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Thread Topic: Need help with A/R--suggestions?
Topic Originator: Laura
Post Date January 23, 2008 @ 12:00 AM
Need help with A/R--suggestions?

January 23, 2008 @ 12:00 AM Reply  |  Email Friend   |  |Print  |  Top

I am the business manager for my husband's medical practice in Orlando. It has recently come to my attention that our accounts receivable are out of control. It is close to $500K (for a solo practitioner), most of which are unworked denied or unpaid insurance claims. When I spoke to our billing manager, she admitted that she hadn't been working the aging very diligently (too busy she says!!). Anyway, at this point I think I'd like to outsource this and hire someone to permanently handle working our aging, trying to recoup some of this money in our accounts receivable, and following up on denied claims. Any suggestions for me? Thank you!

January 23, 2008 @ 7:50 AM Reply  |  Email Friend   |  |Print  |  Top


I'd be happy to help you.  My company specializes in A/R Cleanup and Recovery.  We can also set up processes which will prevent this situation from ever happening again.
Please email me at with your contact information and I'll get in touch right away.


January 23, 2008 @ 11:40 AM Reply  |  Email Friend   |  |Print  |  Top

Hello.   I am practice manager for a solo practitioner (cardiology) and feel your pain.  I think we can help.   Please contact me via email,


January 24, 2008 @ 7:58 PM Reply  |  Email Friend   |  |Print  |  Top

In order to avoid spam in my business email inbox I'm directing you to my "throwaway" email account -

If you will send me your contact information to that email address I will get back with you regarding my company and what I can do for you.  I have 16 years of A/R experience.   This is what I do best and what I like the most.

I look forward to hearing from you.

Merrilee Severino, CPC
February 6, 2008 @ 1:41 PM Reply  |  Email Friend   |  |Print  |  Top

My specialty .... I'd love to help.  Please feel free to contact me even if you just some tips and pointers.

Michael Chronos, MHA
February 27, 2008 @ 12:04 AM Reply  |  Email Friend   |  |Print  |  Top

Pinnacle Medical Billing Can Help. I have 20+ years of healthcare experience and a Masters in Hospital Administration. We are reasonably priced and can customize the services we offer to your needs. Please contact me at I look forward to helping you. Best of Luck!!



February 28, 2008 @ 11:51 AM Reply  |  Email Friend   |  |Print  |  Top

    It is unfortunate to see follow up go to the wayside.  We see this more and more. Due to lack of knowledge or time of the billers in your practice.  I would be more than happy to discuus ways to improve your A/R.

Amanda Adams

April 5, 2008 @ 6:58 AM Reply  |  Email Friend   |  |Print  |  Top

I too am in the Orlando area but I am not looking for work at the moment.  

You might wish to contact the local universities such as Everest, which has medical biling training programs with garduates looking for externships.  An externship is free to you.  

Using these people, I woudl run an insurance aging report  and work all insurances that owe you the most money over 90 days old.  

I go after the contracted carriers first,

I work Medicaid first, then Medicare, sending these electronically, then workers comp next.  I reprint all claims and resend them by delivery confirmation and give them 45 days per FS 440-13 to respond.  

I work contracted claims next and resend them to the CEO with a copy of the payment page of the contract.

With non-contracted carriers, I resend them and let them know if we do not receive payment in 30 days, we deem the non-payment to mean there are no benefits, so we inform the carrier, this allows us to bill the member bypassing FS 641.3154.

YOu might want to relook at your billing company to find out why they are so busy that they cannot work your AR.  If this is so, your problems will continue to grow.  Also, are they working your denials by appealing them?  If not, youhave more problems.  I recommend a full audit of the billing company to see what they aren't doing and how much they are costing you.  I recommend Sean Weiss to do this.  He is on the editorial board for BC Advantge.

April 9, 2008 @ 10:47 AM Reply  |  Email Friend   |  |Print  |  Top

If you need help to improve your A/R, I might suggest you ways to do it; however, I can't reassure you without assessing your A/R if we would be able to take up your work.

April 9, 2008 @ 10:48 AM Reply  |  Email Friend   |  |Print  |  Top

Oops... you may contact me at

April 9, 2008 @ 1:05 PM Reply  |  Email Friend   |  |Print  |  Top

Have you found assitance yet?

If not, please provide me your contact details and we would be haapy to assist you.

Thank you

June 10, 2008 @ 12:24 PM Reply  |  Email Friend   |  |Print  |  Top

hi my name is carrie and i see you are a cpc and i,am going to be taking the test soon but don't think i'am ready, i'am in the pediatric field and some areas i need help in, any thoughts to how i might handle this problem. My boss say it's a must that i take it i do the medical billing in the office. please e-mail me at thanks.

April 21, 2010 @ 7:16 AM Reply  |  Email Friend   |  |Print  |  Top

Dear Laura,

     I will be able to help you on A/R Collections as well as on your regular billing, if you would wish to have my company do it for you. The name of my company is SVL Infotech and our home page can be visited at We are based in India and have been in the outsourced Medical billing industry for over 6 years serving several Physicians, Group practices, Hospitals and Billing companies. Our team possesses hands on experience with a wide variety of Medical Specialties and billing software applications. We provide End-to-End services of which Insurance / Patient AR Collections is one of our strongest scopes. I am not very sure if you would need any help at this time as this post was dated in 2008. But still I just wanted to make an attempt. You may feel free to ask me to call you at your convenient time so that we discuss further on this. Looking forward to hear from you. Thank you.

April 29, 2010 @ 9:43 AM Reply  |  Email Friend   |  |Print  |  Top

Hello Laura,

I am currently employed by a medical billing company based in India. Four of my friends and I are willing to set up our own billing company in the near future, to begin with we would like to start a home based  A/R follow up and gradually become an end to end service provider. As far as our experience is concerned we have been in this industry exposed to various specialties from radiology to anesthesia for about 7 Yrs now and our primary goal is get all the claims paid by the insurance in a stipulated time.

I am sure you would feel there is a greater risk involved in giving your financial cycle to someone like us, however I can assure you that, we know the subject matter at its best and experimenting with us is worth it.

Thanks & Regards,
Chandru J

May 10, 2010 @ 10:41 AM Reply  |  Email Friend   |  |Print  |  Top

       The best way to clean your A/R back-locks is to keep in touch with these people, check out this website below,

Shaun McCarthy

June 11, 2010 @ 10:08 PM Reply  |  Email Friend   |  |Print  |  Top

Hello Laura:
What was the solution you found? I too have over 500k in A/R and need someone with tremendous expereince in family Practice to help me collect them in short time. I'm fed up with billers wor agencies with hardly no expereince in Family Practice and once they get the account they sit on it and don't scan though the EOBs for underpayement or denials or bundeling. I'm in Dallas, Texas.

Mary Pat Whaley
June 12, 2010 @ 7:29 PM Reply  |  Email Friend   |  |Print  |  Top

Not only do you need competent billing management for your claims, you also need a strong front-end collections program to make sure you are collecting the patient-responsibility balances (deductibles, co-pays, co-insurance, non-covered services, etc.) at the time the patient is in the office.  I manage several family practice clinics, and I also wrote a workbook for managers to use to put a front-end collection program in place.  Feel free to email me if I can help you.  My website where you will find my book is

Best wishes,

Mary Pat

vinod rana
June 23, 2010 @ 5:47 PM Reply  |  Email Friend   |  |Print  |  Top

hi i have 6+ years in us healthcare domain.

i think if you follow these steps you can decrease your aging.

first of all work on 120+ aging reports make clear if you have crossed the timely filing limit to file the claim or make a corrected pls adjust the charges as insurance is not going to pay for those one.

2. you have to figure out  claims for which we are under timely filing limit so those can we saved by taking proper action.

3. first of all start with the insurances who has low timely filing limit bascially medicaid hmo's also they do not entertain timely filing appeals.

4. use of proper modifier can do miracle please hire a good medical biller who can play with modifier. if you need any help regarding mdofier feel free to contact me on my e-mail id.

5. work on claims with huge amount.

6. always verify patient benefit and eligibilty befor seeing the patient because if the patient doesn't have benefit and coverage you are the one to loose the money.

7. whenver insurance is requiring the medical records please fax them as soon as possible.

8. enroll yourself with eft payments with insurances so they can swiftly deposit the money in your accounts.

9. also make a list with insurance with which you are non par so in future you can be par provider.

10. use online logins so you guys can check claim status easliy and quickly for e.g navinet.

11. please update yourself with current updates in medical billing for e.g aapc forum.

well i hope these will help you something.

if you need help i will be there.

Thanks & warm regards
Vinod rana.

September 24, 2010 @ 5:55 AM Reply  |  Email Friend   |  |Print  |  Top

Start with the oldest A/R first then contact the insurance company and let them know you will be sending a large amount of claims and get the direct address and a managers name so you can send it certified along with a letter.

All the claims that were denied as timely filing, send an appeals letter with proof of timely filing.

Claims that were denied should be outsourced or hire an individual to follow up on these claims and set up a tickler.

Hopefully you have this taken care of and you hired someone new.  Good luck.

Dithin Raj
June 12, 2013 @ 5:25 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Bill,

Flatworld solutions have been effectively managing Medical Revenue Cycle for many clients across the globe. Our team comprises of experts in the domains of Accounts Receivables, Medical Billing, Medical Coding, Medical Transcription services etc

Now we are looking to partner with Medical Billing companies in US, to execute the Billing process from offshore cost efficiently and provide 100% HIPAA complaint and quality services.

If interested please write to us with your convenient time for a quick call to discuss and understand each others capability and identify how each other solutions can fit in.

Dithin Raj

May 13, 2010 @ 10:58 AM Reply  |  Email Friend   |  |Print  |  Top

Get rid of the billing manager. Anyone who has allowed your practice to get to that type of arrearage does not have your practice interests at heart. Billing and Collection is the lifeblood of the practice and clearly this person is not a good steward. There are too many good billers& coders (or practice managers, for that matter) out there to put up with subpar performance.  I cant tell you how many practices I've seen (and cleaned up) where the staff had no interest in the bottom line and the physician is the one paying dearly for that neglect. Sorry if this seems like a drastic course of action but you wont be in business long with that kind of AR outstanding.

Winona Hall
May 13, 2010 @ 1:33 PM Reply  |  Email Friend   |  |Print  |  Top


With over 40 years in healthcare spanning all aspects end-to-end, we especially aggressively attack aging A/R.  Time is of the essence and our team would be your practice partners, not just billers.  

Please contact us at 866.895.5250 at your earliest convenience. Ask for Winona, owner and Certified Medical Billing Specialist!

June 14, 2010 @ 4:40 AM Reply  |  Email Friend   |  |Print  |  Top

Hello Laura and Susan,

Don't know if you and Susan had found solutions to your AR, Billing and Coding problems in the specialty you are dealing.

We have been doing Billing and Collections for some of the leading oncologists, GI, Podiatry, Family Practice for the past 6 years. Following are the reasons why we have been able to do a great job for our clients:

1.      Focus on multispecialties: We know inside-out of most of the specialty. From the intricacies of Chemotherapy billing to the subtleties of Radiation Oncology etc., we are proud to say, we strive to know it all.

2.      Focus on quality: Our process starts not when we get the claim, but WAY BEFORE, even before the patient has set foot in the office. We verify benefits, authorize treatments and then submit error free billing with efficient claim follow up.

3.      Focus on Cost: We do not nickel and dime like most other billing companies. We pride ourselves on going that extra mile. We guarantee our costs are the lowest in the business;

4.      Focus on process and personnel: We strongly believe that College educated and process oriented team members make all the difference. It shows in our work.

I would love to talk to you more as to how we can make a difference in your practice. Kindly suggest a time that will work for you and we can talk on the phone further. Pls feel free to call me @ 866 873-9168 Ext.248.

Vice President

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