AR & Denials Management
AR & Denial Management is the key to running a successful healthcare practice. Nothing is more critical to revenue cycle profitability than to have highly efficient accounts receivable and claims denial management processes in place. The AR management model incorporates successful techniques to ensure maximize cash flow. Our analysis team, calling team and resolution teams work collaboratively to decrease AR days.
Most practices have significant money tied up in their 60+ day AR, our old AR recovery services can capture these funds for you without any changes to the rest of your current processes. We take care of all your critical functions involved in AR including no response claims, reconsiderations, redeterminations, reimbursement issues, credentialing, unapplied amounts and recoupment/refunds.
Recovering additional net revenue, minimizing lost reimbursement and denials by understanding the root cause of denials and appealing them timely is the first step of this team. To determine what your practice needs to do differently to reduce the denials and increase the percentage of time that you get paid correctly the first time, we create a tracking/reporting process allowing you to measure your performance over a period of time.
Our most efficient and highly skilled representatives are deployed to address the Routine Audits (Medicare Administrative Contractor, MAC) and/or Recovery Audit Contractors (RAC). All correspondences received from CMS are read carefully and all the information requested is provided without any delays. Audit Executives also include an explanatory note and refer medical guidelines and/or LCDs supporting medical necessity for the care provided to the patient.