Accounts Receivable Services

Many providers in medical revenue cycle management face increasing monthly expenses without corresponding growth in cash flow. Without active and regular follow-up on accounts receivable, providers often accumulate a significant volume of outstanding claims exceeding 180 days.

The process of researching, correcting, appealing, and refiling unpaid claims tends to take longer than expected. Achieving the goal of reducing or eliminating outstanding accounts receivable and swiftly collecting payments becomes challenging with limited personnel dedicated to these tasks.

Understanding Claim Denials at AchieversMD, we handle Denial Management, AR Analysis, Appeals, Claims Resubmissions, Insurance and Patient Collections.

How AchieversMD Works:

• We organize reports based on claim age (>30, >60, >90, 100+ days).
• Contact insurance providers for claim updates.
• Identify denial reasons and plan the best course of action.
• Submit detailed appeals for denied claims.
• Resubmit claims if they’re missing or weren’t forwarded by the primary payer.
• Communicate with patients for pending information.
• Coordinate with referring doctors for authorization issues.
• Seek coding clarification from providers if needed.
• Collaborate with provider account executives to resolve recurring issues.
• Follow up every two weeks after taking action.
• We track and analyze all actions for continual improvement.