They Denied It. You Earned It. We Pursue It.
Denied claims can delay reimbursement and leave earned revenue unresolved. Alpha MedCare MSO provides denial management and appeals support to identify denial causes, correct claim issues, prepare supporting documentation, and pursue eligible reimbursement from insurance payers.
Stop Revenue Loss from Unresolved Claims
Claims marked as uncollectible are not always beyond recovery. Alpha MedCare MSO reviews aging balances, unresolved denials, and rejected claims to identify issues that may still be corrected, appealed, or followed up before filing deadlines expire.
Denial Backlog Clearance:
We audit unresolved claims, identify the reason for denial or rejection, and prioritize cases that may still be eligible for correction, resubmission, or appeal.
Aging A/R Recovery
We focus on 60, 90, and 90+ day balances to identify payer delays, documentation gaps, coding issues, and other barriers to reimbursement.
Write-Off Prevention
Before eligible balances are written off, we review available payer responses, claim history, documentation, and appeal options to determine whether further recovery action is appropriate.
The 5-Claim Challenge: Send us 5 difficult or aging claims for a no-cost review. Our team will evaluate the available billing history and identify which claims may still have a viable path to reimbursement.
Overcoming Payer Delays & Claim Processing Barriers
Payer delays, documentation requests, claim edits, and administrative requirements can slow reimbursement. Alpha MedCare MSO helps healthcare practices track unresolved claims, correct submission issues, manage appeals, and follow up with commercial and government payers.
Managing Payment Delays
We track pended and delayed claims, monitor payer responses, document follow-up activity, and address outstanding requirements before filing or appeal deadlines are missed.
Our Revenue Defense Workflow
Our denial and A/R team follows a structured process to identify claim issues, determine the appropriate action, and pursue eligible reimbursement.
Claim Issue Identified
We identify denied, rejected, pended, partially paid, or potentially underpaid claims that require additional review.
Root Cause Reviewed
Our team reviews denial codes, payer responses, coding or modifier issues, eligibility, authorization, and documentation requirements.
Correction or Appeal
When appropriate, we correct claim errors, submit supporting documentation, prepare appeals, and follow payer-specific requirements and timelines.
Reimbursement Follow-Up
We continue tracking the claim, reviewing payer responses, and following up until the account reaches an appropriate resolution.
Legacy A/R Cleanup Services
Aged receivables should be reviewed before they are written off. Alpha MedCare MSO helps healthcare practices evaluate 90+ day A/R, resolve payer-related claim issues, and pursue eligible reimbursement through structured follow-up and recovery workflows.
- Performance-Based Pricing: Flexible pricing options are available based on scope and recovery needs. Any percentage-based fee should be clearly defined in your service agreement.
- Enterprise Security: HIPAA-focused processes and secure data handling help protect patient and practice information throughout the A/R recovery process.
Performance-Based Pricing & Enterprise Security
Alpha MedCare MSO offers flexible revenue cycle pricing designed to align service costs with collections and operational needs. Our approach combines transparent fee structures with secure, compliance-focused processes for handling patient and practice data.
Performance-Based Fee
Pricing can be structured around collected revenue, with percentage-based options starting as low as 2.30% when applicable to the service agreement.
HIPAA Compliant
Secure workflows, controlled access, and data protection practices help safeguard protected health information throughout billing and revenue cycle operations.
SOC 2 Compliant
Where applicable, SOC 2-aligned controls support data security, system integrity, access management, and operational accountability.
Can old medical A/R still be recovered after 90 days?
Yes. Medical A/R that is 90 days or older may still be recoverable depending on payer rules, filing limits, denial reasons, documentation, and claim history. A structured review can identify which balances may still qualify for correction, appeal, resubmission, or follow-up.
How does Alpha MedCare MSO handle denied and aging claims?
Alpha MedCare MSO reviews denial codes, payer responses, documentation, coding issues, authorization requirements, and claim history. Our team then determines whether the claim should be corrected, appealed, resubmitted, or followed up with the payer.
What is performance-based pricing for A/R recovery?
Performance-based pricing ties service fees to collected revenue rather than a fixed monthly retainer. Alpha MedCare MSO may offer percentage-based pricing options depending on the scope of services and the terms defined in the service agreement.
How does Alpha MedCare MSO protect patient data during A/R recovery?
Alpha MedCare MSO uses HIPAA-focused workflows, controlled access, secure data handling, and compliance-oriented processes to help protect protected health information during billing, denial management, and A/R recovery activities.
Send Us a Message
Ready to Recover More of Your Earned Revenue?
Unresolved denials and aging claims can leave eligible reimbursement uncollected. Start with a free denial audit from Alpha MedCare MSO to identify recoverable claims, recurring denial issues, and opportunities to strengthen your A/R recovery process.