NatRevMD

#175 What Is Payment Posting and Why Your AR Is Lying to You


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There’s a number in your practice that looks precise but lies to you every single month: your AR report. 

We routinely audit multi-provider practices showing $400K, $600K, even $1M in AR — and 20–40% of that “asset” is already dead. Not collectible. Just trash left behind by bad payment posting. 

In this episode — the first in a 4-part series on payment posting — Heather walks through what payment posting actually is, why getting it wrong silently inflates your AR, and the seven specific things that change in your practice when posting is done right. 

Inside the episode: 

  • Why your AR report is a mirror of your team’s posting accuracy, not what you’re actually owed 
  • How a $400K/month practice dropped their AR by 30% in two weeks — without collecting a dollar more 
  • The 7 reasons clean payment posting transforms your revenue cycle 
  • The audit moment we found 200+ accounts a week being reworked that were already paid in full 
  • What’s coming in Episode 176: the most common insurance-side posting mistake we see in almost every audit 

If you’re a practice owner, billing lead, or operations director who has ever made a financial decision off an AR report — this is the foundation. 

Resources mentioned (Buzzsprout episode resources block) 

📊 Free Payment Posting Audit Checklist 

The exact framework we use when we audit a practice. Test your own team: https://eligibility.natrevmd.com/payment-posting-checklist 

 

📅 Book a call with Heather 

If your AR has been inflated by years of bad posting, that’s exactly what we fix at NatRevMD: https://calendly.com/heather-natrevmd/ 

 

🎧 More episodes 

natrevmd.com/podcast 

Buzzsprout chapter markers (paste in chapters field) 

0:00 Hook — the number that’s lying to you 

0:45 Why 20–40% of your AR may already be dead 

1:45 What payment posting actually is 

3:30 The $400K case study 

5:30 7 reasons posting matters 

12:30 Recap and what’s next 

...more
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