Yes — for most multi-provider OBGYN groups, claims sitting in accounts receivable past 120 days routinely contain six figures in recoverable OBGYN revenue, often tied to global maternity billing errors, IUD and Nexplanon supply codes, and timely filing gaps that never got worked before write-off. What Counts as “Legacy” AR in an OBGYN Practice Legacy […]
Neurology Revenue Integrity Services identify payer payment variances by comparing actual remittance amounts against contracted reimbursement rates at the CPT and modifier level. Unlike denial management, which focuses on rejected claims, revenue integrity looks for claims that were accepted and paid but reimbursed incorrectly. This matters because a clean claim does not necessarily mean a […]
Orthopedic AR cleanup is the process of identifying, prioritizing, and resolving claims stuck in accounts receivable past 90–120 days, usually workers’ comp liens, prior-auth gaps, or global period bundling denials, before they age into write-offs. For a multi-surgeon orthopedic group, that “stuck” bucket is rarely a handful of claims. It’s often six figures a year […]
Primary Care Denial Management is becoming a board-level metric because denial rates are outpacing staff capacity to absorb them, turning a back-office process into a direct threat to cash flow, working capital, and enterprise value for multi-provider groups. What used to sit quietly inside the billing department now shows up in monthly board packets alongside […]
Cardiology Denial Management matters for aging AR because every denied claim that isn’t addressed quickly moves closer to becoming unrecoverable, and cardiology’s high procedure values mean each unresolved denial represents a larger dollar amount than in most other specialties. Practices that treat denial management as a front-line process, not an afterthought, keep their AR younger […]
Medical Billing Services Cost typically falls between 4% and 10% of monthly collections if you’re paying on a percentage model, or $4 to $12 per claim if you’re on a flat-fee model. For a facility collecting $3 million a year, that works out to roughly $120,000 to $300,000 annually. But the number on the contract […]
When Family Practice AR, sitting in the 120-plus-day bucket, crosses 20% of total receivables, roughly one in five billed dollars now carries a collection probability under 15%. The next 90 days decide whether that revenue is recovered or written off. Why Crossing 20% Is a Structural Warning, Not a Seasonal Dip A healthy family practice keeps […]
Gastroenterology AR Recovery improves cash flow by targeting aged claims from colonoscopies, endoscopies, and biopsy-related procedures with payer-specific follow-up, correcting the coding gaps that caused the original denial, and re-prioritizing the AR ledger by dollar value instead of claim age alone. GI practices that treat AR recovery as an ongoing discipline, not a once-a-year cleanup, […]
Modifier 25 vs Modifier 57 comes down to one question: is the same-day E/M visit tied to a minor procedure (0- or 10-day global period) or a major procedure (90-day global period)? If it’s minor, you append Modifier 25. If the visit is where the surgeon first decides to operate on a major case, Modifier […]
Switching SNF billing companies without interrupting Medicare cash flow is possible when PTAN and EFT enrollment continuity, in-flight claims handling, and PDPM assessment tracking are planned before the transition date rather than scrambled together after it. Key Takeaways SNF billing transitions carry more cash flow risk than physician billing switches because Medicare Part A stays […]
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