Overview

Healthcare organizations in the US are losing millions of dollars annually in unrecognized net revenue due to rising denial rates and underpayments. This can be a frustrating and resource-intensive challenge, as finding and recouping lost revenue can be difficult, and choosing the right revenue cycle solution can be even more so.

AGS Health's team of experienced A/R specialists can help customers pursue full eligible reimbursements and mitigate future denials. Our insightful analytics help identify the root cause of these issues, enabling customers to develop effective strategies for denial prevention and payer contract optimization, which can improve their financial health for years to come.

Accounts Receivables Management Services Overview

SERVICES PROVIDED

Denial Management And Prevention Thumb

Prioritize and resolve denials quickly while gathering the insights necessary to proactively address denials before they occur.

Payment Variance And Underpayment Thumb

Identify and recover revenue from underpaid claims while uncovering insights to aid future payer contract negotiations.

BENEFITS

With the support of our A/R specialists, collecting revenue on denied or underpaid claims is no longer constrained by resource limitations or competing priorities, ensuring you can realize the full net revenue that you deserve.

AGS Health leverages proprietary workflow tools to automate tasks for peak efficiency, enabling our service team to resolve denials and collect underpaid claims faster at a lower cost.

By equipping our experienced staff with advanced analytics tools, we can help you uncover outstanding revenue trends by payer, service type, and provider location to inform preventative strategies.

TECHNOLOGY ENHANCED DELIVERY

AGS Health’s proprietary Intelligent RCM Engine drives excellence in patient financial services with cutting-edge AI, machine learning, and analytics. Our advanced automation and data-driven logic ensure optimal task distribution, streamlining workflows, and supercharging productivity. Enjoy faster revenue collection, reduced costs, and exceptional efficiency while achieving unparalleled quality and value.

CIA Intelligent RCM Engine

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Claims Management Services Thumbnail

Streamline the process of claims submission, billing edits, and reconciliation for both professional and hospital billing to reduce billing backlogs and accelerate cash.

Selfpay Management Services Thumbnail

Delivery of patient-friendly statements, collection attempts via outbound calls, and processing of patient payments for consistent and timely patient outreach.

Payment Posting Services Thumbnail

Full transaction services, including payment processing, manual and electronic posting, reporting of unusual adjustments, routing of denied claims, and reconciliation to ensure timely account resolution.

Credit Balance Resolution Thumbnail

Effectively manage liability risks and assist with financial stability by identifying the root causes of overpayments and resolving credit balances.