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05 · Conversion to billed Nicole Sands 9/24/26 05 · Conversion to billed Nicole Sands 9/24/26

What a percentage-of-collections contract actually incentivises

Your biller gets paid on what is collected, not on how fast. Most of the time those interests line up. Here is where they separate, what the gap costs you, and what to write into the agreement instead.
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05 · Conversion to billed Nicole Sands 9/24/26 05 · Conversion to billed Nicole Sands 9/24/26

Biller lag, measured properly

Converted and unbilled, aged by day, is the one report your practice management system will not hand you. Here is how to build it, what a reasonable target looks like, and how to pull it without asking your biller for a report about their own speed.
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05 · Conversion to billed Nicole Sands 9/24/26 05 · Conversion to billed Nicole Sands 9/24/26

The last stage you can fix without a payer on the phone

Everything below this stage needs somebody outside your practice to act. This one does not. Here is why that makes it the best place to spend a month, and five checks you can run this week.
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05 · Conversion to billed Nicole Sands 9/12/26 05 · Conversion to billed Nicole Sands 9/12/26

Your biller’s real number is not the collection rate

A collection rate tells you what happened to the claims that went out. It says nothing about the ones still sitting. Here is what a nine-day biller lag costs, why a percentage-of-collections contract never corrects it, and five checks you can run this week.
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