AR R ECOVERY S ERVICES Let Us Discover what we can Recover for you!

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Presentation transcript:

AR R ECOVERY S ERVICES Let Us Discover what we can Recover for you!

AR R ECOVERY P ROCESS o Phase I –Initial Evaluation of Outstanding AR This phase involves identification and analysis of the claims listed on the A/R Aging Report. The team will review the provider's adjustment policy from which we will identify which claims need to be adjusted off. Additional claims may be identified as adjusted claims once the analysis of filing limits is conducted in Phase II o Phase II – Analysis and Prioritizing Outstanding AR Experienced medical A/R analysts initiate this phase by identifying the various issues for claims that are marked as uncollectible or for claims where the carrier has under paid and appropriate actions should be initiated to pursue the remaining balance. We identify and resolve all claims to resolution. o Phase III – Collection of Maximum Reimbursement of Outstanding AR Based on the analysis team's findings, the claims that are identified to be within the filing limit of the carrier are re-filed after verifying all the necessary parameters such as claims processing address and the other medical billing rules.

H OW C AN W E H ELP Y OU ? Since most claims are billed electronically, the typical processing of claims is days depending on the payer. Workers Comp claims can extend up to 90 days, therefore most consider AR to be greater than 90 days. TriMed Billing Solutions can work in conjunction with your current office staff. In many cases we will take the providers outstanding AR (60+ days) and work those claims that have not paid or processed. This allows your staff to focus on the billing and follow-up of current claims. As we work the claims we pinpoint areas that need addressing to eliminate future problems. Allowing us to help clean up your outstanding reimbursements allows the provider to see if his current biller or service can handle future claims effectively.

W HAT IS THE COST FOR AR R ECOVERY ? TriMed Billing Solutions offers providers AR Recovery service either on a percentage base or a monthly flat fee. There is a minimum non-refundable deposit required for services to begin. The usual percentage fee for AR-Recovery is 8-15% based upon the age of claims outstanding and the difficulty of recovery. (appeals). Providers who would like to pay a flat rate fee, we estimate the amount of claims we consider are recoverable based on the timely filing limits, the amount outstanding and the time it would take to recover those claims. The average fee is usually between $ $ per month. Our average time on provider accounts are days.

G ETTING STARTED Visit our website to complete a Practice Analysis Formwww.trimedbillingsolutions.com for more Call us or Once we obtain your information we will be able to extend a quote for services Save time by allowing us to use your software and we can begin TODAY! TriMed Billing Solutions, LLC PO Box Falls of Neuse Rd. Raleigh, NC A Personal Touch, A Professional Approach