Denials Management & A/R Recovery for Faster Cash Flow
Our Denials & A/R Recovery service is designed to restore financial health to your practice by reducing denials, resolving aged receivables, and maximizing revenue recovery. We bring a disciplined, data-driven approach to uncovering the root causes of payment delays and building sustainable systems that ensure claims are paid accurately and on time.
Unaddressed denials and legacy A/R can quietly drain profitability and create operational strain. At Physician Revenue 360, we go beyond short-term fixes—we deliver a long-term strategy that combines analytics, process redesign, and expert follow-through to accelerate collections and strengthen cash flow.
Our comprehensive approach includes:
- Performing detailed root-cause analysis to identify systemic and payer-specific issues
- Streamlining appeal workflows and implementing standardized denial management protocols
- Working down legacy and aged A/R to recover trapped cash and improve liquidity
- Establishing proactive monitoring tools to track high-risk accounts and recovery progress
- Strengthening front-end processes to reduce future denials and prevent recurring errors
- Creating payer-specific action plans and escalation pathways for faster resolutions
- Providing customized dashboards and reporting to measure performance, recovery trends, and ROI
- Implementing accountability frameworks across teams to sustain long-term improvement
Our team combines deep payer expertise, transparent reporting, and hands-on recovery execution to deliver measurable impact—turning denied or delayed claims into realized revenue.
We don’t just chase denials—we eliminate the causes, recover the dollars, and help your practice maintain consistent, predictable cash flow. The result: stronger financial stability, higher reimbursement rates, and a healthier, more efficient revenue cycle.
FAQs
Q. Which denial types do you address?
A. We target coding and modifier errors, prior authorization, medical necessity, bundling, eligibility, timely filing, and documentation-related denials—plus payer-specific patterns revealed by analytics.
Q. How quickly can results be seen?
A. Leading indicators often improve within one to two billing cycles; sustained cash acceleration typically follows in 60–120 days as root-cause fixes take hold.
Q. Do you work legacy A/R backlogs?
A. Absolutely. We prioritize by age, balance, and payer; implement focused worklists and appeal pathways; and set QA checks and recovery targets for aged buckets.
Q. What KPIs do you track?
A. Some of the KPIs we normally track include denial rate, first-pass clean-claim rate, DSO, net collection rate, zero-pay rate, and aged A/R distribution—reported by payer and reason code for actionable insight.
Q. Do you train our team and update workflows?
A. Yes. We deliver payer-specific edits, appeal templates, and workflow updates, and train staff to sustain improvements and prevent recurrence.