Expert AR Recovery Services

Wise Medical Billing Aggressive Approach

To safeguard your financial well-being and ensure you don’t incur any avoidable losses, WMB excels in AR Recovery Services, managing payments and bills with impeccable punctuality. We’re not just adept at handling routine transactions; our expertise extends to resolving longstanding financial matters, even those dating back more than 120 days. Our track record boasts remarkable success in recovering funds from accounts that were once deemed unrecoverable by others. Our dedicated team relentlessly strives to reunite you with your hard-earned money, granting you the peace of mind you rightfully deserve. So, rest assured, your financial security is in capable hands with WMB.

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What is Account Receivable Management

An unpaid medical bill represents a financial obligation owed to healthcare providers for the vital treatments and services they have provided, regardless of whether the patient or their insurance plan bears the responsibility for settling these dues. In the pursuit of collecting these claims, medical professionals must maintain unwavering vigilance. The longer accounts receivable (AR) remains unsettled, the greater the likelihood that healthcare practitioners may encounter difficulties in receiving the payments they are entitled to. The initiation of the AR cycle commences when providers bill either the patient or their insurance plan. Subsequently, healthcare providers systematically categorize accounts receivable according to the age of the outstanding account.

In the absence of timely reimbursement, the accounts receivable (AR) cycle can be prolonged, potentially leading to an outflow of revenue. This entails situations where the care provided is not reimbursed, causing the healthcare provider to incur financial losses. It is imperative to efficiently manage the AR cycle to minimize such economic setbacks and ensure the financial viability of healthcare institutions.

Alarming Revenue Challenges Faced by Healthcare Providers

In the United States, healthcare providers are facing a looming threat of substantial revenue losses. Many hospitals are already grappling with negative profit margins, finding themselves hundreds of millions of dollars below their revenue targets. In rural areas, the situation has become dire, with hospital closures reaching their highest levels since 2010. Shockingly, a survey conducted by Fibroblast revealed that approximately 35% of healthcare executives reported their organizations suffered losses of 15% or more due to revenue leakage in 2017. Even more concerning is the fact that 25% of respondents admitted to being unaware of the extent of revenue leakage within their organizations. The urgency to address prolonged revenue loss is clear, and Wise Medical Billing stands as the essential solution for your transformation.

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Improve Your Cash Flow with Our Effective Accounts Receivable Management

At Wise Medical Billing (WMB), we understand the critical importance of maintaining seamless monthly cash flow for your doctor's office. That's why we offer a top-tier healthcare management system equipped with dedicated medical accounts receivable specialists. Our expertise in managing accounts receivable ensures that revenue is safeguarded, and your business operations remain uninterrupted. Choosing WMB means securing your practice's financial stability.
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Wise Medical Billing
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Get Your AR in Order and Watch Your Revenue Soar

Wise Medical Billing specializes in optimizing accounts receivable (AR) for healthcare providers. Our tailored strategies encompass efficient categorization, timely follow-ups, and systematic resolution processes. By partnering with us, you can streamline revenue collection, minimize revenue leakage, and improve your financial health. With Wise Medical Billing, achieving well-organized AR isn't just a goal – it's your path to increased revenue and long-term success.

Streamline Your Medical Billing Process and Boost Your Bottom Line with WMB

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Determine the AR backlog by aging buckets and analyze it.
At Wise Medical Billing, our approach stands apart. We conduct a comprehensive review to pinpoint all recoverable claims, including unpaid, partially paid, and outstanding ones. Unlike some medical billing companies, we don't prioritize the easiest or largest claims. We understand that every dollar reclaimed contributes to our clients' bottom line, and our commitment is unwavering in maximizing their revenue recovery.
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Work on the older claims as soon as possible to ensure maximum reimbursement.
At Wise Medical Billing, we recognize the critical importance of meeting insurance deadlines. That's why we proactively identify older receivables that aren't yet due and prioritize their resolution. Leveraging the expertise of our seasoned AR recovery specialists and advanced analytics tools, we stay ahead of insurers' requirements. This proactive approach ensures we maximize our clients' revenue while consistently meeting insurance company deadlines.
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Continue to work on the corrections of Claims, clearing the daily denials so as to avoid further piles of backlogs.
Even as we tackle the oldest claims, our team maintains a diligent approach to daily denials, ensuring swift and accurate handling to prevent any backlog. Our experienced teams meticulously review each application, diligently checking for errors, mistakes, or missing information before resubmission. This meticulous process not only reduces accounts receivable (AR) days but also significantly enhances revenue for our clients.
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Using Data and Communication to Transform AR Management

When you have a patient with an outstanding balance, we provide you with relevant reports. Depending on your consent, we can take charge of communicating with the patients on your behalf. Our dedicated patient care team is here to handle the entire communication process in a highly professional manner, ensuring a clear and empathetic explanation of the amount owed. By entrusting us with this responsibility, you can enhance the likelihood of your patients making timely payments.

Why Choose Wise Medical Billing for AR Recovery?

Partnering with us brings numerous advantages when it comes to claim processing and addressing AR backlog. Beyond resolving AR challenges, we provide a comprehensive Revenue Cycle Management (RCM) service, ensuring a holistic approach to optimizing your financial operations.
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Benefits of outsourcing AR recovery services to WMB

Our reliable medical billing AR Recovery services save you time by paying only a small percentage of your costs.
Our priority is to ensure AR aging is processed within the TAT (processing time) to maximize collection.
We strive to keep cash flow intact by processing accounts receivable daily to prevent old receivables from accumulating.
As part of our compliance program, we hire employees who know the nuances of payers and who understand managing accounts receivable to compliant standards.
Pay only if you get paid. Nothing upfront or monthly minimum fee. This helps in considerable cost saving without compromising on the quality.
WMB also offers AR resolution as a standalone service to meet the unique needs of our customers. If you don't feel like disclosing your full billing information, let the professionals at WMB prove the toughest AR recovery task to you.

Medical Revenue Management Experts Who Understand Your Business

We acknowledge the challenges healthcare providers face in balancing patient care with financial responsibilities. If the demands of managing your finances are becoming overwhelming, it's the ideal moment to consider engaging a seasoned healthcare billing partner such as Wise Medical Billing.

Our company extends its AR recovery services to a wide spectrum of healthcare providers, including doctor's offices, hospitals, emergency centers, specialty care offices, imaging and radiology centers, laboratories, and surgical centers across the nation.

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Take advantage of our Professional AR recovery services Newark by calling us Today

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Injection & Pain Management

We provide compliant billing for foot injections, nerve blocks, and pain management procedures with accurate documentation and proper modifier usage.

Advanced Treatments

We handle advanced podiatric treatments with proper prior authorization management and comprehensive clinical documentation for high-value services.

Nail & Skin Procedures

We ensure accurate coding for nail debridement, callus removal, and skin lesion treatments with proper medical necessity justification and frequency compliance.

Surgical Procedures

We manage complex podiatric surgeries with accurate modifier usage, justified gaps between claims, and transparent timeframe documentation for all procedures.

Diabetic Care Management

We coordinate diabetic foot care services with proper medical necessity documentation and systematic condition correlation for comprehensive treatment.

Orthotic Services

We provide specialized billing for custom orthotics and devices, ensuring proper HCPCS and ICD-10 code pairing to justify fitting and delivery documentation.

Routine Care & Diagnostics

We handle routine foot care according to strict medical necessity criteria, ensuring precise paperwork and accurate coding for debridement and mycotic nail care, with proper frequency documentation.

Wound Care Partnerships

We provide accurate code coordination to prevent overlapping, ensure transparent tracking for pre- and post-surgical services, and deliver complete operative notes with reduced errors.

Graft & Skin Substitute Procedures

We select accurate application and graft codes based on location and wound size, audit surgical documents to ensure correct Q-code pairing for procedures and supplies, and assist in navigating state-specific Medicaid nuances through proactive prior authorization.

DME Billing

Robust compliance for orthotics, diabetic shoes, walking boots, and offloading devices. We ensure that certified coders are used for accurate coding and a perfect match for every claim. We evaluate the signature requirements of every payer and employ proactive strategies for expedited prior authorization.

Injection Therapies

We handle foot injection procedures with accurate MCO compliance, ensuring proper documentation and modifier usage for maximum reimbursement in the NY market.

Nail & Skin Care

We provide compliant billing for nail debridement and skin lesion procedures, meeting eMedNY-specific documentation requirements and ensuring proper medical necessity justification.

Advanced Treatments

We manage advanced podiatric treatments with NY-specific requirements, ensuring proper Q-code usage, comprehensive clinical packets, and expedited prior authorization processes.

Diabetic Care Management

We coordinate diabetic foot care services with wound care partnerships, ensuring proper documentation and transparent billing coordination for all involved providers.

Surgical Procedures

We handle complex podiatric surgeries with MCO coordination, ensuring accurate service sequencing and proper documentation to prevent overlapping claims and denials.

Orthotic Services

We provide specialized eMedNY-compliant orthotic billing with precise HCPCS coding, accurate ICD-10 pairing, and comprehensive modifier knowledge for maximum reimbursement.

Routine Care & Diagnostics

We ensure eMedNY compliance for routine foot care services with systematic condition documentation, proper modifier alignment, and comprehensive medical necessity justification for all procedures.

Graft & Skin Substitute Procedures

We prepare comprehensive clinical packages for fast approval, ensure thorough compensation for graft products and application, and prevent claims denials through accurate coding and correct submission.

Wound Care Partnerships

We provide accurate code coordination to prevent overlapping, ensure transparent tracking for pre- and post-surgical services, and deliver complete operative notes with reduced errors.

DME Billing

NY Medicaid’s top coverages include diabetic shoes and inserts, ankle-foot orthoses, braces, and custom-molded orthotics. We ensure eMedNY compliance through precise documentation, proper ICD-10 coding, and in-depth knowledge of modifiers to prevent denials.

Robotic Procedures

We deal with complex billing for radical prostatectomy, partial nephrectomy, and cystectomy by elaborative documents for the used devices. Our accurate codes and modifiers ensure successful approvals.

Telehealth

Our coders ensure accuracy for pre-op consultations, follow-ups, and LUTS/OAB management. Our optimized POS and use of modifiers have lower denial rates, as we demonstrate their necessity with clinical documents.

Urodynamics & Diagnostics:

We handle multi-channel involvement and billing complications with detailed CPT/ICD pairing. Our proactive prior authorization handling and expert claim structuring ensure error-free approvals.

Cystoscopy & Endoscopy:

We capture every detail and require evidence to ensure a smooth claim approval for office-based and hospital-based endoscopic procedures. We offer robust billing claims for biopsies and stone removals.

Lithotripsy (ESWL) & Stone Management:

We understand the complex bundling of ESWL, URS, and stone procedures, including device charges, anesthesia, and supplies for ongoing care. This in-depth knowledge ensures coding accuracy for each component.

Prostate Procedures & Biopsy:

We offer meticulous billing for targeted biopsies and imaging-guided prostate procedures, ensuring proper coordination of involved pathology and detailed capture of all allowable charges.

Implants & Prosthetics

We strictly follow the payer’s rules for high-value penile prostheses and testicular implants, ensuring proper coverage for device charges. Our coders ensure proper coding pairs, transparent vendor contracts, and logs for implants.

Pathology & Imaging

Our team possesses in-depth knowledge of the working principles of pathology and imaging centers. We collaborate with service providers to obtain accurate clinical information, ensuring that we capture all allowable charges.

Botox & Neuromodulation

For these complex services, we provide thorough coverage by handling prior authorization approvals and ensuring coding accuracy for both trial and permanent procedures. Our modifier’s accuracy provides high compliance with diverse payer requirements.

DME & Catheter Supplies:

We provide streamlined billing claims for catheter and drainage bag supplies, ensuring smooth and timely payment collections. Our proof-of-delivery and proactive SOPs save practices from financial loss.

DME & Catheters

We handle catheter supplies, ongoing maintenance claims, and billing for incontinence aids. We complete clinical documents with proof of need, supply evidence, and other supporting elements according to Medicaid requirements.

Pathology & Advanced Imaging

Outpatient labs and imaging services face facility-based billing cuts due to poor classification. We manage all complexities with professional splits and ensure compliant claims for radiology reads and pathology services.

Botox & Neuromodulation

We perfectly align the trial with a permanent implant and explain all stages with accurate codes. Our precise and error-free claim submission ensures maximum reimbursement for all elements.

Implants & Prosthetics

We offer support for commercial or Medicaid billing claims through transparent device tracking, fair vendor contracts, and compliant pre-auths, resulting in the successful implantation of penile prostheses, urinary sphincters, or slings.

Prostate Procedures & Biopsies

Pairing of biopsies with MRI-guided prostate means additional care for billing documents. These coordinated services required accurate pathology linking, ensuring that our robust component captures the necessary information.

Lithotripsy & Stone Procedures

We offer coding accuracy from ESWL to ureteroscopy by managing compliant documents for anesthesia, professional components, and prior authorization for such high-value services.

Cystoscopy & Endoscopic Interventions

Our technical expertise ensures billing accuracy for stent removals, cystoscopy, and facility-based endoscopy procedures. We separate each component of treatment to bring payment for all.

Urodynamics & Pelvic Testing

We justify the clinical necessity for urodynamic services. We offer hands-on support for authorization, ensure claims accuracy with diagnosis justifications, and document compliance for revisits.

Telehealth Evaluation Services

We have current information about eMedNY and MCO policies, ensuring coding accuracy with proper place-of-service designations, relevant modifiers, patient consent forms, and explanations of rendered services.

Robotic Procedures

We cover high-value procedures such as prostatectomy and nephrectomy, among others, by accurately documenting device costs in clinical documents and justifying their necessity under APG and facility-based insurance rules.

Pathology & Imaging Coordination

We resolve coding conflicts for these pairing services and ensure a justified coordination in documents to prepare a clean claim with reduced denial risks.

DME & Catheter Supply Managemen

The Medi-Cal and commercial payers have strict compliance requirements for DME. We streamline your claims with transparent usage tracking to ensure quality care and justified reimbursement.

Botox, Neuromodulation & OAB Treatments

We simplify the staged billing process for trials by managing prior authorization, the device’s paperwork, and submitting claims to accurate insurers to make it more manageable.

Implants & Prosthetics

We expedite your operation by handling authorization and vendor contracts, managing paperwork for pre-approvals, ensuring coordination, and maintaining inventory logs for stents and penile implants.

Prostate Procedures & Biopsies

Our experts accurately sequence the complex billing claims for MRI-fusion biopsies, prostate services, and imaging pairings across various payers to ensure maximum reimbursement for practices.

Lithotripsy & Stone Procedures

We navigate the complex process through accurate coding, transparent anesthesia reports, and the use of durable equipment, resulting in maximum coverage for every service.

Cystoscopy & Endoscopic Interventions

We capture each detail about scope procedures, stent placements, and biopsies performed in facility or ASC settings to prepare compliant claim documents.

Urodynamics & Pelvic Testing

We understand the unique compliance requirements, from bladder studies to pelvic floor testing, which prove the clinical necessity to ensure robust prior authorization and successful billing claims.

Telehealth Evaluation Services

California has broader telehealth services, with high Medi-Cal reimbursement for these services. We cover modality, consent, and explain facility settings so that you can get maximum advantage from every allowed charge.

Robotic Procedures

We precisely document robotic-assisted surgeries, negotiate with insurers, reflect the procedure’s complexity, and complete all paperwork in accordance with payer requirements to ensure a justified payment.

AB 72 – Surprise Billing Law

For podiatrists providing surgical services in out-of-network facilities, California’s AB 72 limits balance billing. Navigating this requires precise billing strategies.

Prior Authorization Hurdles


Increasingly, California payers require prior authorizations for DME, orthotics, skin grafts, and advanced wound care procedures. Failure leads to non-payment.

Workers’ Compensation Complications

California’s Workers’ Compensation system demands strict adherence to the Official Medical Fee Schedule (OMFS) and highly detailed documentation—especially for podiatric injury care, fracture management, and surgical interventions

Complex Wound Care & Skin Graft Billing

Podiatrists collaborating with wound care centers for diabetic ulcers, pressure sores, or limb salvage procedures face frequent denials related to skin substitute grafts (e.g., Apligraf®, Dermagraft®) and advanced wound treatments like NPWT (vacuum therapy).

Medi-Cal Restrictions

Medi-Cal limits podiatry services unless directly related to chronic disease management. Denials are common without proper coding and documentation.

Routine Foot Care Scrutiny

California insurers, including Medi-Cal and major HMOs (Kaiser, Blue Shield CA), often classify foot care (like nail debridement and callus removal) as non-covered unless medically justified by conditions like diabetes or peripheral vascular disease.