Revenue Cycle Management Support & A/R Recovery
Revenue sitting in A/R? We help find out why.
Revenue cycle management (RCM) support for healthcare organizations: we investigate what's preventing payment, work the underlying issue toward resolution, and help recover revenue you've already earned, alongside your existing billing team.
No patient information is needed for the initial consultation.
Example A/R report: unpaid claims by age
A/R (accounts receivable) is the money insurance and patients still owe you for care you've already provided. This chart shows how many days that money has been waiting.
Tap a column to see what happens at each stage
$112K in unpaid claims (A/R), and $31K (28%) has been waiting more than 90 days.
Example:
What we do:
Illustrative numbers and example. No real patient or practice data.
Common A/R problems we resolve
Click a topic to see what it means and how we handle it.
What we do:
An unpaid claim isn't always a billing problem.
Revenue can get stuck anywhere in the process. We look beyond claim status to find out why.
- Eligibility & registrationWas coverage active and was patient information correct?
- AuthorizationWas authorization required and properly obtained?
- Provider enrollmentWas the provider properly enrolled with the payer?
- Claim submissionDid the claim reach the payer and pass clearinghouse edits?
- Rejections & denialsWhat payer rule, CARC/RARC code, or documentation issue prevented payment?
- ERA & paymentWas the claim paid but the ERA or payment not received or reconciled?
- UnderpaymentsWas the claim paid differently than expected?
- A/R follow-upWas it worked before filing or appeal deadlines?
Start small. Prove the opportunity.
You don't have to outsource your entire revenue cycle.
- Start with a conversationA free 15-minute call. No patient information required.
- Identify the opportunityWhere revenue appears to be getting stuck.
- Focused pilotA defined group of about 25–50 aged claims.
- Review what we findWhat was investigated, root causes, actions, and outcomes.
- Decide what's nextExpand only if it makes sense.
How A/R recovery works
Every claim is investigated before it's worked, not just status-checked.
- FindPull the aging report and identify recoverable claims.
- InvestigateFind the root cause: enrollment, authorization, coding, or payer error.
- RecoverCorrect, resubmit, reconsider, or appeal.
- TrackDocument every action with weekly status updates.
- PreventFix the upstream issue so it stops happening.
Experience behind the work
Results from our founder's revenue cycle and implementation career. Past results don't guarantee future recovery.
Who our founder has worked with
Experience across many types of healthcare organizations. Client references are available on request.
- Surgical practicesDallas-area surgical practices: authorizations, claim accuracy, and denial follow-up.
- AnesthesiaAnesthesia billing and the payer rules that come with it.
- Clinical laboratoriesHigh-volume claims, payer requirements, and rejection cleanup.
- Behavioral health & therapyPsychiatry and therapy practices on Credible, InSync, and CareLogic: session-based claims, enrollment, and clearinghouse connectivity.
- Physical therapyVisit limits, authorizations, and claim follow-up.
- Urgent careHigh patient volume, eligibility at check-in, and fast claim turnaround.
- HospitalsInstitutional claims and large EHR environments such as Epic and Cerner.
- Ambulance & transportTransport billing and the documentation payers expect.
We understand the technology behind the claim.
EHR / practice management
Epic · Cerner · eClinicalWorks · Tebra · Credible · InSync · CareLogic · PointClickCare · WellSky · KanTime
Clearinghouse & payer
Availity · Change Healthcare · Office Ally · Waystar
Transactions
837 · 835 · 270/271 · 276/277 · HL7 · SFTP
Protecting your information is part of the process.
Before we receive protected health information, we sign a Business Associate Agreement and set access requirements with you.
- Individual user access whenever available
- Multi-factor authentication
- Encrypted business devices
- Minimum-necessary access to patient information
- Your payments stay under your control
- No patient information for the first consultation