|
R
A / R
Recovery
INSURANCE
A/R RECOVERY SOLUTIONS FOR TODAY’S HEALTHCARE BUSINESSES!
“Our
Insurance A/R Recovery Service combines outstanding staff performance
with state-of-the-art technology to provide unsurpassed results for our
clients. All of our A/R Clean-up projects have eclipsed the industry
cash collection averages. To date our cash collections on projects have
ranged from 62%-83% ranged.”
We
utilize state-of-the art technology for claim adjudication & project
reporting. We have the ability to coordinate our claims editing and
status reporting technology via VPN access of your billing system. The
ability to work our program offsite keeps our team transparent to your
billing office, allowing your staff to focus on front end billing while
our team cleans up the old stuff.
“A
Proven Track Record of high % recovery = large positive cash flow
impact?”
Q.)
Why is our
company so good at recovering insurance AR?
A.)
Our claim adjudicators have extensive experience in dealing with
policies and procedures for denying payment on claims. Along with all
their experience and knowledge, you will find that our people are just
simply relentless. They roll up their sleeves, get on the phone, and get
the claim resolved. These combinations of professional and competitive
qualities make our team simply the best in the business. You want these
people on your team and your team will in turn learn from ours.
Network
of expert insurance claims adjudicators = “the best in the business”
Q.)
Where does our staff of talented claim adjudicators come from?
A.)
Over the years we have developed relationships with a network of
professionals that allows us to flex our staff to project size and need.
Our affiliations have allowed us to correlate and structure and to be
able to organize our projects the most experienced and talented claims
adjudicators in the business today.
Accurate,
and Speedy Resolution of Claims
Q.)
How does our staff work the claims?
A.)
Our staff and affiliations take each claim through our step by step
process of analysis to determine what needs to be done to get a claim
paid. Then our people take that information and do what they do best,
get on the phone and get the claim paid. Our motto is “Maximum
Recovery and Provider Payment is our No# 1 Priority”. The goal of the
recovery is to bring all the A/R balance to final resolution. Our
program is not simply a re-billing of claims, but mirrors the
adjudication process used by each payer.
The
Project is self-funding.
Q.
How
much will the project cost?
A.)
Our fee is
determined by several factors such as age of the accounts, total A/R
dollars, total claims, payer distribution and the overall size and scope
of the project. Payment of our fee is spread out over the time frame set
for the project, so that the revenue needed to pay for the A/R recovery
project will come from the revenue that is recovered by the project.
Results
of one of our recent A/R Projects
|
Beginning A/R Balance
|
$4,889,294.60
|
|
Cash Collections
|
$4,186,349.92
|
|
% of Cash collected vs. total A/R
|
86%
|
|
Adjustments
|
$270,614.31
|
|
Claims processed (status pending)
|
35,141.55
|
|
$ Converted To self pay
|
$299,531.40
|
|
$ Resolved to other unique
categories
(i.e. charity, liens/litigations,
write-offs, etc)
% of claims resolved
|
100%
|
|
