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Account Receivable

Account Receivables & Denial Management

At PROQ RCM, we specialize in Account Receivables (A/R) management to ensure timely payment collection and improve cash flow for healthcare providers. Our team tracks unpaid claims, follows up with insurance companies, and works to resolve payment issues efficiently.

Additionally, our Denial Management services focus on identifying, analyzing, and addressing claim denials. We proactively manage re-submissions, appeal denied claims, and implement corrective actions to prevent future denials. This comprehensive approach minimizes revenue loss, reduces outstanding balances, and ensures that healthcare providers receive the payments they are owed.

Key Focus:
  • Redetermination/Reconsideration/Appeal process
  • Following global AR processing & payerwise guidelines
  • Key Reports & proper utilization of AR Metrics in the RCM Process
  • Types of training sessions to the providers & front office staff