Medical Accounts Receivables & Denial Management

Medical Accounts Receivables & Denial Management

Turn Aged Claims Into Collected Revenue with Strategic AR & Denial Management

  • Focused follow-up on 30/60/90+ Aging claims
  • Identify and resolve root causes of denials
  • Boost cash flow through faster recoveries
  • Reduce write-offs with expert payer communication

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What We Do:

Work secondary claims and patient balances systematically

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Follow up on unpaid and underpaid insurance claims

Analyze EOBs and denial codes for rework

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Refile corrected claims with appropriate documentation

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Maintain detailed AR aging reports by payer and bucket

Streamlined AR Follow-Up and Proactive Denial Resolution to Maximize Collections

We monitor and follow up on all outstanding claims based on 30/60/90+ day aging, prioritizing high-value recoveries.

Every denial is reviewed and categorized (CO, PR, OA, etc.) for accurate rework strategies and better denial trends tracking.

We promptly correct and resubmit denied or rejected claims with proper modifiers, notes, or supporting documents (Doctor’s Note, Patient history, Lab records, etc.)

When needed, we draft and file appeals following specific payer guidelines to challenge wrongful denials.

We manage follow-ups for secondary claims, reducing aging balances across the board.

Detailed AR reports help you track receivables by payer, DOS, or service type, offering transparency and strategy alignment.

Stop Revenue Leakage with Smart AR and Denials Recovery

Managing accounts receivable is more than just follow-up—it’s about recovery. At Horizon Healthcare Solutions, we actively pursue every unpaid claim and unresolved denial with a focused, data-driven approach.

Our team uses aging buckets, denial categories, and payer-specific insights to reduce AR days and secure payments that might otherwise be lost. By acting early on denials, we prevent further delays and improve your claim success rate.

Working within your practice management system, we provide consistent updates and clarity into your AR performance. We’re HIPAA-compliant and experienced with major payers, so you can rely on us to protect both your revenue and reputation.

Common Challenges in Medical AR & Denials

01

Lack of Timely Follow-Up

When follow-up is delayed, claims age unnecessarily, reducing the chance of reimbursement due to timely filing limits.

02

Incomplete Denial Information

Practices often overlook or misinterpret denial codes and remarks, leading to repeated rejections.

03

Poor Documentation for Appeals

Appeals are frequently rejected due to missing or inadequate documentation, delaying resolution further.

04

Overlooked Secondary Insurance

Secondary claims are often neglected, leaving a significant portion of receivables unpaid.

05

Ineffective AR Reporting

Without proper tracking by payer and age, it’s difficult to prioritize efforts and resolve high-impact claims.

06

Manual Errors in Refiling Claims

Incorrect CPTs, modifiers, or patient demographics during rework can lead to further denials and wasted time.

Reclaim Revenue with Proactive AR & Denial Management

Reclaim Revenue with Proactive AR & Denial Management

At Horizon Healthcare Solutions, we don’t just track outstanding claims—we resolve them. Our specialists identify delays, denials, and bottlenecks that slow down your reimbursements, and act fast to bring money back to your practice.

Our workflows are designed to ensure no claim is left behind, with structured follow-ups and clear denial handling protocols. We refile clean, corrected claims that stand a much higher chance of being paid.

With our strategic AR oversight, you’ll see reduced aging, faster payments, and fewer write-offs. Partner with us and keep your collections strong, your denials low, and your practice financially sound.

How We Add Value to Your Practice

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Up to 50% Cost Savings
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Clean Claim Submission Rate
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Reduction in Accounts Receivable
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Boost in Cash Flow
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Reduction in Denial Rates

Redefining Industry Excellence

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HIPAA Compliant

Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.

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Proven Results and Cost Efficiency

Our expert billing solutions deliver up to 50% cost savings with higher claim acceptance rates, driving reliable revenue growth for dental practices.
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Customized, Client-Centric Approach

Tailored to the unique needs of each practice, we enhance efficiency, streamline processes, and boost patient satisfaction through targeted billing and RCM solutions.
Committed to Your Success

Committed to Your Success

Our greatest satisfaction is helping a client increase their revenue, decrease expenses and bring their AR under control, and we celebrate these successes daily.

Comprehensive Claims Reviews

Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.

Ease and Simplicity

Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.

Reliable Support, When You Need It

Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.

Get started with Horizon Healthcare Solutions today

Elevate your revenue cycle management to new heights.

Connect with us today and see how our expertise can drive growth and efficiency for your practice!

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