Billing and AR follow-up for primary care practices
Family medicine and internal medicine practices send a high volume of claims. Small unpaid balances add up quickly when nobody has time to chase them.
Where primary care claims commonly go wrong
Primary care claims are individually modest, but there are many of them. Problems we see often:
- Office visit levels that do not match the documentation, which leads to downcoding or audits.
- A preventive visit and a problem visit on the same day, which often needs the right modifier to be paid.
- Care management and other time-based services that need consent and time records to be paid.
- Referral or authorization requirements that differ between plans.
- Many small unpaid balances that never get worked because each one looks too small.
How we help
- We work unpaid claims starting with the largest and oldest, then move through the smaller ones in batches.
- We study denial reasons by payer so front-desk checks can be improved.
- We check eligibility before visits, so claims do not fail on inactive coverage.
- You receive one weekly report with days in AR, clean claim rate, denial rate and collection rate.
We start with a baseline audit of your unpaid claims by age, payer and denial reason. See how we work for the steps.
What we need to start
A report of open claims from your practice management system, the list of payers you bill most and read-only or shared access to the payer portals you use. We sign a Business Associate Agreement before any patient information is shared.
Frequently asked questions
Do you work with family medicine and internal medicine practices?
Yes. We support independent primary care practices of different sizes, as well as small groups.
Can you help with Medicare Advantage plans?
We work claims according to each plan's rules. During discovery we list your payers and the plans that cause the most delays.
Do you guarantee collections?
No. We never promise a specific collection amount, because payers, documentation and timing affect every claim. We promise the work, the tracking and a clear weekly report.
Is our patient information safe?
A signed Business Associate Agreement, NDA and service agreement come before any patient information is shared. Our team uses company systems only, with role-based access and HIPAA training.
Arovia RCM does not guarantee collection outcomes. Please do not send patient information through the website or by email before agreements are signed.
Keep reading.
Tell us what you need. We will book the call.
Thirty to forty-five minutes. No preparation needed.