Practice Fusion

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Over the past three weeks, we have shared where $50,000 a year quietly leaves the average independent practice.

The question that keeps coming up: what actually fixes it?

It is not more staff. It is not a more expensive billing service. Independent practices do not have room for either.

The practices that recover this revenue have billing that is native to their EHR. Same claims, same payers, same patients - but nothing falls between two systems because there is only one system.

Denials get worked before they age out. Underpayments get flagged at posting. Vendor overlap goes away.

If the $50K number stood out, this is the part worth a closer look.

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The contracted rate is $180.
The payer sends $162.
The billing system posts it as paid.
Nobody flags the variance.

Underpayments are the most expensive billing problem most independent practices have never quantified.

Across a year of claims, a typical 5-7 physician practice loses around $15,120 to payments that look entirely normal on every standard report.

The practices that catch this share one capability: their billing system reconciles each posted payment against the contracted rate at the moment of posting.

Most billing systems do not.

Happy 4th of July! Wishing everyone a wonderful 250th-anniversary celebration of American Independence. From our team to yours, have a safe and fun holiday!

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Up to half of all denied claims in independent practices are never resubmitted.

Not by choice. Appeal windows close. Staff turnover takes payer-specific knowledge with it. Denials get buried in EOB stacks that nobody has time to work.

For a 5-7 doc practice, that translates to roughly $18,900 a year in claims that were earned, billed, and never collected.

The practices that recover this revenue have one thing in common: aged denials are visible in their billing system before the filing window closes, not after.

The average 5-7 physician independent practice loses around $50,000 a year to billing errors.

Denials that never get resubmitted. Underpayments that never get caught. Staff time spent fixing problems that should not have happened in the first place.

The hardest part: none of it shows up on a standard billing report. The money simply stops arriving.

For independent practices running on tight margins, that number is not abstract. It is a meaningful share of what keeps the lights on.

Full breakdown: https://okt.to/J3WUYO

Simplify your practice’s workflow with Updox. Toggling multiple tools? Updox integrates directly with Practice Fusion, bringing all your tools together in one seamless platform.

Streamline your workflows and give your team the time back to deliver exceptional care.
• Boost front-office efficiency and significantly reduce repetitive administrative work
• Build stronger patient relationships with simplified, convenient communication
• Share and collaborate securely across the Updox ecosystem

Discover Updox: https://okt.to/IuOZeJ

Independent practices generate valuable data every day. By focusing on a few key metrics like no-show rate, denial rate by payer, and revenue per visit, you can uncover opportunities to improve billing, simplify operations, and support better patient care.

This blog breaks down five essential metrics and shows how Practice Fusion helps make data easy to access and act on.

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