Accounts Receivable

At TRH Business, we employ experienced, well-trained individuals in the medical billing process as our A/R collectors. Most of these employees have years of experience in medical billing Collections and Follow up. The A/R Follow up team handles the day-to-day accounts receivables functions to accelerate financial performance of your practice and let you do what you do best, treat patients.

Reviewing and analysis of denied claims as well as partial payments
Reviewing and analysis of the claims listed on the A/R Aging Report of HER/PMS system and claims that are marked as uncollectible. For such claims which are uncollectable, Patient bills are generated as per the client guidelines or adjusted.
Analysis of claims which are not paid according to its payer’s contracted rate
Identifying Filing / Appeal limits of the major carriers
For such claims that are identified to be within the filing limit of the carrier are re-filed after verifying all the necessary billing information is correct.
dentifying the claims that appear to be underpaid by the insurance carrier are appealed with the necessary supporting documents, etc.

No Status Claims (Claims in which absolutely no status is known for the claim) & Last Status Claims (Claims which remain unpaid for various reasons) are processed and assigned to follow up Buckets as per EMR/EHR or as per the Practice / Provider Office protocols.

Claim Correction & Resubmission:

Corrected Claims are modified, and resubmitted to Insurance companies for reimbursement as per the denial specifics. For such claims every effort is made by the A/R Team to resolve the denial to avoid sending statement to the Patient.

Claim’s Adjustments / Patient’s Responsibility:

The reasons for sending the patient a statement usually include In-Network Deductibles / Co-insurance and Non-Covered Benefits as per the insurance plan. For such claims which cannot be further worked whether the statement is sent to the patient for Collection or Adjusted as per the Practice / Provider Protocols.