A/R and Denial Management

Reduce Claims Denials and Improve Cash Flow

Accounts Receivable

Many practices are reporting that their A/R inventory is growing – including the time it takes to submit claims. We address the immediate needs of your A/R and plan for long-term operational requirements. Quick follow up on your submitted claims is vital so the payment enters your A/R as soon as possible. Monthly reviews of A/R performance keep your metrics up to date, allowing us to monitor your A/R inventory and proactively adjust to maximize your cash flow. Our claims only spend an average of 38 days in A/R, so you can get paid faster.  

Denial Management

Nobody likes denied claims. Most denials are caused by coding and documentation errors. Our RevCycle team handles your claims submission start to finish. If coding errors are the source of your denials, we offer the option to perform a chart audit using PRL FitChart. From there, we deploy a remediation plan to correct these errors. We also use a powerful rules engine that flags all errors in a claim so you can avoid denials.

The PRL Difference: 

PRL uses people, processes, and technology to provide all of our RevCycle clients with first-time clean claims. We are not your typical once size fits all RevCycle service provider. Our company integrates into your team to implement a strategic A/R Denial Management plan. We offer a flexible, scalable plan that integrates with your systems to maximize your financial performance. A/R and Denial Management services are also fully supported by our  RevCycle team who can provide you with staffing solutions, training, and educational resources to make the most of your RCM. 

The PRL Difference: 

PRL uses people, processes, and technology to provide all of our RevCycle clients with first-time clean claims. We are not your typical once size fits all RevCycle service provider. Our company integrates into your team and works with your staff to develop and implement a strategic A/R Denial Management plan. We offer a flexible, scalable plan that integrates with your systems to maximize your financial performance. A/R and Denial Management services are also fully supported by our expert RevCycle team who can provide you with staffing solutions, training, and educational resources to make the most of your RCM.

Getting Results

Our Accounts Receivable team quickly follows up on insurance claims so that payment shows up in your A/R as soon as possible. PRL works diligently to minimize the number of days a claim is in A/R so you can get paid in a timely manner. On average, our claims spend 38 days on A/R, which means more revenue for your organization.

We work quickly to resolve denied claims to minimize lost revenue. Leveraging rules engine technology and skilled analysts we identify denial trends and adjust accordingly to eliminate coding errors, resulting in a 98% first-time clean claims rate.

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First-time Clean Claims Rate

Days In A/R