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Pulling every claim past 30, 60, and 90 days and sorting them by the specific reason they aged.
Every gastroenterology practice eventually accumulates a stack of claims that fell through the cracks — denied, underpaid, or simply never followed up on. An A/R cleanup isn't about writing that stack off. It's a structured process for finding out which of those claims are still collectible and getting them paid.
This is exactly what real Gastroenterology Billing Services are built to do once claims start aging past the point normal workflows catch.
What an A/R Cleanup Actually Involves
A full aging bucket review. Every claim past 30, 60, and 90 days gets pulled and sorted by reason — denied, unpaid with no response, or pending additional documentation. This is the starting point for any real Old AR Recovery effort, since claims that aged for different reasons need different fixes.
Root-cause identification, not blanket resubmission. A colonoscopy modifier error, an ERCP bundling issue, or a capsule endoscopy documentation gap each needs to be diagnosed against the original claim before anything gets refiled. Resubmitting without this step is why so many aging claims stay aged.
Prioritization by recoverability. Not every aged claim is equally recoverable — some still have a valid appeal window and supporting documentation, others don't. A structured cleanup ranks claims by likelihood of recovery so effort goes where it actually pays off.
Active appeal and resubmission within payer deadlines. This is where Denial Management connects directly to A/R cleanup — claims identified as recoverable need to be appealed or corrected and refiled before the specific payer's window closes, not batched into a generic follow-up queue.
Why a One-Time Cleanup Isn't Enough
Recovering an existing aging bucket solves today's problem. Preventing the next one requires ongoing RCM Services — coding accuracy checks, denial triage the week claims come in, and a defined 30-60-90 day review cadence built into standard operations, not treated as an occasional project.
What This Looks Like Combined With Broader Billing Operations
A/R cleanup works best as part of comprehensive Medical Billing Services — eligibility verification, coding, submission, payment posting, and denial follow-up — since a cleanup that isn't paired with upstream fixes will just watch a new backlog form behind the one just cleared.
Medical Billers and Coders has managed revenue cycle operations for physician groups for 26 years, processing over $2.7B in claims at a 98.4% clean claim rate — with A/R cleanup handled by coders who work gastroenterology claims specifically, not a generalist team applying the same process across every specialty.
Pricing for A/R cleanup services varies by claim volume and current aging distribution — request a revenue diagnostic to see exactly how much is recoverable in your current backlog and what a provider-level engagement would look like.
Contact Medical Billers and Coders (MBC): Phone: 888-357-3226 or email: info@medicalbillersandcoders.com
