Recovered $ 412k in stalled AR within 90 days.
A 22-provider behavioral health group had $412k in aged AR they'd nearly given up on — mostly telehealth and parity denials. We recovered it in 90 days and stopped the leak at the source.
$ 412k
Stalled AR recovered
$ 412k
AR recovered in 90 days
68%
Of aged AR collected
11.3% → 4.2%
Denial rate
90 days
To full recovery
The challenge
Constantly-changing telehealth modifier rules and behavioral-parity denials had created a $412k pile of aged AR. The previous biller had written most of it off as uncollectible.
What we did
- Audited the aged AR and found most denials were appealable parity violations.
- Filed appeals citing state and federal behavioral-parity law.
- Standardized telehealth place-of-service and modifier coding per payer.
- Set up alerts for the next round of telehealth rule changes.
"The denials team is the unlock. Appeals are filed before we get in, and they tell us exactly what to change on the next claim."
MA
Maria Alvarez
Practice Manager, Willow Mental Health
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