The client was challenged with unpaid claims and a large volume of low-balance claims across payors. While liquidating A/R, AGS identified system workflow improvements that optimized the provider’s revenue cycle long term.
Challenge
- Unpaid/no-activity claims
- Large volume of low-balance claims across all payer
Solution
- Resolved more than 1,300 claims equaling $80,000 in charges
- Rebilled approximately 800 claims (an estimated $63,000) to the correct payer for reimbursement
- Identified remits and secured expedited payment posting for 500 claims
- First outstanding claims with $18K in charges
- Reduced outstanding small balance A/R with commercial payors by 75% in less than four months
1,300+
claims resolved
75%
claims rebilled
$4M
reduction in outstanding small balance A/R in four months
