A denial is not always the end of a claim. Depending on the reason, a claim may be corrected, resubmitted, or appealed. Missing these opportunities can leave revenue unpaid.
Aging Accounts
Older accounts require regular review. Without an organized aging process, staff may focus on newer claims while older balances continue to sit unresolved.
How Spectrum Billings Approaches AR Recovery
At Spectrum Billings, our team starts by reviewing the practice's existing accounts receivable. We look at aging, payer patterns, denial reasons, claim status, and previous follow-up activity.
Our goal is to determine where revenue is being held up and what action each account requires.
We can handle claim verification, denial management, payer follow-up, secondary claims, resubmissions, and appeals where appropriate. We also monitor accounts so that unresolved balances do not simply remain in an aging report without attention.
Our team includes 1.8K+ certified billing experts. Our billers and coders hold CMRS, RHIA, and CPB certifications across the specialties we support. Spectrum Billings reports a 95% claim accuracy rate across the specialties we serve.
Why Medical Billing Expertise Matters
Practices sometimes attempt to recover aging accounts using the same staff responsible for daily billing. This can work for smaller volumes, but problems can appear when claim volume increases.
Experienced medical billing providers understand that different specialties and payers can require different billing approaches.
For example, cardiology claims may involve high-value procedures and detailed documentation. Orthopedic billing can involve complex procedure combinations and modifier requirements. Urology billing may involve procedure coding and prior authorization concerns. Behavioral health claims can involve session-based coding and payer-specific requirements.
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