Accounts Receivable (A/R) & Denial Management

Maximize Collections | Minimize Revenue Leakage | Strengthen Your Financial Health

At Prime Care Billing LLC, our Accounts Receivable (A/R) & Denial Management Services are designed to ensure your practice receives every dollar it’s owed quickly, efficiently, and with minimal administrative burden. These services address two of the most critical challenges in healthcare financial management: collecting outstanding payments and resolving denied claims both of which have a direct impact on your cash flow and bottom line.

What Is A/R Management in Healthcare?

Accounts receivable (A/R) refers to the money owed to your practice by insurance payers and patients for services already provided. Effective A/R management means actively monitoring unpaid balances, identifying obstacles to payment, and aggressively pursuing collections. This ensures your cash flow remains steady, your financial operations are efficient, and your practice stays financially healthy.
Without proactive A/R follow-up, unpaid claims can become “stuck” in your system, leading to delays, increased write-offs, and a negative impact on practice stability.

What Is Denial Management?

Denial Management focuses on identifying, analyzing, and resolving claims that were rejected or denied by payers. Not all denied claims are lost revenue many can be corrected, appealed, and successfully resubmitted. In fact, many denials (especially those caused by administrative or coding errors) are preventable with the right processes in place.

Denials are a significant part of the A/R cycle, and without effective denial management, they can drastically slow cash flow and lead to higher A/R days and lost revenue.

Why A/R & Denial Management Is Critical for Your Practice

Managing A/R and denials isn’t just a back-office task it’s a revenue driver:

✔ Reduce Days in A/R – Shorten the time between service and payment by prioritizing outstanding claims and following up efficiently.
✔ Improve Cash Flow – Get reimbursements faster so you can cover expenses, invest in growth, and ensure financial stability.
✔ Minimize Lost Revenue – Resolve denials and rework claims that would otherwise remain unpaid.
✔ Streamline Financial Processes – A structured A/R and denial system brings consistency, transparency, and accountability to your billing engine.
✔ Improve Patient Satisfaction – Clear billing and faster resolutions mean fewer disputes and better experiences for your patients.

Our A/R & Denial Management Approach

At Prime Care Billing LLC, our approach blends industry best practices with personalized service:

1. Prioritized A/R Follow-Up & Tracking

We continuously monitor outstanding balances, categorize them by age and payer, and aggressively follow up to resolve payment delays. Our goal is to convert aged receivables into cash in the shortest time possible.

2. Root-Cause Analysis of Denials

Rather than simply resubmitting claims, we analyze denial trends and the reasons behind them whether they’re due to coding errors, missing information, eligibility issues, or other payer requirements and apply corrective actions.

3. Corrective Resubmission & Appeals

Denied claims are corrected and re-submitted with all required documentation. When appropriate, we prepare and file appeals to maximize your chances of reimbursement.