Payment Recovery
Specialized services to recover outstanding payments from government schemes, insurance providers, and TPAs
Comprehensive Payment Recovery Solutions
Healthcare providers often struggle with delayed or denied payments from government schemes, insurance companies, and TPAs, leading to significant revenue leakage and cash flow challenges. Our Payment Recovery service is designed to address this critical issue.
We employ a strategic approach to identify, track, and recover outstanding payments through specialized teams who understand the intricacies of various payment systems and have the expertise to navigate complex claim resolution processes. Our proven methodologies have helped healthcare providers recover millions in delayed payments, significantly improving their financial health.
- Specialized recovery from government healthcare schemes
- Resolution of long-pending insurance claims
- TPA payment reconciliation and recovery
- Strategic approach to denied claim recovery
- Aging accounts receivable management
- Detailed recovery analytics and reporting
- Continuous follow-up until payment realization
Key Features
Our Payment Recovery service offers comprehensive features designed to maximize recovery of outstanding payments
Government Scheme Recovery
Specialized recovery of outstanding payments from government healthcare schemes like Ayushman Bharat, CGHS, and state insurance programs.
Insurance Claim Recovery
Expert services to recover pending payments from health insurance companies, addressing claim denials and delays.
TPA Payment Reconciliation
Comprehensive reconciliation and recovery of outstanding payments from Third Party Administrators.
Denied Claim Recovery
Specialized resubmission and follow-up for denied claims to convert them into successful payments.
Aging AR Management
Strategic management of aging accounts receivable to recover long-outstanding payments and improve cash flow.
Recovery Reporting & Analytics
Detailed reporting on recovery efforts, success rates, and ongoing progress to provide full transparency.
Benefits
Our Payment Recovery service delivers multiple advantages for your healthcare organization's financial health
Financial Impact
- Significant improvement in cash flow
- Recovery of written-off or long-outstanding amounts
- Reduced days in accounts receivable
- Enhanced revenue realization rate
- Improved financial planning with predictable cash inflows
- Minimized revenue leakage from denied claims
Operational Benefits
- Reduced administrative burden on your staff
- Expert handling of complex claim queries
- Identification of systemic issues causing payment delays
- Improved relationship with payers through professional follow-up
- Detailed insights into payment patterns and bottlenecks
- Streamlined payment reconciliation process
Our Recovery Process
We follow a systematic and proven approach to recover outstanding payments for your healthcare facility
Accounts Analysis
We conduct a comprehensive analysis of your accounts receivable to identify outstanding payments, aging buckets, and recovery potential.
Recovery Strategy Development
Based on the analysis, we develop a tailored recovery strategy for different payers, claim types, and aging categories.
Documentation Review
Our team reviews claim documentation to identify gaps, errors, or missing information that may be causing payment delays.
Systematic Follow-up
We implement a structured follow-up process with payers, using multiple communication channels and escalation protocols.
Dispute Resolution
For disputed or denied claims, we provide expert representation and documentation to resolve issues and secure payment.
Payment Reconciliation
We track received payments, reconcile them against outstanding claims, and ensure proper posting to patient accounts.
Recovery Performance Metrics
We measure our success through concrete performance indicators that demonstrate tangible financial impact
60-80%
Average recovery rate for outstanding claims
30-45 days
Average time to recovery from engagement
40-50%
Success rate on previously denied claims
15-20%
Average reduction in AR days after implementation
Frequently Asked Questions
Common questions about our Payment Recovery services
How far back can you recover outstanding payments?
We can typically recover payments up to 3 years old, though the success rate is higher for more recent claims. Government scheme claims often have specific timelines for disputes that we carefully track and manage.
What is your pricing model for payment recovery services?
We offer flexible pricing models including percentage of recovery (success fee), fixed monthly retainer, or a hybrid model. The specific structure depends on your AR volume, aging profile, and payer mix.
How do you coordinate with our existing billing team?
We work collaboratively with your billing team, establishing clear communication protocols, sharing access to necessary systems, and conducting regular coordination meetings to ensure aligned efforts.
What makes your approach to payment recovery more effective?
Our approach combines deep knowledge of payer-specific requirements, strategic persistence in follow-up, escalation to appropriate authorities when needed, and detailed documentation of all interactions. We also leverage our relationships with key decision-makers at major payers.
How quickly can we expect to see results?
Initial recoveries typically begin within 30-45 days of engagement. The recovery timeline varies by payer, with private insurers often responding faster than government schemes.
Do you provide insights to prevent future payment delays?
Yes, we conduct root cause analysis of payment delays and denials, providing detailed recommendations to address systemic issues in your revenue cycle processes that may be contributing to payment delays.
Ready to Recover Your Outstanding Payments?
Contact us today to discuss how our Payment Recovery service can help improve your cash flow and recover revenue that might otherwise be lost.