Challenge
A post-acute health system of long-term, acute-care hospitals with 4,000+ beds nationwide had a high inventory of unreimbursed aged AR. Internal budgetary challenges, staffing-resource issues, inefficient workflows and difficulties working clinical appeals prevented the health system from managing their aged AR effectively.
Solution
Our expert team of attorneys, clinicians and coding experts were engaged to assess the situation. We identified and implemented a comprehensive aged AR strategy to decrease outstanding accounts. We supported the health system with dedicated clinical and legal staffing resources to resolve accounts and support clinical appeals.
Results
R1 AR Recovery allowed the health system to reduce aged AR by 57% within one year of implementation and exceed cash-projection goals. This provided the health system with an opportunity to lower its monthly reserves. Process improvements identified opportunities to decrease future denials and established a sustainable optimization solution to manage its AR inventory.
78%
of collectable net dollars recovered
57%
reduction in AR aged 270+ in one year
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