Insurance Payment and Account Receivables Analysis
MedUSA provides Revenue Cycle Management (RCM) consulting to improve financial performance through optimized processes, workflows, and claims management. With over 27 years of experience, we support both outsourced and in-house billing teams with expert financial insights. Our AR and payment analysis identifies unpaid CPT codes, slow-paying insurers, and denial patterns. We review claims, EOBs, statements, and billing data to detect revenue leaks.
Information Required From Practice
Accounts Receivable (AR) reports up to 365 days.
Primary Insurance AR summary by aged days (by insurance plan, department, provider, location).
Primary Insurance AR detailed report (carrier-wise & patient-wise with CPT, modifiers, DOS, charges, payments, balances, etc.)
Patient AR summary by aged days and financial class (by location if applicable).
Patient AR detailed report with full billing breakdown (CPT, DOS, charges, payments, balance, etc.)
PLEASE NOTE: Preferred report format: Excel.
Additional Information Requested as Needed:
Notes / Denials / EOBs will be requested for further clarification of specific patterns identified
Carrier Agreements / Registrations may be requested specific to carriers with poor history of payment.
Engagement Process
After receiving the required information, the MedUSA team reviews the data and schedules follow-up calls with the practice for clarifications. On-site meetings or conference calls are arranged as needed to understand billing processes, workflows, and key challenges. These discussions may include front office staff, billing teams, billing managers, and physicians.
Process Output
Upon completion of the evaluation process, MedUSA will provide a written summary of the findings, including:
The issues causing reduced / delayed reimbursements
Recommended solutions
Best Practices to implement the recommendations
MedUSA staff can assist in implementing the recommendations at an additional cost.
Ask us for a proposal today! Call: 800 244-6550
An Introduction to MedUSA
MedUSA has been providing Revenue Cycle Management services continuously for 30 years. Our long list of satisfied clients is a testament to the quality of our billing service.
MedUSA Client Portal
Our billing clients get real time access to all their financial and billing information through our portal. Clients can have unlimited users with varying access based on the roles.
