S1E33: Practice Owners: How Do You Perform Against Industry Benchmarks? | HT2C with Bert Fernandez

06/10/2025 23 min Temporada 1 Episodio 33
S1E33: Practice Owners: How Do You Perform Against Industry Benchmarks? | HT2C with Bert Fernandez

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Episode Synopsis

HealthTech2Care (HT2C) Podcast featuring Raja Danish, Co‑Founder & CEO of Wise Medical Billing Raja Danish (Guest): 🌐 Wise Medical Billing: https://www.wisemedicalbilling.com 🔗 LinkedIn: https://www.linkedin.com/in/rajadanish  Bert Fernandez (Host): 🌐 HealthTech2Care: https://www.healthtech2care.com 🔗 LinkedIn: https://www.linkedin.com/in/bert-fernandez 📺 YouTube: https://www.youtube.com/@HealthTech2Care 🎙️ In this episode, Raja Danish shares how Wise Medical Billing helps private practices overcome billing gaps, recover lost revenue, and operate with clarity. He walks through a podiatry group's turnaround—recovering 80% of $2M in aged AR in four months—and breaks down the KPIs every practice should be tracking but often isn't: denial rate, first-pass resolution, and AR days. Raja also shares what separates high-performing practices from the rest, how leadership and structure drive billing results, and why most owners don't realize how much money they're leaving on the table.  ⏱️ Timestamps:  00:00 The 3 biggest gaps in private practices: team, process, and performance KPIs 02:30 What KPIs matter most? Denials, AR days, and first pass resolution rate 07:22 How Wise Medical Billing's partnership model drives real operational change 10:27 Why decisions must be data-driven—regardless of practice size 12:00 What holds back practices from switching RCM models? 14:00 People, process, tools: the 3 pillars of successful revenue cycle management 17:18 Case study: recovering $1.6M in AR for a podiatry group in 4 months 20:25 How to connect with Wise Medical Billing for a tailored audit and strategy 🔑 Highlights: Three in-house billers, no RCM oversight—$2M in AR piled up Wise ran a root-cause audit and recovered 80% of AR in four months Billing stabilized → practice began expanding from one location to others Most practices don't track denial rate (benchmark: under 5%) or first-pass resolution (benchmark: 80% or higher), along with AR days  Lack of KPI visibility leads to missed revenue and reactive decision-making Wise brings reporting, structure, and accountability to underperforming teams One-size-fits-all RCM doesn't work—every practice needs a tailored solution  The foundation is people, processes, and tools—and most billing breakdowns come from gaps in all three  👉 Learn more about Wise Medical Billing: https://www.wisemedicalbilling.com 🔔 Subscribe to our YouTube channel for more conversations with standout voices in U.S. healthcare & life sciences: https://www.youtube.com/@HealthTech2Care #Podiatry #PrivatePractice #MedicalBilling #RevenueCycle #PracticeTurnaround #KPIs #ARRecovery #WiseMedicalBilling #HealthTech2Care

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