Account Receivables
Maximizing Revenue Recovery & Enhancing Cash Flow for Healthcare Providers
In the ever-evolving healthcare industry, efficient accounts receivable (AR) management is critical for maintaining a stable revenue cycle. At RCM4U, we specialize in comprehensive AR solutions that help healthcare providers reduce outstanding balances, accelerate cash flow, and minimize claim denials. Our expert team ensures that every dollar owed is accounted for and recovered in a timely manner, enabling your practice to focus on quality patient care.
AR Analysis & Performance Auditing
Our AR experts conduct a thorough analysis of outstanding balances to identify root causes of delayed payments. We provide detailed reporting that includes:
✔ Aging Reports – Breakdown of outstanding AR by payer and patient responsibility.
✔ Denial Trend Analysis – Identifying common reasons for claim denials.
✔ Underpaid & Overdue Claims Review – Detecting underpayments and ensuring accurate reimbursements.
✔ Financial Impact Assessment – Evaluating AR’s impact on cash flow and revenue projections.
Insurance Follow-Up & Claim Resolution
We ensure aggressive yet professional follow-up with insurance payers to recover outstanding payments. Our strategies include:
✔ Timely Follow-Ups – Systematic approach for claims pending over 30, 60, or 90+ days.
✔ Payer Negotiations – Resolving underpayments and ensuring full reimbursement.
✔ Appeals & Disputes – Handling claim appeals with supporting documentation.
✔ Real-Time Status Updates – Transparent reporting on follow-up progress.
Denial Management & Appeals Processing
Denials are one of the biggest challenges in AR management. Our experts specialize in:
✔ Denial Root Cause Analysis – Identifying the top denial reasons.
✔ Automated Claim Scrubbing – Preventing denials before submission.
✔ Appeal Strategy Development – Drafting and submitting appeals within timely filing limits.
✔ Continuous Improvement – Educating providers on common coding and documentation errors.
Patient Billing & Payment Support
Patient balances make up a significant portion of AR. We provide patient-centric billing solutions to improve collections, including:
✔ Clear & Accurate Statements – Transparent billing with detailed charge breakdowns.
✔ Payment Plans & Financing Options – Helping patients manage healthcare costs.
✔ Patient Support Services – Dedicated helpline for billing inquiries and payment processing.
✔ Digital Payment Solutions – Online portals for fast and secure transactions.
Insurance Eligibility & Charge Accuracy
Ensuring clean claims start with accurate verification and charge entry. We assist with:
✔ Real-Time Insurance Verification – Confirming eligibility before services are rendered.
✔ Pre-Authorization Assistance – Securing approvals for high-cost procedures.
✔ Coding Accuracy & Compliance – Aligning with ICD-10, CPT, and payer-specific guidelines.
✔ Claim Scrubbing & Edits – Minimizing errors before claim submission.
AR Aging Recovery & Bad Debt Reduction
Old and unresolved claims are a burden to medical practices. We specialize in:
✔ Targeted Recovery Plans – Strategies to recover aged claims (30, 60, 90+ days).
✔ Legal & Ethical Collections – Compliant recovery processes to minimize write-offs.
✔ Payer & Patient Reconciliation – Ensuring correct payments from all responsible parties.
✔ Reporting & Forecasting – AR aging trends for proactive financial planning.
Our Technology & Process Automation
We leverage the latest medical billing software and AI-driven analytics to streamline AR management. Our technology-driven approach includes:
✅ Cloud-Based Billing Platforms – Secure and efficient claim tracking.
✅ Automated Follow-Ups – AI-assisted reminders for timely collections.
✅ Data-Driven Insights – Custom dashboards for real-time AR visibility.
✅ HIPAA-Compliant Security – Ensuring patient data protection and regulatory compliance.
Why Choose RCM4U for AR Management?
✔ Industry Experts – A team of certified billing and coding professionals.
✔ Customized Strategies – Tailored solutions for your practice’s unique needs.
✔ Higher Collections & Faster Reimbursements – Proven track record of reducing AR days.
✔ Seamless Integration – Compatible with major EHR & practice management systems.
✔ Dedicated Support – 24/7 access to AR specialists for assistance.