Denial Management Services
Review of denied claims, correction and resubmission, and appeal-support workflows with clear records.
Service
Follow-up on aging accounts and outstanding balances, with reconciliation and reporting support.
Overview
Accounts receivable is the money a practice is owed for services already provided. As accounts age, they become harder to resolve, and they are easily crowded out by newer work. A regular follow-up routine keeps older items in view.
We help your practice review aging accounts, work through outstanding balances in a sensible order, and record the outcome of each contact. We also support reconciliation, so that payments received match what was billed and expected.
Your practice sets the policies, such as how long to follow up and when to refer an account elsewhere. We carry them out consistently and tell you when an account needs your decision.
Common challenges
Practices come to us when routine business tasks start taking more time and attention than they should.
Tasks are shared between people who are also busy with patients, so follow-up is easy to miss.
Each person does the same task a little differently, which makes errors harder to spot.
Information sits in email, paper files and separate systems, and is slow to find when it is needed.
It is hard to see what is in progress, what is waiting and what needs a decision.
What the support covers
The exact scope is agreed with you, and it depends on your practice and your systems. In general, our support covers these areas.
We look at how the work is handled today and agree how it should be handled from here.
We carry out the agreed tasks on a regular routine, following your instructions and preferences.
We keep track of work that is waiting on someone, and raise it with you when it needs attention.
We keep notes and records of the work in a consistent format that your team can review.
We keep you informed about progress and anything that needs your decision.
As your needs change, we review the arrangement with you and adjust it.
How it works
A simple, four-step approach that keeps you informed at each stage.
We learn how your practice handles Accounts Receivable Management Services today: your people, systems, payers and priorities.
We agree what we will take on, how we will work with your systems, and how we will communicate.
Our team carries out the agreed work on a regular routine and keeps records of what was done.
We review progress with you, share what we see and adjust the approach when something changes.
Benefits
Everyone knows what is being done, by whom and what comes next.
Work follows defined steps, so it looks the same from one week to the next.
Records are kept in an organised way that is easy to check and hand over.
Regular updates show you where things stand without you having to ask.
A dedicated team shares the routine workload with your own staff.
The arrangement can be reviewed and changed as your practice changes.
Who it supports
Our Accounts Receivable Management Services support is designed for the people who run healthcare organizations: physicians, medical practices, clinics and healthcare groups.
Explore the medical specialties this service applies to.
FAQ
Answers to questions we are often asked about this service.
We agree a priority order with you, usually based on age, balance and what each account is waiting for.
Yes. Your practice sets the policies and we apply them consistently, asking you when something falls outside them.
Tell us what your practice needs and we will explain how our support could work.
Please do not include patient information.