Services
A/R recovery organized by aging bucket and deadline
We review your accounts receivable (A/R) by aging bucket, investigate unpaid claims, follow up with payers as authorized and track timely filing deadlines, so each open balance has a clear next step.
| Code | What it means |
|---|---|
CARC CO-29 | The time limit for filing has expired |
CARC CO-22 | Care may be covered by another payer |
CARC = claim adjustment reason code, as printed on your remittance.
Aging A/R is rarely one big problem. It is hundreds of small ones: a claim that was never acknowledged, a request for records nobody answered, a secondary claim that was never sent. Each one needs someone to check and act before the payer’s deadline passes.
That is the work Medwiser’s A/R team focuses on. We document payer contact on the account, so your staff can see where each balance stands.
What's included
- Aging Bucket Review (0–30, 31–60, 61–90, 91–120, 120+)Open balances are sorted by age and payer, so work starts with what is closest to a deadline.
- Unpaid Claim InvestigationUnpaid claims are checked to find out where each one stands and what is holding it up.
- Authorized Payer Follow-UpClaim status follow-up with payers, carried out under the authorization your practice provides.
- Timely Filing Deadline TrackingFiling deadlines are tracked by payer, so claims close to a limit surface early.
- Remittance & Underpayment AuditsRemittances are compared with expected payment to identify possible underpayments.
Where revenue leaks
The problems we work on
Claims nobody followed up on
Claims that were never acknowledged, or were pended for information, can sit unpaid for months. We check the status of open claims and track them against filing limits.
CARC CO-29The time limit for filing has expired
Coordination of benefits holds
When a payer thinks another plan is primary, payment stops. We investigate the coverage order and flag what needs to go to the right payer.
CARC CO-22Care may be covered by another payer
Payments that don't match what was expected
Short-paid claims can go unnoticed when remits are posted in bulk. Remittance audits identify where a payment differs from what was expected.
How it works
Getting started with A/R recovery
Aging review
Standard BAA executed prior to system access. We then review your A/R aging and recent remits by payer and age bucket.
Prioritize
Accounts are ranked by age, balance and filing deadline, so claims closest to a timely filing limit come first.
Investigate and follow up
Unpaid claims are investigated and followed up with payers, with each contact logged on the account.
Review
We review open balances by payer and age bucket with you.
Benchmarks
Benchmarks to measure against
Common industry benchmarks and, where noted, our service targets. We can measure your baseline in a free review.
FAQ
A/R Recovery: common questions
Can you work only our old A/R and leave current billing with our team?
Yes. A/R recovery can run on its own while your team keeps current billing.
How far back can you go?
It depends on each payer's timely filing and appeal limits. Medicare allows 12 months from the date of service for initial claims; commercial limits are often shorter. We check accounts against their payer's limit.
How is A/R recovery priced?
Pricing depends on the size and age of your A/R. We confirm it after reviewing your aging report.
Will you contact our patients about balances?
Patient follow-up isn't part of this service. Our follow-up work is with payers, as your practice authorizes.
Related services
Often paired with
Denial Management & Appeals
Denials categorized by reason code, reviewed and traced back to their root cause.
- Categorized by CARC and RARC
- Coding and modifier review
- Root-cause trend analytics
Medical Billing
Eligibility review, daily charge entry, coding support and electronic claim submission.
- Patient demographic and eligibility review
- Daily charge entry
- Clearinghouse rejection management
A/R assessment
See where your aging A/R stands today
Tell us about your A/R and we will explain how we would review open balances by payer and age bucket.