Insurance A/R Recovery

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If you feel the insurance companies should keep your money, don’t read any further…

If you are like many offices you have thousands of dollars in Insurance Accounts Receivables (A/R). This issue has become a major headache across the medical community. Most billing companies do not have the skillset, and frankly, don’t want to put the effort into collecting aged Insurance A/R because it’s very tedious and time-consuming.

We can help minimize your loss.

Widespread Issues prevent collection of your money:

  • 30-40% of claims are left uncollected and the money never gets to your bank account. Those are exactly the claims that we excel at collecting!
  • Many billers and billing companies don’t have the skill set to understand the claim denials and don’t have the time to invest to correct denials
  • mr2 on the other hand is not only willing to invest the time, but we also have the expertise!
  • Bottom line, most billing companies are complacent, or lack the knowledge to chase the 30-40% of your uncollected money and would rather just focus on the 60-70% “easy money” while we love chasing after, and capturing the more difficult money. We really want to put that money in your bank account, where it belongs!

Our “WOW Report” has the answers:

  • In 48 hours we invest extensive time and labor to prepare a no-cost, detailed sample analysis explaining why you have thousands of dollars in outstanding insurance A/R. These efforts will validate our expertise to earn your business.
  • Our “WOW Report” shows you where your billing company or staff missed the mark. We provide a specific road map to potentially recover significant amounts of lost revenue.
  • One of your most valuable but frustrating assets is your insurance accounts receivable. We help doctors/clients just like you to potentially recover thousands of dollars in lost A/R.
  • We turn aged accounts into real bottom-line assets. We put money in your bank that was not there before and was very likely never going to be.

Our Name:

MedXPrime Revenue Recovery is known as “mr2” as a means to express that we always strive to deliver our services to the highest power. We go to the greatest lengths and expend our greatest efforts, multiplying our resources to ensure our clients’ full satisfaction. These are not mere words; we have developed this as a culture within the MedXPrime family of services since the inception of our company.

Our Team:

Focuses on “one-percenters” that many billing companies rarely target. Our highly prioritized and proactive communication via regular, updated reporting keeps clients informed. We strive to maximize your income, increase your monthly cash flow and help recover thousands of dollars in lost A/R.

mr2 provides billing services for all physician specialties, as well as hospitals, laboratories, dialysis units, outpatient rehabilitation facilities, and home health care facilities. We work with large and small groups as well as individual practices.

Humbly… we bring experience that is hard to match!

  • Our Distinct Differentiators:
    • Highly Competitive Pricing – with our extensive knowledge, experience, and service, clients are amazed at the low cost for our services
    • Bulldog Tenacity – we work dollars as if they were ours
    • We prove our abilities by providing a labor-intensive “No-Cost A/R Analysis”
    • Absolute Accessibility – we are extremely responsive and proactively communicate
    • We do nothing without clients understanding and approval
    • Never arbitrarily “write off” clients” money without their approval
    • Bottom line: “Total Transparency & Total Clarity”
    • Extremely compliance-driven, our absolute highest priority
    • 100% U.S. Based Billing Team

    Our team’s experience includes:

    • All medical specialties as well as Dialysis Centers, Outpatient Rehabilitation Therapy Centers, ambulatory surgical centers, home health facilities, hospitals, and laboratories.
    • Medicare/Medicaid Revenue Cycle Management, as well as most Commercial insurances
    • Managing commercial appeals, Medicare appeals, ADRs, RAC Audits, MAC redeterminations, ALJ hearings, as well as Medicaid appeals nationwide
    • Specialty A/R collections such as Third-Party Liability, Workers Compensation and Medicare Secondary Payer claims
    • Analyzing accounts receivable to formulate effective plans of action for A/R clean-up projects

Why do most medical billing companies choose not to focus on insurance A/R?

It is extremely time-intensive and complex; very few billing companies have the knowledge and expertise available to analyze and recover the unpaid A/R. This is a major differentiator between MedXPrime Revenue Recovery and other companies.

A recent study by the American Medical Association found that medical practices spend almost $15,000 annually on phone calls, investigative work, and claims appeals associated with reworking claims, only to be unsuccessful in maintaining satisfactory collections. This is in addition to the millions of dollars left on the table every single year due to under-reimbursement.

Why are we so successful in collecting on old claims?

We understand the issues that cause denials:

  • Incomplete or incorrect coding, bundled services, pre-authorizations or referrals not obtained, demographic errors on claims, failure to prove medical necessity, missed timely filing deadlines and more.

mr2 has a solid understanding of corrective actions to take regardless of the denial reason given. Our team’s track record and experience in this area are what set us apart from the competition.

We not only collect on old claims but the information we share tremendously helps our clients in reducing denials in the future.

WOW Report: Initial sample no-cost analysis of your Accounts Receivable

The “Wow Report” is a no-cost detailed sample analysis of aged accounts receivable that causes doctors to say “WOW” continually as we review it with them on our follow-up online presentation. This analysis is delivered  within 48-72 hours after we get the green light to prepare the report. The first call to explain the “WOW Report” typically takes about 15 minutes. Then during the follow-up online review, we share information that frankly has not been shared with the doctor by their current biller. We often hear multiple “WOWS” during the review from the doctor; hence, we coined the phrase, “WOW Report”.

We’ll tell you exactly why your claims are unpaid and precisely what needs to be done to correct the claims to try to get you paid. This is a very costly investment of our time and resources that we happily provide to you to earn your confidence and trust in our capabilities.

We’ll show you things that your current billing staff or billing company haven’t shared with you. You will learn if your people are doing a good job or, more importantly, you will know if they’re not.

Easy Preparation for the “WOW Report”. . . We ask for a simple Detailed Aged Accounts Receivable report, along with the claims information either in the form of a Patient Demographic report or copies of the claim forms to give us the necessary claim information. We will also need the Physicians’ Tax ID numbers, NPIs and Medicare PTAN (if billing Medicare).

U.S. Based Pros . Many companies outsource to companies overseas where much of the work is done by inexperienced personnel. We take pride in being a 100% US based company with all personnel located in America. When you call us, you can feel comfortable knowing you are speaking with a highly skilled representative right here in the USA.