Who says you can’t recover old money?
Most practices think old money is gone. A lot of it is not.
We’re great at chasing it
What we’re seeing
Aging reports are in worse shape than they ever.
Claims filed incorrectly and never paid, claims paid but never posted, and balances showing up as a patient’s responsibility that are actually the insurance companies’. Or looking like they are the insurance companies’ responsibility that are actually the patient's.
We know. It can be a mess.
And beyond the office chasing the wrong party for months, what does all this look like?
A steadily ballooning A/R, and tons money that never gets collected for the work that you did.
If you want to fix an aging report, the first thing you have to do is find out what is actually in it.
The A/R Analysis
Every practice we take on starts here, whether the report is a mess or in decent shape.
We audit your A/R claim by claim, balance by balance and confirm what each one actually is. Not Then we give you a full report on what we found.
For most practices it is the first honest number they have seen on what is genuinely recoverable, and for many of our clients opens the door to potentially large sums of money that would have been other wise written off.
Then…we work it
Starting with claims sixty-one days and older. We research each one, contact the carrier, find out what actually happened to it, and identify what caused the claim not to be paid. Then we determine whether it can be reprocessed or appealed, submit whatever documentation it needs, and correct the billing issue if that is what went wrong.
Claims that were never filed get filed. Claims filed and never paid get resubmitted. Denied claims get appealed. Claims already paid but never posted get found and posted. Balances incorrectly designated – i.e. patient as insurance or vice versa are cleaned up.
All of this runs alongside your current claims. Nothing slows down while the old work gets done.
And nothing gets written off without your approval. If a balance needs an adjustment, we bring it to you first.
See if we can help.
Let us deal with the insurance companies. Your team can focus on patients.
What good looks like
Your A/R.
Finally, under control
A healthy zero to thirty day column on you’re A/R holds roughly a month of claims.
The thirty-one to sixty bucket is where we go to work first, and we aim to get it to twenty-five percent or lower inside the first month. Several of the practices we handle are running well under that. The sixty-one plus bucket should be shrinking fast rather than staying on the A/R.
How long all of this takes depends entirely on how much A/R we’re dealing with, We have taken on practices with almost nothing outstanding and practices with close to a million dollars on their A/R report. We’ll tell you what your looking at before we start.
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About two weeks after your claims and posting go live. And this timing is deliberate for two reasons:
One. We need your insurance portals in place before we can submit anything, and those are the first thing we build during onboarding.
And two we want to get a good rhythm going with your office on current work before we open up the past. Cleaning up A/R while everyone is getting acclimated to the new setup can get problematic.
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Yes. Alongside the recovery work you get a spreadsheet documenting why each claim went wrong. Missing information, missing attachments, incorrect patient or provider information, eligibility problems, coding problems, submission problems, denials, and claims that needed documentation nobody sent.
The point is not just the recovery. We also want to prevent the issues that created problems with your A/R from ever happening again.
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Your insurance aging buckets get reported every Friday, so you can watch the numbers move rather than taking our word for it.
You also get an A/R spreadsheet showing the work being done, and a standing call with your account manager on whatever schedule you set.
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Nothing without your approval. Your account manager will show you what we believe is uncollectible and why. The decision to write it off is yours, every time.
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Yes. Billing and A/R recovery are our core services and they run together. Cleaning up old claims while new ones are still being created the same way that caused the problem is self-defeating, and neither of us would be happy with the result.
How far back do you go with A/R?
We start at sixty-one days and work back from there. How far back is worth pursuing depends on the payer and the filing deadlines involved, which is part of what the analysis tells us.
Questions?
Still have a question? Call (800) 677-7142 or book a consult.
How do I get started?
Book a consult with one of our billing specialists. We will find out what you need help with and what you are hoping to achieve. And if we are a fit, we will walk you through exactly what we would do, what it costs, and what you can expect.
You will get a straight answer, including if the answer is no.