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ACCOUNTS RECEIVABLE & CASH RECOVERY

Targeted AR recovery
built to reclaim stranded cash.

Aging accounts receivable drain medical practice margins and stall hospital growth. PrimePulse AR management deploys forensic claim resolution, dedicated payer follow-up specialists, and clinical appeal teams to overturn denials and convert 60, 90, and 120+ day balances into collected revenue.

85%+ Appeal overturn rate
Contingency recovery options
Zero unauthorized write-offs
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AR Recovery Commitment

Cash Acceleration & Denial Eradication

Forensic claim auditing across 60, 90, 120, and 180+ day aged insurance balances
Dedicated clinical & technical appeal specialists reversing complex medical necessity rejections
Root-cause denial analytics preventing recurring payer billing traps at the front end
Transparent performance fee structures — zero contingency fee if no funds are collected
FLEXIBLE AR RECOVERY MODELS

Strategic AR liquidation shaped around
your cash acceleration priorities.

Whether you need a dedicated project team to collect stalled aged balances or an ongoing denial management defense, we deploy specialized resources to maximize reimbursement.

Legacy & Aged AR Liquidation

Targeted liquidation of stalled 60, 90, 120, and 180+ day aged claims, reclaiming uncollected cash without pulling internal staff away from current billing.

Contingency Cash Recovery

Denial Management & Overturn Appeals

Systematic forensic appeal workflows overturning complex clinical medical necessity denials, experimental treatment disputes, and missing authorization rejections.

Clinical Appeal Experts

Underpayment & Contract Variance Audits

Auditing posted electronic remittances against your negotiated payer contracts to identify and recover systematic short-pays and fee schedule discrepancies.

Payer Contract Recovery

Patient Balance & Self-Pay AR Workflows

Empathetic, compliant patient communication resolving statement confusion, establishing recurring payment plans, and curbing bad-debt write-offs.

Compassionate Resolution
PAYER RECOVERY DOMAINS

Multi-payer dispute mastery across
commercial, government & casualty plans.

Each payer category enforces distinct timely filing windows, administrative levels of appeal, and documentation hurdles. Our specialists navigate each system with seasoned precision.

Commercial & Managed Care Plans

Resolving tough commercial denials with dedicated payer specialist liaisons and appeal escalation.

Blue Cross Blue Shield State PlansUnitedHealthcare Commercial & OptumAetna & Coventry Health CareCigna Commercial & HealthSpringHumana Commercial NetworksOut-of-Network NSA Dispute DefensePrior Authorization Appeal OverturnsRetroactive Eligibility Re-bills

Government & Medicare Programs

Navigating strict federal and state regulatory timely filing guidelines, LCD/NCD edits, and redeterminations.

Traditional Medicare Part A & Part BMedicare Advantage (Part C) PlansState Medicaid Fee-for-ServiceMedicaid Managed Care (MCOs)Redetermination Level 1 AppealsQIC Level 2 ReconsiderationsTRICARE Military HealthcareVeterans Affairs (VA Community Care)

Complex Injury & Third-Party AR

Specialized recovery for statutory, casualty, and multi-guarantor claim disputes.

Workers' Compensation State BoardsMotor Vehicle Accidents (PIP / MVA)Third-Party Liability LiensComplex Coordination of Benefits (COB)Letters of Protection (LOP)Subrogation Claim ResolutionInterstate Workers' Comp JurisdictionCasualty Settlement Auditing
HOW WE DELIVER

Our disciplined 5-step
AR recovery & liquidation process.

We transform uncollected accounts receivable into cash through systematic inventory stratification, payer tracing, and aggressive clinical re-adjudication.

01

AR Aging Data Ingestion & Stratification

We ingest your aged AR inventory, categorizing claims by aging bucket (60/90/120+), payer mix, dollar threshold, and timely filing risk.

02

Payer Claim Tracing & Electronic Statusing

Executing electronic 276/277 status queries and direct telephone payer escalations to isolate the precise reason for adjudication stall.

03

Root-Cause Denial Classification

Classifying CARC and RARC rejection codes into actionable operational buckets (demographic, coding, medical necessity, pre-auth, or underpayment).

04

Clinical Appeal & Correction Package

Submitting targeted re-bills, corrected claims with proper modifiers, and evidence-backed clinical appeal packets directly to payer medical directors.

05

Cash Posting & Front-End Feedback

Posting recovered funds with ERA 835 reconciliation and delivering executive root-cause reports to stop recurring billing leakage at the front end.

EHR PLATFORMS & PM SYSTEMS

Direct workqueue access inside
your existing billing software.

Our collection specialists work directly within your patient accounting system, leaving detailed audit notes, call logs, and reference numbers on every account.

Epic Resolute PB / HB

Workqueue optimization, account note documentation, denial categorization, and automated appeal routing.

Oracle Health (Cerner) Revenue

Patient accounting aging queues, claim generation diagnostics, and remittance reconciliation.

AthenaHealth & NextGen

Collector dashboard management, automated rule edits, and clearinghouse bridge resolution.

eClinicalWorks & Specialty PMS

Kareo, AdvancedMD, CareCloud, WebPT, and custom proprietary healthcare billing platforms.

REQUEST AN AR AGING AUDIT

Turn aging claims into
immediate cash flow.

Provide details on your current aging AR balance, top denying payers, or backlog volume. We will conduct an initial feasibility analysis and present an actionable recovery strategy.

Complimentary AR aging portfolio audit & collectibility score
Zero-risk contingency billing options (fees only earned upon collection)
100% Zero-unauthorized-write-off guarantee
Rapid 1-week deployment with direct EHR workqueue integration
AR audit request formAn AR recovery director will respond within one business day.
FREQUENTLY ASKED QUESTIONS

AR recovery questions
answered clearly.

Find direct answers on our contingency terms, denial overturn procedures, timely filing guidelines, and reporting cadence.

What is your success rate on aged claim appeals and denial overturns?

Our dedicated denial appeal specialists maintain an 85%+ overturn rate on contested clinical and technical denials. We substantiate appeals with clinical documentation, payer LCD/NCD coverage citations, and proof of pre-service authorization.

How do your contingency recovery fees work?

For aged AR projects, we operate on a pure performance contingency basis. Our fee is a percentage of collected cash recovered from accounts 60+ or 90+ days old. If we do not collect cash for you, you owe us nothing.

Will your team write off claims without our approval?

Never. We maintain a strict zero-unauthorized-write-off policy. Every adjustment or write-off recommendation must be reviewed and explicitly authorized by your practice administrator or finance team.

How do we transmit aged AR files and claims data securely?

We operate directly inside your EHR system via secure, encrypted role-based credentials. There is no manual file emailing or exposed patient data, maintaining 100% HIPAA and HITECH compliance throughout.