Customized teams lead to recovery of lost revenues

 

CHALLENGES

• Approx. 10M in 120+ AR bucket
• Unresolved accounts dated 4 years back
• Many credentialing related denials
• Incorrect patient demographic information
• No patient eligibility verification process

PROCESS

• Built team of experts for each aspect of process
• Set up process for 100% eligibility check for each patient
• Extensive AR analysis done based on top denials
• Special calling teams deployed to rectify credentialing issues
• Mass appealed on old claims
• Set up patient AR process

RESULTS

• Approx. $1M recovered within 4 months
• Total AR reduced from $9.4M to $5M within 6 months
• Mass resolutions with insurance carriers
• Accelerated payments

OUTSTANDING AR AFTER OUR RECOVERY SOLUTION