Connected healthcare operations
AR Recovery & Denial Management
Accounts receivable (AR) is money billed but not yet collected. Denial management identifies why a payer refused a claim and what can be corrected or appealed. MedWork Services helps practice owners prioritize aging balances and address recurring causes rather than simply resubmitting claims.
- 400+ providers credentialed
- 5,000+ payer enrollments
- 12 years in healthcare revenue operations
01
What problem does your practice face?
AR keeps growing, but the aging report does not explain what is recoverable. A balance may need a correction, an appeal, a payer call or a decision under your policies. We classify the work so your team is not chasing every account in the same way.
02
Why does this happen?
Enrollment mismatches, coding issues, missing authorization, eligibility problems and overlooked deadlines can all produce denials. Repeated resubmission without identifying the reason may consume time while timely filing or appeal windows continue to close.
03
How does it affect revenue and operations?
Aging claims tie up working capital and obscure what the practice can reasonably expect to collect. Recurring denials create avoidable workload. Some balances may no longer be recoverable because of deadlines, documentation limits or contractual requirements.
Our approach
How does MedWork Services approach AR recovery and denial management?
We begin with your aging report, sorted by payer and claim status, to separate what is realistically recoverable from what is not.
01
Assess aging AR by payer, age, balance and claim status.
02
Classify denial reasons and identify root causes.
03
Prioritize corrections and appeals within applicable deadlines.
04
Document payer follow-up and escalation steps.
05
Feed findings back into eligibility, enrollment and billing workflows.
The scope is agreed with your practice before work begins.
What does your practice receive?
- A prioritized AR worklist and recovery constraints
- A denial root-cause summary
- Documented corrections, appeals and payer responses
- Prevention recommendations and progress reporting
What is a typical timeline?
Initial assessment follows receipt of usable aging and claim data. Resolution depends on payer response times, documentation and appeal rights. Older AR is not automatically collectible, and recovery amounts or dates cannot be guaranteed.
Start with the right questions
Not sure where the gap is?
Not sure what your AR is really worth? Start with an AR and denial review.
Clear answers
A few things you might be wondering.
Can you work older AR?
We can assess older balances and identify available actions. Timely filing limits, appeal rights and supporting records determine the options.
Do you guarantee recovery?
No. We provide a structured assessment and follow-up process, with visibility into limitations and unresolved balances.
What is the difference between a rejection and denial?
A rejection usually stops a claim before adjudication. A denial follows payer review. They require different follow-up.
How do you stop repeat denials?
We connect denial patterns to their source and recommend workflow corrections, rather than treating each claim as an isolated problem.
How is pricing structured?
Pricing depends on the services you need, the number of providers and the state of your current workflows. We give you a written scope and fee before any work begins. Contact us for a quote.
A clearer path forward
Let’s find what’s holding your revenue back.
Start with a conversation about your practice. No pressure. No promises we can’t support.