Home health accounts receivable follow-up, rebuilt around your payers
Our AI agents run home health and hospice accounts receivable follow-up: they review the aging, check claim status by payer and compare every payment against the terms; our experts set the rules.
Your AR follow-up, in the order our study ranks it
- Insurance AR aging reviewIn the top 25 of 169 workflowsWorth it, ready now
- Underpayment recovery against the payment rules and contract termsIn the top half of 169 workflowsWorth it, ready now
- Prioritized work queue by recoverable amount, deadline and payer behaviorIn the top half of 169 workflowsWorth it, ready now
- Batch claim status by payerIn the top half of 169 workflowsWorth it, ready now
- Payer behavior analysisIn the top half of 169 workflows
- Write-off and adjustment approval workflowIn the lower half of 169 workflows
- Patient, family and facility AR segmentation and outreach cadenceIn the lower half of 169 workflows
- Collections placement and agency reconciliationIn the lower half of 169 workflows
Tell our experts where your agency's AR hurts most, and start there.
Talk through your AR workflow
The work around the aging leaks money too
Beyond the unpaid claims themselves, the follow-up around them costs your agency money it never sees itemized.
Write-offs no one reviews
Adjustments post without a reason or an approver.
Statements chase everyone alike
Sensitive balances get the same billing cycle as any other.
Collections reconciled by hand
Agency remittances get matched to your ledger manually, batch by batch.
The AR work our AI agents take over, workflow by workflow
All three start the same way: our AI agents read the whole aging, and your team keeps the judgment calls.
An aging report that ranks what is actually recoverable
Today the aging is worked oldest first by whoever has time, and held periods distort the buckets. Our AI agents rank each balance by expected recovery with the next action attached, tracking held periods and non-covered days apart.
- Held periods shown apart from true aging
- Every balance carries its next action
- Aging cut by branch, service line and payer
Underpayments caught by rule
Underpayments surface by luck during remittance posting. Our AI agents compare remittances against payment rules, group variances by payer, and package recoveries for our experts to press.
- Every remittance compared against the payment terms
- Variances grouped by payer and rule
- Recovery packages assembled before review
Work the costliest claim first
Today everyone works the same list, whatever the claim is worth. Our AI agents build a queue per team member with the action attached, deadline-bound claims first, ranked by recoverable amount and payer behavior.
- Each team member gets their own queue
- Deadline-bound claims surface first
- Payer behavior sets the ranking
How we run AR follow-up in your agency
The outcome you want comes first; the tool follows it. Here is what that looks like for accounts receivable.
01What your agency brings
Your billing team, your EMR, clearinghouse and payer portals, and the outcome you want: fewer days in AR, less written off, fewer claims lost to deadlines.
02What our experts do
Our engineers and revenue-cycle specialists sit with your billing team, watch the AR workflow, fix its data and set agent rules.
03What our AI agents do
Our AI agents work inside your live workflow: they file the follow-up, chase the deadlines and route what needs a human to your team.
Against what your agency uses now
Your agency is comparing us against billing and RCM software, the EMR's own billing module, or an outsourced billing company. Here is the honest line on each.
AR follow-up built inside your agency
For AR, our engineers sit inside your billing operation and map how follow-up actually runs, then our AI agents take over the checks and queues. Your staff review every flag and decide.
- Built around your payer mix
- Your staff review what the agents flag
- Fee plus outcome share, priced by workflow
Billing and RCM software
Good at organizing follow-up. Most run one fixed path for every agency, so your payers' quirks stay phone work.*
Your EMR's billing module
Good at staying closest to the claim. It usually covers the standard path; payer-specific follow-up rides on workarounds.*
An outsourced billing company
Removes the pile, usually at a per-claim price. Their people work their own way, and your AR becomes one client among many.*
* These describe each category as commonly sold, with no particular vendor in mind. Terms vary by category and by agency.
Questions you'll want answered
How much does it cost?
Pricing is a fee plus a part tied to outcomes. You pay for the workflows automated, however many people you staff.
Does my agency have to replace its EMR?
No. Your EMR stays exactly where it is; our AI agents work beside it, and your team keeps every system they use today.
Who makes the decisions?
The agency's own staff review what the software flags and make the call. The software makes no clinical decisions.
How do we know which AR workflow to automate first?
We rank candidates against our study of 169 home health and hospice workflows, then confirm the choice against your own AR numbers before anything is built.
Clean claims, posted payments, answered denials
We talk through one AR workflow only: what it costs you now, what our AI agents would take over, and what stays with your team. No patient data, no commitment.
Common questions
What is an ar follow-up in medical billing?
AR follow-up is the work of chasing claims after submission: checking status, correcting or appealing what came back, and recovering underpayments.
How to follow up on insurance claims?
Start with batch status checks through the Medicare system and the clearinghouse, then work the remainder through portals and calls.
What steps do you take to follow up on unpaid claims?
Rank the aging by expected recovery, check status by payer in batches, compare payments against terms, then queue claims by recoverable amount and deadline.
What is overpayment recovery in medical billing?
Overpayment recovery is a payer taking back money beyond what the claim was owed; the same comparison catches underpayments owed to you.
What is the difference between a write-off and an adjustment in medical billing?
A write-off removes a balance you will no longer pursue; an adjustment changes what is owed under the payer's rules.
The full study, PDF · 636 KB
The work worth automating is the work whose mistakes travel
The work worth automating is not the easy work. It is the work whose mistakes travel.