Generating Revenue from 270+ AR for an ASC

‍The Client:

The client is a multi-facility Urology ASC with significant AR in 270+ bucket. Due to Covid-19, their collections team faced challenges addressing the AR on time.

The Challenge: Old AR, Purged and Missed Claims

• 95% of the contracted inventory was over a year old
• 45% of the AR claims were already purged by the insurance carrier
• Medical records for most of the claims requested by the insurance carrier were never sent
• Adjustments posted were incorrect, which impacted the ASC's total AR
  

Process: ASC Experienced Coding and Billing Team with Denial Experts Fixed the Issues

• We strategically appealed various denial categories based on payer policies
• We segregated claims between purged “In Network” and “Out of Network”
• We rigorously followed up on claims based on Timely Filing and Appeal Limits
  

Results: Generated $500k+ Revenue from Dead AR

• We generated revenue of $500k and cleaned AR inventory within 3 months
• We collected $150k from dead AR Inventory within 30days