01Aged account prioritization
Segment balances by age, amount, payer, claim status, documentation, and filing or appeal constraints.
HEALTHCARE AR RECOVERY SERVICES
AR Recovery for Aging and Denied Claims
Medbilling RCM helps practices work aging, denied, delayed, and underpaid claims. We review the accounts, identify actionable balances, follow up, and report where each account stands.
Bring us a defined backlog, including claims older than 120 days. We can support your existing billing team without requiring a full revenue cycle engagement.
- Standalone recovery support
- Denied and underpaid claims
- Account-level follow-up
THE PROBLEM
Aging claims need focused follow-up
A claim can remain open because documentation is missing, a payer needs a correction, an appeal has no owner, or a payment is lower than expected. Routine status checks may leave the reason unresolved.
We examine each account's history, identify the next useful action, and document what happens. Your practice can see which balances are moving and which need its input.
01Balances in the 90-day and 120-day buckets
02Denials without a completed correction or appeal
03Pending claims after repeated payer contacts
04Underpayments needing payment review
05Documentation holding reimbursement
06Patient balances needing clear outreach
07High volume stretching the billing team
08Limited visibility into account actions
Recovery work is scoped to the accounts you approve, the information available, and payer or appeal limits that still apply.
WHAT WE COVER
One plan for each open balance
AR recovery goes beyond checking a claim status. Each account needs a clear owner, the right next action, and a record of what the payer or patient said.
We agree on priorities and escalation rules before the work starts. Your team stays involved when documentation or a practice decision is needed.
02Insurance claim follow-up
Confirm unpaid claim status, record payer responses, and identify the information needed to move the account.
03Denial correction and appeals
Review the denial reason and coordinate a correction, resubmission, reconsideration, or appeal when available.
04Underpayment review
Compare available claim, contract, and remittance information, then investigate the payment difference.
05Patient balance communication
Explain balances clearly and coordinate respectful outreach under the practice's account policies.
06Recovery reporting
Report accounts worked, payments recovered, payer responses, unresolved items, and action needed from the practice.
THE RECOVERY PROCESS
Six steps from analysis to resolution
- Analyze the AR
Review aging, account status, payer mix, balances, and available records.
- Set the recovery plan
Segment accounts and agree on priorities, reporting, and escalation.
- Validate each account
Check the claim history, prior activity, documentation, and available next action.
- Follow up
Contact payers or patients as appropriate and record responses.
- Resolve or close
Coordinate correction, appeal, payment review, or a defensible account status.
- Report progress
Show recoveries, open issues, and recurring causes found during the work.
OLDER AND COMPLEX BALANCES
Give 120-day accounts a clear status
Older accounts may have passed through several owners and follow-up attempts. A broad promise to collect them all would ignore documentation gaps, payer deadlines, and earlier decisions.
We investigate which balances remain actionable, pursue the available path, and give your practice a documented status for those that cannot move forward.
The first question is whether the account has a viable next action. The answer guides the recovery work.
WHAT YOUR PRACTICE RECEIVES
Visibility into work and results
The scope and reporting cadence are agreed at the start. Your team should know what was worked, what was recovered, and what still needs a decision.
- Recovery scope based on approved accounts and priorities
- Segmentation by age, payer, balance, status, or need
- Documented follow-up and next actions
- Escalation path for missing information or decisions
- Reporting on activity, recoveries, and open items
- Feedback on recurring denial and documentation issues
WHY MEDBILLING RCM
Focused recovery without replacing your team
Standalone scope
Address receivables without purchasing a full RCM package or changing your current billing operation.
Account-based priorities
Build the worklist around your aging profile, payer mix, specialty, records, and internal workflow.
Clear accountability
See documented activity, open issues, and the decisions your team needs to make.
Healthcare context
Investigate payer, denial, coding, documentation, and patient-balance issues as connected account work.
Flexible engagement
Agree on the account population and workflow first, then discuss the service and fee structure that fits.
COMMON QUESTIONS
What to know before AR recovery begins
What does AR recovery mean in healthcare?
It is the investigation and pursuit of unpaid payer or patient balances. Work can include claim follow-up, denial correction, appeals, underpayment review, documentation requests, and patient communication.
Which accounts can be included?
Denied, delayed, pending, or underpaid claims and aging patient balances may be included. The final scope depends on documentation, claim status, payer rules, and practice approval.
Can you work accounts older than 120 days?
Yes. Each account is still checked for available records, filing or appeal limits, prior activity, and a viable next action.
How are denied claims handled?
We review the denial and account history, then coordinate the appropriate correction, resubmission, or appeal. Items needing a practice decision or documentation are escalated.
Do you review underpaid claims?
Yes, when the available claim, payment, and contract information supports the review. We investigate the difference and pursue the appropriate payer path.
How long does recovery take?
It varies with account volume, age, records, payer response, appeal requirements, and complexity. The initial analysis sets priorities and reporting expectations.
Can you support our specialty?
The workflow can be adapted to specialty-specific billing, coding, documentation, and payer requirements. We confirm the scope after reviewing the account mix.
Will we receive progress reports?
Yes. Reports can cover accounts worked, payments recovered, open issues, payer responses, and practice action items. Format and cadence are agreed during onboarding.
Can you work with our billing team?
Yes. We define queue ownership and escalation so focused recovery support does not duplicate the team's existing work.
What is in the free AR analysis?
We review the available aging information, account mix, and known obstacles, then discuss priority opportunities, information needs, and a suitable recovery scope.
NEXT STEP
Start with a free AR analysis
See where outstanding balances are concentrated and which accounts need attention first. We review available aging information and known obstacles, then discuss a practical recovery scope with your team.
Or call (888) 551-2526. Do not share patient information during an initial inquiry.
