Don’t let earned revenue become lost revenue. Many practices have thousands of dollars sitting in “Aging A/R” buckets—claims that were denied, underpaid, or simply forgotten. Statistically, claims over 90 days old have less than a 15% chance of being paid if left unmanaged. Our specialized recovery team acts as a “financial rescue unit,” auditing your old accounts to breathe life back into your cash flow.
We don’t just resubmit claims; we use a forensic approach to identify why a claim stalled and how to fix it permanently:
Aged Trial Balance (ATB) Analysis: We perform a deep dive into your aging report to categorize outstanding balances by payer, age, and dollar value.
Prioritization of High-Value Claims: We strategically target high-dollar claims and those nearing Timely Filing Limits first to ensure no collectible revenue is permanently lost.
Denial Forensics: We investigate “silent denials”—claims that the payer received but never processed—and resolve the underlying technical or clinical issues.
Aggressive Payer Follow-up: Our dedicated A/R callers bypass automated systems to speak directly with insurance representatives, advocating for your payment until the case is closed.
Internal teams are often too busy managing current billing to look backward. This leads to a “snowball effect” where old debt continues to pile up. We solve this by providing:
Dedicated Bandwidth: We focus exclusively on your backlogged claims so your staff can focus on today’s patients.
Payer-Specific Expertise: We know the nuances of Medicare, Medicaid, and major commercial payers’ look-back periods and appeal requirements.
Root Cause Reporting: We don’t just fix the old claims; we tell you why they happened so you can prevent future A/R buildup.
Our systematic approach ensures a thorough cleanup of your ledgers:
System Audit: We connect to your billing software to pull a full snapshot of all outstanding balances.
Cleanup & Adjustment: We identify and remove “junk” A/R—balances that are truly uncollectible or due to contractual adjustments—leaving you with a clean, accurate ledger.
Resolution Action: We refile corrected claims, submit missing medical records, and file formal appeals for every collectible dollar.
Final Posting: As payments arrive, we post them accurately to your system, reconciling the patient accounts and reducing your overall Days in A/R.
Our Guarantee: We aim to reduce your 90+ day A/R bucket by at least 50% within the first 90 days of service, providing you with an immediate infusion of working capital.
