Notes for practices that bill their own patients.

What the law changed, what one practice measured, and how to read a billing quote. Sourced, dated, and written by operators.

• September 22, 2026 · 5 min read

  What one practice measured a year after switching to first-party collections.

  Same practice, same six months a year apart: 78% more patient cash, 54% more paying patients, recovery by age bucket, and one clock that got slower.

  • case study
  • first-party collections
  • aged receivables
  • data
• September 22, 2026 · 5 min read

  Success fee or a percentage of all collections: how to read a patient-billing quote.

  Two pricing bases can land at the same annual number and charge for different things. A worked example and the definitions that make one auditable.

  • pricing
  • patient billing
  • success fee
  • vendor evaluation
• September 22, 2026 · 5 min read

  Medical debt stopped showing up on credit reports. Here is what that does to your aged receivables.

  California's SB 1061 and the bureaus' 2022–23 changes took away the credit-report lever. What that means for handing 60–180-day balances to an agency.

  • medical debt
  • credit reporting
  • collections
  • SB 1061