Discover purpose-built, end-to-end AR management services designed to improve AR process efficiency, lower denials and maximize collections.

PROCESS
Our Accounts Receivable Process
Our team of A/R experts, AAPC and AHIMA certified coders, and billers follow a field-tested holistic approach designed to maximize revenue and minimize your administrative burdens. Our A/R process includes:

Patient Billing and Invoicing: Once you render a service to your patient, we generate and send out bills and invoices on your behalf. These invoices include details regarding the services provided, date of service, amount owed, and payment options.

Insurance Claim Submissions: After the patient has been billed, we submit clean claims to the appropriate insurance company. The submitted claims are audited to ensure it contains all relevant medical codes and specialty-specific modifiers, procedural, diagnoses, and treatment-related information, as well as any necessary attachments such as medical records, medical necessity, and other supporting documents.

Claims Follow-up: Once the claims have been submitted, we frequently follow up with the insurance companies to ensure that they are processed and paid in a timely manner. This involves tracking the claims and identifying any issues or delays that may arise, as well as resolving any errors or discrepancies.

Denials and Appeals Management: In some cases, insurance companies may deny claims, either partially or in full. When this happens, we perform root-cause analysis to identify the reasons for the denial and develop an appeal plan to challenge the decision. This involves providing additional documentation, working with the insurance company to clarify misunderstandings, or pursuing legal action if necessary.

Collections: When patients fail to pay their bills or when insurance companies do not cover the full cost of medical services, we work to pursue collections. This involves sending out past-due notices, negotiating payment plans with your patients, or engaging with collection agencies to recover outstanding debts.