AR Management, Denial & Rejection Handling

Stop losing money to claim denials. Our professional denial management services and targeted receivables follow-up create a clear pathway to better cash flow and lasting financial security for your organization.

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Why Every Unpaid Claim is
a Threat to Your Practice

With 80% of medical claims containing errors and practices losing $5 million annually to denial issues, the reality is that a significant percentage of claims are rejected or denied on the first pass, costing your practice valuable time and revenue. This section will distinguish between denial management in medical billing and claim rejection, explaining why each requires a different strategy.

Claim Rejection

These claims are never processed by the payer due to formatting or data errors. We correct these errors and resubmit them quickly.

Claim Denial

These claims have been processed, but payment was denied. We proactively investigate the root cause and appeal the decision.

AR Management, Denial & Rejection Handling Process

The E-C-A-R Method is our proven blueprint for revenue cycle denial management, turning unpaid claims into recovered revenue with maximum efficiency.

Step 1: Evaluation

We perform a comprehensive audit of your outstanding accounts receivable (AR) claims, categorizing them by age, payer type, and reason for non-payment. This is the first step in our denial management process.

Step 2: Classification

Our team investigates each unresolved claim's root cause, identifying whether it's a simple claim rejection or a denial in medical billing due to a complex issue like a lack of medical necessity.

Step 3: Action

Once classified, we take targeted action. For rejected claims, we correct the errors and resubmit them promptly. For denied claims, we initiate a timely and strategic appeal, providing all necessary documentation and a compelling case.

Step 4: Reporting & Strategy

Our detailed weekly or monthly reports show recovered revenue and include a comprehensive denial trend analysis to help you prevent recurring claim denials in healthcare.

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The Benefits of Proactive AR Management

Our proactive medical claims AR management strategy delivers tangible benefits for your practice.

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100% Claims Follow-UpWe leave no claim behind. Our team performs AR follow-up in medical billing on every single unpaid claim, ensuring all revenue is accounted for.

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Improved Cash FlowBy accelerating the resolution of denied claims, we reduce your outstanding AR days and improve your cash flow through efficient receivable collections.

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Root Cause AnalysisOur detailed reports provide root cause analytics to inform strategies that reduce future denials. This is a key part of our AR recovery services.

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Expertise in Denials & AppealsOur specialized team is experts in the denials and appeals management process, resolving complex denial reasons with a wide range of payers.

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Customized ReportingWe provide customizable reports on your AR, categorized by age, payer, or reason, giving you complete transparency and insight into your financial health.