhere left to hide from their own numbers.

 

For a deeper look at the exact numbers to track every month, see 5 KPIs Every Practice Administrator Should Be Tracking in 2026 and Is Your Revenue Cycle Actually Healthy?. Visit our Revenue Cycle Management page to see the tools behind these strategies, or explore our All-in-One EHR and Practice Management Suite to see how documentation and billing work together in one system.


A Revenue Health Review takes 20 minutes and tells you exactly which of these strategies would move your numbers fastest. Request your Revenue Health Review, or call 1-800-899-4237 ext. 2264 for a straight answer in under two minutes.

 

Sources: CMS, Interoperability and Prior Authorization Final Rule: www.cms.gov/medicare/physician-fee-schedule | MGMA benchmarking data: www.mgma.com | Becker's Hospital Review, revenue cycle coverage: www.beckershospitalreview.com/finance/revenue-cycle-management/

About Gene Spirito, MBA

Gene has been involved in sales and deploying well over 1,000 revenue cycle management and billing solutions for medical practices, groups, networks, and laboratories of every specialty. With more than 25 years’ experience, Gene has guided so many ADS clients toward the configuration that would work best for them such as services through MedicsRCM, or in-house automation with the MedicsCloud Suite. Gene has an undergraduate from Villanova University, and an MBA from Temple University. Not surprisingly, Gene’s an avid Wildcats fan (the VU basketball team). Feel free to reach out to me directly: 484-758-7331