Case Study

Helping Health Care Organizations Increase Revenue Resolving Low-Balance and No-Activity Claims

Helping Health Care Organizations Increase Revenue Resolving Low-Balance and No-Activity Claims

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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 CHALLENGES •Unpaid/no-activity claims •Large volume of low-balance claims across all payers OUTCOMES •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

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