FAQs

Q: Why is there a $300 minimum for A/R Cleanup?

A/R Cleanup requires time to review, organize, and begin working unpaid claims. The $300 minimum covers the initial evaluation, claim sorting, denial research, and the first round of claim corrections or resubmissions.

 

 

Q: What does the $300 A/R project fee cover?

The $300 project fee includes a full audit of up to 50 denied or unpaid claims, categorizing them into easy, moderate, and complex buckets. This allows you to understand what is recoverable, what requires additional work, and what may not be recoverable.

 

 

Q: Does the $300 include reprocessing claims?

The $300 covers sorting, reviewing, and labeling each claim.
Simple corrections and resubmissions may be included.
More involved claims—such as appeals, payer calls, documentation requests, or coordination—fall under hourly or percentage-based pricing, based on your selection.

 

 

Q: What happens after the $300 minimum is used?

Any additional work needed beyond the initial sweep is billed at $40 per hour, depending on the number of claims that require deeper follow-up.

 

 

Q: What is the optional 10–15% recovered revenue fee?

This is an optional, performance-based fee for easy, high-value claims. It only applies if you choose it—and only if funds are successfully recovered. If no payment is recovered, no percentage fee is charged.

 

 

Q: Why do you offer two pricing options (hourly or percentage)?

Different claims require different levels of effort:

• Hourly billing is best for complex claims requiring calls, documentation, or appeals.

• Percentage-based recovery is best for easy, high-value claims where you prefer zero risk—you only pay if the claim pays.

 

 

Q: Do we choose hourly or percentage pricing before or after claims are sorted?

After. You decide only once you receive a full breakdown of claims and projected outcomes.

 

 

Q: What if we only want certain claims worked?

You approve which claims proceed. Selective work is still billed under the $300 minimum plus $40/hour. Percentage-based recovery applies only to high-yield claims if elected.

 

 

Q: What about appeals?

Appeals are billed separately at $15 per appeal, which includes drafting, supporting documentation, and submission.

 

 

Q: When and how are services billed?

Invoices are issued after services are performed. All providers are required to maintain an active auto-pay method on file. Payments are processed according to the agreed billing structure.

 

 

Q: Are fees refundable?

All fees are non-refundable once work has begun, as services are time-based and labor-driven.

 

 

Q: What access is required to begin services?

To perform billing, denials, or A/R services, providers must supply appropriate access to their practice management system, clearinghouse, and payer portals. Services cannot proceed without required credentials.

 

 

Q: How long does A/R Cleanup or recovery take?

Timelines vary based on claim complexity and payer response times. Initial reviews are completed first, followed by recovery efforts dependent on documentation requirements and payer processing.

 

 

Q: What happens if we don’t want to continue services?

A 30-day written notice is required to discontinue services. Any work completed prior to the effective cancellation date remains billable.