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 RecoveryAging 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.
Cash Acceleration & Denial Eradication
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.
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 RecoverySystematic forensic appeal workflows overturning complex clinical medical necessity denials, experimental treatment disputes, and missing authorization rejections.
Clinical Appeal ExpertsAuditing posted electronic remittances against your negotiated payer contracts to identify and recover systematic short-pays and fee schedule discrepancies.
Payer Contract RecoveryEmpathetic, compliant patient communication resolving statement confusion, establishing recurring payment plans, and curbing bad-debt write-offs.
Compassionate ResolutionEach payer category enforces distinct timely filing windows, administrative levels of appeal, and documentation hurdles. Our specialists navigate each system with seasoned precision.
Resolving tough commercial denials with dedicated payer specialist liaisons and appeal escalation.
Navigating strict federal and state regulatory timely filing guidelines, LCD/NCD edits, and redeterminations.
Specialized recovery for statutory, casualty, and multi-guarantor claim disputes.
We transform uncollected accounts receivable into cash through systematic inventory stratification, payer tracing, and aggressive clinical re-adjudication.
We ingest your aged AR inventory, categorizing claims by aging bucket (60/90/120+), payer mix, dollar threshold, and timely filing risk.
Executing electronic 276/277 status queries and direct telephone payer escalations to isolate the precise reason for adjudication stall.
Classifying CARC and RARC rejection codes into actionable operational buckets (demographic, coding, medical necessity, pre-auth, or underpayment).
Submitting targeted re-bills, corrected claims with proper modifiers, and evidence-backed clinical appeal packets directly to payer medical directors.
Posting recovered funds with ERA 835 reconciliation and delivering executive root-cause reports to stop recurring billing leakage at the front end.
Our collection specialists work directly within your patient accounting system, leaving detailed audit notes, call logs, and reference numbers on every account.
Workqueue optimization, account note documentation, denial categorization, and automated appeal routing.
Patient accounting aging queues, claim generation diagnostics, and remittance reconciliation.
Collector dashboard management, automated rule edits, and clearinghouse bridge resolution.
Kareo, AdvancedMD, CareCloud, WebPT, and custom proprietary healthcare billing platforms.
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.
Find direct answers on our contingency terms, denial overturn procedures, timely filing guidelines, and reporting cadence.
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.
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.
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.
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.