Accounts Receivable Management& AR Follow-Up Services
Stop Letting Earned Revenue Age Into a Write-Off
The MGMA benchmark for Days in AR is under 40 days, yet an MGMA Stat poll of 519 medical groups found 42% of practices wait 91–120 days before even sending a patient balance to collections. As a specialist in healthcare accounts receivable management, Svizzera works your full AR aging report every week, by bucket, by payer, and by root cause to recover delayed cash and accelerate reimbursement.
Full AR aging worked weekly · 0–90+ buckets
EDI 276/277 + portal + phone follow-up
Works inside your existing EHR / PM system
HIPAA-focused · BAA provided at onboarding
Every Aging Claim We Work
for Your Practice
A complete healthcare accounts receivable management workflow — aging buckets worked weekly, denials traced to root cause, and underpayments recovered, all documented in your EHR.
AR Aging & Bucket Management
Your full AR report segmented into 0–30, 31–60, 61–90, and 90+ day buckets and worked on a structured weekly cadence, prioritizing claims with the highest probability of recovery before they age further.
Insurance Claim Status Follow-Up
Every pending claim tracked through EDI 276/277 claim status transactions, payer web portals, and direct phone follow-up confirming where a claim sits in adjudication and what action is needed next.
Denial-Linked AR Recovery
When a claim is denied, the root cause is identified, the claim is corrected, and a resubmission or appeal is filed closing the loop between denial management and AR recovery instead of letting denials sit unworked.
Underpayment & Payer Variance Recovery
Payments are compared against each payer’s contracted fee schedule to flag underpayments. Discrepancies generate a follow-up worklist so contractually owed revenue isn’t quietly written off.
Patient AR & Self-Pay Follow-Up
Patient balances co-pays, deductibles, and coinsurance remaining after insurance adjudication are followed up through statements, calls, and payment plan coordination before accounts age past recovery.
Aged AR Backlog Cleanup
For practices with a legacy AR backlog, we run a dedicated cleanup project auditing every claim over 90 days, distinguishing collectible from non-collectible balances, and working the recoverable portion to closure.
Your AR Workflow
From Aging Report to Collected Revenue
Systematic weekly follow-up ensuring no aging claim is left unresolved or written off prematurely.
AR Aging Report Pull & Segmentation
Full AR report pulled from your EHR or practice management system and segmented into 0–30, 31–60, 61–90, and 90+ day buckets by payer and claim type.
Claim Status Verification
Every aging claim checked via EDI 276/277 claim status transactions, payer web portals, and direct phone follow-up — confirming status in adjudication.
Denial Root Cause Tracing & Resubmission
Denied claims are traced to a specific root cause, corrected, and resubmitted or appealed within payer timely-filing windows.
Payer Variance & Underpayment Recovery
Payments are checked against each payer’s contracted fee schedule. Underpayments generate a dedicated recovery worklist rather than default write-offs.
Monthly AR Trend Reporting & Aging Reduction Plan
Monthly reporting shows Days in AR trend, AR distribution by aging bucket, top denial-driving payers, and a prioritized plan to reach MGMA benchmarks.
more revenue collected per claim by practices that conduct quarterly payer variance reviews compared with those that don't.
Source: HFMA 2024 Revenue Cycle Survey. Specific outcomes vary by practice type, payer mix, and current AR condition.
Six Reasons Our AR Service
Reduces Days in AR
Not a once-a-month aging report review. A systematic weekly AR follow-up workflow that treats every aging claim as recoverable revenue until proven otherwise.
Weekly Aging Bucket Discipline
Every claim in your 0–30, 31–60, 61–90, and 90+ day buckets is reviewed weekly, not monthly — catching claims before they cross into the 90+ day bucket where recovery odds drop sharply.
EDI 276/277 & Payer Portal Coverage
We use electronic EDI 276/277 claim status transactions and direct payer web portal access alongside phone follow-up — multiple verification channels instead of relying on a single method per claim.
40+ Payer Protocols Supported
All major commercial payers, Medicare Advantage plans, Medicaid MCOs, and 40+ regional carriers — each with their own claim status workflows, appeal timelines, and follow-up documentation requirements.
HIPAA-Focused · BAA First
A Business Associate Agreement is signed before any PHI is accessed. All team members are HIPAA-trained. Encrypted communications, role-based access, and audit trail maintenance are standard across all AR follow-up work.
Named Dedicated AR Team
The same AR specialists work your practice’s aging report every week learning your payer mix, your highest-friction payers, and your EHR’s claim documentation conventions for consistent, practice-specific recovery.
Monthly AR Trend & Root-Cause Reporting
Monthly reports show Days in AR trend, AR aging distribution, top denial-driving payers, and underpayment recovery totals so leadership sees AR performance moving toward MGMA benchmark levels, not just a balance number.
MAJOR PAYERS WE SUBMIT TO
Frequently Asked Questions
Answers to the most common questions healthcare organizations ask before partnering with Svizzera.