Your Billing Scorecard, Tracked Automatically: How PIMSY Surfaces the Numbers That Matter
You just ran your practice through six billing benchmarks. If pulling those numbers took more than a few clicks, or you had to skip some because the data wasn’t there, that gap is the actual problem.
The scorecard told you what to measure. PIMSY surfaces all six metrics automatically, every day, without a spreadsheet. This page shows which reports cover which metrics, what practices on PIMSY actually average, and what to do when a number comes back wrong.
The Six Scorecard Metrics, Each With a Report Behind It
Every metric on the scorecard maps to a specific report inside PIMSY’s billing software for mental health. No building pivot tables. No waiting on a monthly summary from your biller.
Here’s the mapping:
Days in A/R: The Rolling EOM Accounts Receivable Report tracks your days sales outstanding month over month. PIMSY practices average 26 days.1 The industry average sits at 46.2
Clean claim rate: First-pass acceptance rate reporting shows what percentage of your claims clear on the first submission. PIMSY practices average 98%.1 The scorecard target was 95%.
Denial rate: Denial Reports break down denials by payer, CPT code, and reason code. You see patterns, not just a total count.
Net collection rate: Deposit tracking shows what came in. Write-off Reports show what didn’t. Together they give you your net collection rate without manual cross-referencing.
A/R aging buckets: AR Aging Reports segment balances into 0-30, 31-60, 61-90, and 90+ day brackets, broken out by payer. MGMA benchmarks hold that no more than 25% of total A/R should sit past 90 days.3
Patient balance write-off rate: Write-off Reports separate insurance contractual adjustments from patient balance write-offs. That distinction matters: one is a negotiated reduction, the other is a collection failure.
The point isn’t that each metric has its own report. It’s that you no longer have to build any of this yourself.
What PIMSY Practices Actually Average
The scorecard gave you industry benchmarks. Here’s what practices running on PIMSY actually hit.
Days in A/R: target is 30-35, industry average is 46, PIMSY practices average 26.1,2 First-pass acceptance rate: target is 95%+, PIMSY practices average 98%.1 Net collection rate: target is 95%+, industry average is 79%, PIMSY practices average 96%.1,4
Those aren’t projections. They’re averages across PIMSY practices.
Consider what the gap looks like in practice. A billing manager at a 35-clinician outpatient SUD practice runs her first quarterly report and sees a net collection rate of 81%. That’s four months of undercollection already baked in before anyone knew there was a problem. By the time the number surfaces, the revenue is gone.
Practices that see their billing metrics weekly catch problems in days. Practices checking quarterly are always responding, never preventing. The visibility gap is the revenue gap.
Why Most Practices Can’t Pull These Numbers
The data exists in your EHR. The visibility often doesn’t. Most systems store billing data. Few surface it as a KPI without significant manual work.
The typical workaround: export a report, open Excel, cross-reference payment data against charges, subtract write-offs. Most billing managers do this quarterly if they do it at all. A denial rate that crept from 4% to 9% over six weeks looks fine on a monthly report and invisible on a quarterly one.
Behavioral health revenue cycle management adds another layer of complexity that generic systems don’t account for. General medical EHRs don’t parse behavioral health payer carve-outs, session-based authorization categories, or SUD-specific CPT groupings in their denial reports. A denial breakdown that lumps all commercial payers together tells you nothing useful.
Picture a clinical director at a 40-clinician mental health agency pulling her A/R aging report from her current system. The 90-day bucket is elevated. But the report doesn’t break out behavioral health carve-outs from standard commercial payers or Medicaid. Three different root causes. One muddled number. Three different fixes that she can’t identify.
PIMSY’s reports are built for behavioral health billing, not adapted from primary care.
From the Report to the Fix
A number without context produces a to-do item, not a fix. PIMSY’s reports give you the context to diagnose.
Take three scenarios:
Denial rate above 5%: The Denial Report breaks down by payer, CPT code, and reason code. A billing manager at a 40-clinician outpatient practice in Greensboro sees her denial rate spike from 4% to 9% in a single month. The report shows the problem concentrated in one commercial payer, all on telehealth claims, all flagged for a missing modifier. One payer updated their billing rules. One code change. Denial rate back to 4% the following month. Without the breakdown, that spike looks like a systemic billing problem. With it, it’s a 15-minute fix.
A/R aging past 35 days: The AR Aging Report shows exactly which claims sit in the 60-90 day bucket and which payers hold them. Your billing team works the oldest claims first with full claim history visible, no hunting through payer portals.
Net collection rate below 95%: Write-off Reports separate insurance contractual adjustments from patient balance write-offs. Payer underpayment and patient collection failures look the same in your total write-off number. They require different fixes. The report tells you which problem you actually have.
Visibility creates a diagnosis. A diagnosis creates a fix.
What’s Behind the Reports
PIMSY includes over 100 ready-to-use reports. The core billing KPIs don’t require custom configuration or a data analyst. They’re ready from day one.
Five dedicated financial report categories cover the full revenue cycle: AR Aging, Denials, Write-offs, Deposits, and Credits. Each one answers a specific question about your financial reporting and practice health. The Rolling EOM Accounts Receivable Report tracks month-over-month A/R trends automatically, so you see trajectory, not just a snapshot.
For practices that want the metrics surfaced and the revenue cycle actively managed: PIMSY Billing is a full-service add-on. It handles claim submissions, denial appeals, and payer rule changes on your behalf. It’s optional. But if your scorecard numbers came back significantly below target, it’s worth knowing about.
See Your Numbers Before They Become Problems
The scorecard showed you where your practice stands today. PIMSY shows you where it stands every day.
Practices that track their behavioral health billing metrics weekly catch problems before they compound into aged A/R, write-offs, and lost revenue. Practices relying on quarterly reports are always catching up.
Schedule a demo to see the billing reports live. Or start your free 30-day trial and run your first AR Aging Report this week.
Sources
1PIMSY EHR Reporting and Billing Performance Benchmarks
2Key Metrics for RCM Performance in Behavioral Health
3Benchmarks: What Healthy AR and Denial Rates Look Like in 2025
4Behavioral Health Billing Metrics and KPIs: Best Practices for RCM Success
