Does it seem like your practice sees patients but the money isn't quite where it should be?

You are not alone. Many physician practices find themselves in situations where they are seeing the same number of patients but the actual net collections are not being maximized.

Problems often stem from staff turnover, changes to billing software, clearinghouse changes, and of course every year insurance companies are changing rules and payment policies on you. It is common to find a provider with excessive amounts in A/R that are greater than 90 days outstanding.

Billing staff typically works the easy money (the first 75% of what you bill out) and the money that needs to be chased typically is on hold. Most physician practices simply don't have the time or resources to devote to collecting on the older accounts. Adding temporary collection staff can do more harm than good. It's not uncommon to find that the volume of outstanding claims and the time it takes to research, correct, and appeal the claims will take much longer than anticipated. Having a small number of medical billers dedicated to this task will not accomplish the goal, which is to eliminate the outstanding A/R and collect the money as quickly as possible.

Our medical billing experts have years of experience collecting the hard money. We allocate a full team of individuals to go after every dollar and we understand in many instances we have to play detective to figure out what has been paid and what hasn't been paid. Contact us today for a free consultation.

 Call today 877.672.6221 to speak with a medical billing consultant.

Our Approach to A/R Recovery

Analysis and Evaluation

Our IT experts will establish remote connectivity into your existing billing and practice management software. Our team will analyze the claims in the A/R Aging Report determining what has been paid, what hasn't been paid, and what may be approaching timely filing limits. Our mission is to estimate the total potential recovery. If you have EOB's that need to be posted we'll get these posted. We believe it's critical that all our A/R recovery efforts take place in your existing software.

Prioritizing

Experienced analysts initiate this phase by identifying the various issues for claims that are marked as uncollectable or, for claims where the carrier has under paid and appropriate actions should be initiated to pursue the remaining balance. Our medical billing experts will check the timely filing limits of your primary carriers and develop a plan of attack for the outstanding insurance claims. Claims that have crossed the carrier filing limits will be identified and the reasons will be analyzed and validated. Claims will then be sorted by balance.

Collections

Based on the analysis team's findings, the claims that are identified to be within the filing limit of the carrier are re-filed after verifying all the necessary parameters such as claims processing address and the other billing rules.
Where possible our billing experts will check the claim's status so to avoid duplicate claims. We will transmit the claims electronically directly to the carriers wherever possible and for the other carriers, claims are forwarded through clearing houses and aggressively followed up with the carrier for confirmation. After completing all the above and posting cash to the outstanding claims, patient statements are generated, reviewed for accuracy, and mailed.

Summary

You work hard for your money and you DESERVE to collect all of it. The A/R recovery process is not an easy one. Not every medical billing company will take on the challenge. We believe our efforts on your collections will demonstrate our commitment to you and your practice. Contact us today for quote.

Call today 877.672.6221 to speak with a medical billing consultant.