(818) 741-2620
Aging AR · Denial Spikes · Stuck Revenue

Denial Management and AR Recovery Services

If your AR has crept past 60 days, denials are sitting in a queue, and your front desk is fielding calls about old claims, your billing function isn’t broken. Your denial workflow is. We’re an owner-led California team that works denials like they’re our own money. We only bill on paid claims.

  • ✓Median 72-hour first-touch on every denial we receive
  • ✓Free 30-day audit shows exactly what is recoverable from your aging
  • ✓Old AR worked in parallel. We don’t write off old claims
  • ✓Knows CA payer denial reason codes by heart
Or talk to us now. (818) 741-2620
By the numbers

The math, in plain English.

98%
First-pass clean-claim rate
17d
Median days in AR industry avg ~38
72hr
Median first-touch on every denial
1:1
A named account manager. Owner reachable.

Figures reflect 1st Medical Billing’s California book, trailing 12 months. Industry comparison: MGMA / HBMA published medians.

Why practices switch

Why we recover what others write off.

We only bill on paid claims.

Per-claim and flat-fee billers have no reason to chase a denied claim a second or third time. We do. If a claim doesn’t get paid, we don’t get paid for it, so we work it until it is. That’s the entire mechanism behind our 17-day median AR.

Denial reason codes, by heart.

CO-16 missing info. CO-50 not medically necessary. PR-204 not covered. CO-97 bundled. The top 20 denial codes in California payers cause 80% of your stuck revenue. We have appeal letters and re-submission paths memorized.

A real person answers.

Not a ticket queue. Not a chatbot. The owner is on the line, or one ring away. You’ll know your account manager by name within the first week.

How a switch works

Four weeks. No disruption to your front desk.

  1. 1

    Free 30-day AR audit

    Send us your last 90 days of remits and your aging report. Within a week we send back a written read: what is recoverable, by payer, by denial reason, by dollar amount. Your specific numbers. Free.

  2. 2

    Credentialing & payer setup

    We confirm credentialing is current with every CA payer you bill. Anything missing, we re-credential. Clearinghouse handoff happens behind the scenes.

  3. 3

    Live billing in week 3

    Charges from your EMR start flowing into our system. Aging AR is worked in parallel. We don’t write off old claims to “start fresh.”

  4. 4

    Monthly review with the owner

    A real meeting, not a PDF. Numbers, trends, denials worked, what’s blocked, what we’re recommending.

Common questions

Honest answers, in plain English.

Pricing is custom per practice, based on specialty, payer mix, and volume. We don’t post numbers because medical-billing pricing isn’t one-size-fits-all. The thing we’ll commit to in writing: we only bill on paid claims. No retainers. No setup fees. No per-claim charges. Tell us about your practice and we’ll send a real quote within 48 hours.
You send us your last 90 days of remits plus your current aging report. We work through them by hand, by a real biller, and send back a written read inside a week. We’ll flag what’s recoverable, what’s leaking, what the denial patterns are, and what specifically we’d do differently. There’s no pitch on that document. If you keep your current biller, you keep the audit. It’s free.
Four weeks for a clean transition, including credentialing verification, clearinghouse handoff, and EMR/PM integration. We don’t pause your billing to “start fresh.” Old AR gets worked in parallel. Your front desk doesn’t change anything.
Yes. Epic, Cerner, Athenahealth, Allscripts, Kareo, Practice Fusion, eClinicalWorks, NextGen, AdvancedMD, DrChrono, and most of the long-tail. If you have a system we haven’t touched, tell us; we’ve onboarded it before.
Yes. Signed BAA, encrypted-at-rest data, US-only access, full audit trail on every PHI touch. Happy to walk through our security paperwork on the discovery call.
Most California payers have a 1-year timely filing window from date of service for first-time submissions, and 60 to 180 days from the denial for appeals (varies by payer and contract). The audit tells you exactly what is still in window for your specific aging. We’ve recovered claims at 270+ days from DOS when the denial reason was disputable.
Free 30-day AR audit

What’s stuck in your AR right now? Let’s find out.

Send us your aging report and last 90 days of remits. We’ll send back a written read inside a week. A real human picks up the call you place.

Request my free audit 📞 Call (818) 741-2620
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