AR & Denial Management
Aggressive AR follow-up and denial recovery to convert unpaid claims into collected revenue — before timely-filing kills them.
Why it matters
The hidden cost of getting this wrong
The longer a claim sits in AR, the less likely it gets paid — collection rates fall from 73% on 60-day AR to 27% on 120+ day AR. Most billing teams work the easy denials and let the messy ones age. Our AR team works denials by root cause: if the same modifier-25 denial keeps hitting from the same payer, we fix it once at the front-end instead of appealing every time. We also recover money you've probably written off.
What's included
Everything in this service
AR aging review every Monday — every claim past 30 days gets touched
Denial categorization by root cause (eligibility, coding, documentation, payer-specific)
Written and electronic appeals with documentation packets
Payer escalations and provider reps (we know the names at Texas BCBS, Aetna, UHC, Humana)
Aged AR cleanup project — recover money from 90+ day buckets you may have given up on
Root-cause feedback loop: every denial pattern triggers a workflow fix at the front-end
Weekly denial trend report by payer and reason code
Common pitfalls
What we see go wrong elsewhere
Patterns we run into when we audit incoming practices. If any of these sound familiar, your current setup may be leaving money on the table.
AR follow-up on a 30-day cycle — payers should be touched at 21 days, not 30
Re-billing denied claims without fixing the underlying error (just gets re-denied)
Writing off claims past 90 days as 'too old' — many can still be appealed within timely-filing windows
Treating every denial as an isolated incident instead of a pattern to fix upstream
Not tracking appeals — sending them out without a calendar reminder for the 30-day response window
Performance benchmarks
What we hold ourselves to
Industry medians shown where applicable. We track these every week and report them to you, in writing.
32 avg
Days in AR (industry target: <40)
<10%
% AR over 90 days (industry target: <15%)
70%+
Denial appeal win rate
98%+
Net collection rate
Frequently asked
What practices ask before they switch
We have a huge AR backlog — can you actually clean it up?+
Yes. Aged AR cleanup is one of the first things we do during onboarding. The first 60 days, our team works your 60–120+ day buckets while we onboard fresh claims in parallel. Practices typically recover 5-figure to low-6-figure amounts during this phase.
How do you handle denials that aren't worth appealing?+
Every denial gets categorized — appeal, fix-and-resubmit, or write-off-with-root-cause-fix. The third category is where most billers stop. We don't — we trace why the denial happened (eligibility, coding, missing auth) and fix the workflow so it stops happening.
Do you handle workers' comp and personal injury AR?+
Yes — Texas workers' comp DWC-69 and DWC-73 forms, attorney communication for PI, and lien tracking. These take longer to collect than standard payers but the per-claim revenue is usually high enough to justify the work.
Want to know what ar & denial management is costing you?
Get a free Revenue Leakage Analysis — a one-page report with three specific revenue leaks at your practice and what they're costing per year. Delivered in 3 business days. No sales pitch.