Controlling insurance AR under 10%

This is a five doctor gastroenterology ambulatory surgery center (ASC) specializing in Upper and Lower GI procedures. The center is equipped with an in-house lab. The doctors also perform procedures in hospitals.


• The center struggled with an inflated AR due to high denials, disorganized AR management process
• Use of multiple archaic software systems for ASC billing and procedure billing
• Crucial protocols for upfront patient collections and patient AR were missing
• Difficulty to obtain patient benefits and procedure authorizations promptly causing further denials


• Transitioned the center to a modern day cloud based practice management system
• Extensively worked on old AR and recovered outstanding payments
• Restructured claim charge amount according to industry standards
• Deployed same day denial management process coupled with regular follow ups
• Identified underpaying TPAs and set up a global agreement for all pathology and anesthesia claims
• Suggested new procedures that could be performed in an ASC setting in a profitable manner
• Patient eligibility and benefits verification 5 days prior to the date of service
• Helped the center setup upfront payment collections process


• Overall insurance AR for the center dropped by 27%. Currently stands below 10%
• AR days significantly reduced from 39 days to 25 days
• Overall collections improved by 23% year on year
• Global agreement resulted in $400K improvement in revenues


Get In Touch

500 E. Eisenhower Pkwy
Suite 130
Ann Arbor, MI 48108
P: (734) 677-7700

601, Eureka Towers,
Off Link Road, Mindspace,
Malad (W),
Mumbai – 400064
P: +91-22-4003-9395

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