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A/R Reduction
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Signs You May Need Healthcare Accounts Receivable Management Services
If your team struggles to keep up with aging claims, it may be time to consider professional accounts receivable recovery services.
Common causes of aging accounts receivable include:
- Unworked insurance denials
- Missing or expired authorizations
- Coordination of Benefits (COB) issues
- Medical necessity denials
- Coding and modifier errors
- Missing documentation requests
- Incorrect payer information
- Secondary claims that were never billed
- Claims stuck in payer review queues
- Underpayments below contracted reimbursement rates
Not Ready to Outsource Your Entire Revenue Cycle?
If you don't want to outsource your entire revenue cycle, that's perfectly fine. Many healthcare providers choose our medical a/r collection services as a standalone solution to recover aging claims and resolve denials. We work as an extension of your team, focusing exclusively on outstanding receivables while your staff continues managing day-to-day billing operations.
Key AR Metrics We Improve
- 35% fewer A/R days
- 95%+ Net Collection Rate
- 90%+ First-Pass Resolution Rate
- <5% Denial Rate
- 90% Recovery of Eligible Aged Claims
Recover More Revenue Without Changing Your Workflow
We help hospitals, private practices, and multi-specialty groups improve accounts receivable recovery and recover unpaid revenue without disrupting their existing billing workflows.
AR Reporting and KPI Tracking
Our AR recovery services for hospitals include customized AR dashboards that show exactly where revenue is getting stuck. Track key metrics such as collection rate, denial trends, first-pass resolution rate, net collection rate, and detailed aging analysis to make informed decisions.
Works With Your Existing EMR
Our AR recovery services integrate smoothly with 600+ leading EMR and EHR platforms, including Epic, athenahealth, Kareo, and eClinicalWorks, as well as the systems your practice already uses every day.
Built on HIPAA and SOC 2 Standards
Our medical accounts receivable services follow HIPAA-compliant processes, role-based access controls, and secure data management practices to protect patient and financial information.
Expertise Across Inpatient and Outpatient Claims
Our receivable recovery services support both inpatient and outpatient claims, helping healthcare organizations recover revenue across facility and professional billing. We manage UB-04 and CMS-1500 claims using payer-specific workflows that align with each payer's reimbursement requirements.
For facility claims, we handle emergency department visits, observation stays, inpatient admissions, and DRG-related reimbursement issues. For professional claims, we follow up on office visits, surgical procedures, and diagnostic services to help recover unpaid claims and reduce aging A/R.
We also have experience resolving complex claims, including:
- Motor Vehicle Accidents (MVA): Third-party liability and accident-related claims
- Workers' Compensation: Claim follow-up, documentation review, and payment recovery
- Government Payers: VA and TRICARE claims managed according to payer-specific guidelines
- Coordination of Benefits (COB): Resolution of primary and secondary payer issues
Supporting 75+ Medical Specialties
Different specialties face different reimbursement challenges. Our outstanding AR recovery services serve healthcare providers across a wide range of specialties, including but not limited to:
- Family Medicine
- Internal Medicine
- Cardiology
- Orthopedics
- Neurology
- Gastroenterology
- Pain Management
- Physical Therapy
- Behavioral Health
- Urgent Care
- Dermatology
- Multi-Specialty Practices
- Hospitals and Health Systems
Competitive Edge
Practical Benefits of Our AR Recovery Solutions
We take on the work and the risk. Our fees are tied directly to what we recover, charged as a small percentage of collected revenue. If a claim does not get paid, you do not pay us. It’s a straightforward model designed to protect your cash flow while giving us the same goal you have, successful reimbursement.
You also get a dedicated account manager who owns your A/R end to end, so you always know who’s working your claims and where things stand, without chasing updates or juggling contacts.
Our medical recovery services work closely with payers like UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield plans, Humana, Medicare, Medicaid, Tricare, Molina, Centene, Anthem, and Kaiser Permanente. We’ve been through their processes enough times to know what works and what doesn’t. That saves time, cuts down rework, and gets claims to payment sooner.
Our accounts receivable recovery team helps healthcare providers recover revenue that might otherwise be written off. Through consistent insurance follow-up and payer-specific strategies, we recover more than 90% of eligible claims, including accounts up to 12 months old.
Curious Where Your A/R Is Getting Stuck and What It’s Costing You?
Our 6-Step AR Recovery Process
After more than 10 years of helping healthcare providers recover unpaid claims, we've developed a 6-step AR recovery process:
Step 1: Claim Assessment
Review unpaid claims and identify recoverable balances.
Step 2: AR Prioritization
Prioritize aged accounts based on value, deadlines, and recovery potential.
Step 3: Insurance Follow-Up
Contact payers, track claim status, and resolve payment delays.
Step 4: Denial Resolution Services
Correct claim issues, submit appeals, and recover denied claims.
Step 5: Underpayment Recovery
Identify short-paid claims and pursue additional reimbursement.
Step 6: Patient Balance Support
Resolve patient-responsible balances through clear communication and follow-up.
Frequently Asked Questions
An AR cleanup focuses on clearing backlog. AR recovery services focus on getting claims paid and preventing them from aging again.
Because internal teams are busy managing daily billing. AR recovery solutions allow aging and complex claims to be worked without disrupting normal operations.
Yes. We review payments against contract terms and fee schedules to identify underpayments, then pursue follow-up and appeals where recovery is still possible.
Patient balances are handled carefully and compliantly. We verify insurance coordination, ensure responsibility is correct, and follow CMS-compliant workflows aligned with No Surprises Act requirements.
Recover Revenue That Belongs to Your Practice!
Recover more revenue and reduce aging A/R by up to 35%. Start with a free assessment.
Get expert accounts receivable recovery services in the USA!
