Claims that are still workable
If a claim is still inside applicable filing or appeal windows, there may be a clear next step. We look at what happened and what needs to happen next.
Aged A/R
A/R recovery starts with understanding what is still collectible
A large aging report does not mean every balance should be treated the same way.
Some claims need a payer call. Some need a corrected claim. Some need an appeal. Some are still pending. And some may simply be too far gone to justify more work.
VeroRCM helps practices sort through the inventory and focus on what can still be recovered.
How we sort it
Start by understanding what is sitting there
Claims that need investigation
Sometimes the status is not obvious. The payer may say one thing while the record says another. Information may be missing. A denial may not have been fully worked. Those claims need someone to actually look at the history.
Claims that are no longer realistically recoverable
Not every old balance can be saved. Knowing which claims are unlikely to produce a payment is part of maintaining a clean A/R file too.
Priority
Age is only one part of the picture
Thirty, sixty, ninety, and 120-day buckets are helpful for reporting. They are not always the best way to decide which claim should get attention first.
Balance, payer, denial reason, deadlines, previous follow-up, and likely recovery all matter.
The rest of the cycle
A/R usually started somewhere else
A growing A/R balance is often the result of another problem. Maybe the same denial keeps happening. Maybe authorizations are being missed. Maybe corrected claims are not getting resubmitted. Maybe the payer actually paid and the payment was not reconciled correctly.
That is why we look at A/R as part of the larger billing operation, next to denial management and underpayment recovery.
Audit
Want us to look at your aging?
The Revenue Leak Audit can include a review of aged A/R to help identify balances that may still deserve attention. No billing-company switch is required.