AR Follow Up

AR Follow Up Services

We all must accept and be ready to face that the healthcare reimbursement system is appalling. Everyone from patients to insurance companies holds their money tightly because of the rough economy. Nowadays, we see more denials, underpayments, and lost or ignored claims due to an increasingly complex and often confusing set of rules and processes.
It’s becoming more challenging for physicians to get paid for the services they perform. Medical practices face increased pressure to collect more money and cut their operating expenses. Unfortunately, most medical practices are not collecting everything they have billed. Only 70% of claims are paid the first time they are submitted; the other 30% are denied, lost, or ignored. Of those claims, 60% are never resubmitted to payers. Additionally, when services are paid, they aren’t necessarily paid in full according to their payer contracts.
Receivables are typically tracked based on 30-day increments, with different actions scheduled depending on whether a receivable is 30 days old, 60 days old, 90 days old, etc. However, each payer a billing office deals with operates on its own schedule, so two receivables that are 30 days old could require completely different actions if they’re from different payers. Therefore, the 30/60/90 model is no longer applicable.
Our A/R Follow-Up service is designed to collect more money for your practice. We start the AR follow-up process after claims are created and sent to the insurance company. Our aggressive follow-up on claims ensures that no lost or ignored claims slip through the cracks and that appropriate action is taken for all of them.

Advantages

Let us help you convert your Old AR into Cash Opportunity

1. Experienced AR calling team

2. Will save you time to focus on revenue cycle management

3. We track metrics and work analytically towards reducing denied claims

4. Higher AR collection rate at incredibly low costs

5. Monthly reporting with Statistics

Our AR team is proficient with AR follow up and work aggressively to know the status of claim and use professional tactics to increase AR collection

Few Frequent Reasons for Claim Rejection

Authorization issues
Referral issues
Medical necessity and medical records requests
Non-participation with insurance network
Terminated insurance
Coordination of benefits
Wrong diagnosis
Inclusive procedures
Partial payments
Out-of-network claim status and deductibles
EDI rejections
Letter of protection from attorney cases
No status and no claim on file
Workers’ compensation
PIP cases

We understand major reason of claim rejection so we do aggressive AR follow up and try our best to resolve issue so your practice gets paid what you deserve.

Pricing: We work on fixed pricing as well as hourly pricing

Fixed Pricing: We charge percentage of collection based on total amount collected

Hourly Pricing: We only charge $8 per hour to perform AR follow up service

We Help You Maximize Profitability and Minimize Errors

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MEDICAL BILLING SERVICES

Rely on our proven Billing Footsteps Check and expert team to ensure 99% of your claims are paid.

CREDENTIALING SERVICES

We handle the full credentialing process or collaborate with you to secure your in-network status.

PRACTICE ANALYTICS SERVICES

We provide analytic reports to help reduce costs, boost collections, and streamline operations.

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