Liberty RCM employs a multi-faceted approach to effectively manage and recover your accounts receivable and tackle claim denials:

• Aged AR Analysis & Prioritization:
  • Thorough review of your outstanding AR to identify trends, high-value accounts, and problematic payors.
  • Strategic prioritization of accounts for targeted follow-up to maximize recovery potential.
• Persistent Insurance Follow-Up:
  • Proactive and consistent communication with insurance companies (via phone, portals, and written correspondence) to resolve unpaid claims.
  • Systematic tracking of all follow-up activities and responses.
• Denial Root Cause Analysis:
  • In-depth investigation of each denied claim to understand the specific reason for denial (e.g., coding errors, missing information, medical necessity, non-covered service).
• Effective Appeals & Resubmissions:
  • Crafting compelling and well-documented appeals based on payor-specific guidelines and contractual agreements.
  • Timely resubmission of corrected claims or appealed claims.
• Underpayment Identification & Recovery:
  • Scrutinizing payments received against contracted rates to identify and recover underpayments.
• Preventative Strategy Development:
  • Identifying patterns in denials to implement corrective actions and process improvements within your RCM workflow to prevent future denials.
• Clear Reporting & Transparency:
  • Regular reports detailing AR aging, recovery rates, denial trends, and the status of ongoing appeals.
• Old AR Clean-up Projects:
  • Dedicated services to tackle historical, difficult-to-collect aged AR that may have been written off prematurely.