Stop Losing Revenue: How GladMedRCM Turns Denials, Aged Claims, and Delays into Paid Dollars
In a perfect world, every claim would be paid promptly and accurately. But in real-world medical billing, denials happen, payments stall, and old receivables pile up. Many practices end up writing off tens of thousands in earned revenue—not because the services weren’t valid, but because they lacked the time, expertise, or resources to chase what’s rightfully theirs.
At GladMedRCM, we believe no claim should be left behind. Through our Denial Management, A/R Follow-Up, and Old A/R Recovery services, we help practices recover money others walk away from—and keep your revenue flowing without friction.
Denial Management: Turning “No” Into “Paid”
Even the most organized billing operations face denials. Whether it’s due to coding errors, missing authorizations, eligibility disputes, or payer quirks, denials represent delayed revenue—and too often, lost income.
We take a two-pronged approach:
Reactive when denials occur, and proactive to prevent them from recurring.
Reactive: Fast Action on Every Denial
When a denial hits, we act immediately. Our system routes it into a specialized work queue, categorized by type—coding issue, authorization, bundling, medical necessity, or eligibility. Our specialists:
- Analyze the root cause
- Fix coding errors and resubmit clean claims (often within 24–48 hours)
- Craft detailed appeals using supporting documentation and payer policy references
- Pursue retroactive authorizations or referrals when applicable
With our experience in payer-specific rules and timelines, we maximize your chances of overturning denials—helping clients reach net collection rates of 99%+.
Proactive: Learning From Every Denial
Every denial tells a story—and we listen. We track trends by payer, procedure, and reason code. Then we:
- Adjust claim-scrubbing rules
- Share updates with your team (e.g., a new modifier requirement)
- Strengthen front-end processes (like eligibility verification)
The result? Fewer denials over time and a smarter, leaner billing operation.
A/R Follow-Up: Keeping the Cash Flow Moving
A claim isn’t truly successful until the payment hits your bank. Unfortunately, many claims stall after submission—sitting idle past 30, 60, even 90 days.
That’s where our Accounts Receivable (A/R) Follow-Up team comes in. We actively manage every unpaid claim, following a timeline-driven process:
- Claims beyond expected payer timeframes trigger follow-up
- We call insurance reps, use payer portals, and investigate delays
- We resubmit missing claims immediately (with proof of timely filing)
- We obtain any needed info (accident details, chart notes, etc.)
- We escalate slow-pay issues and flag problem payers
This “air traffic control” approach ensures claims don’t age unnecessarily. Our clients often see their average days in A/R drop by 15 days or more, with a healthier A/R aging profile overall.
And for patient-responsible balances, we transition accounts smoothly to patient billing and help keep collections timely—without surprises for the patient or your team.
Old A/R Recovery: Digging Deep to Rescue Aged Claims
Every practice has them: old, stagnant claims that seem uncollectible. They might be 120+ days past service, overlooked due to staffing shortages or improperly filed.
Don’t write them off. Let GladMedRCM revive them.
Our Old A/R Recovery service is a deep-dive revenue rescue. Here’s how it works:
- A/R Audit – We review and stratify aged claims by value, payer, and likelihood of recovery.
- Investigation – For each claim, we verify:
- Was it ever received?
- Is the appeal window still open?
- Were payer rules followed?
- Was documentation sufficient?
- Recovery Tactics – Depending on the issue, we:
- Resubmit or appeal (even late, if the payer dropped the ball)
- Use paper reconsideration or escalate via payer reps
- File state complaints if insurers mishandled claims
- Bill secondary or tertiary insurances (especially common in Medicare)
- Coordinate respectful follow-up for old patient balances
We’ve helped practices recover tens of thousands of dollars in “lost” revenue, breathing life into dusty A/R and giving practices the cash infusion they deserve.
Transparent Reporting, Real Results
Whether we’re managing current denials or chasing claims from six months ago, we provide:
- Clear dashboards and reports on denial rates, recovery outcomes, and A/R status
- Regular reviews so you know exactly how much is outstanding and what we’re doing about it
- Actionable insights to improve your billing processes for the long haul
Our team becomes an extension of yours—relentlessly pursuing what you’ve earned, improving your cash flow, and keeping your financial metrics healthy.
Let GladMedRCM Be Your Revenue Recovery Team
Why settle for partial collections or unpredictable cash flow?
With GladMedRCM, you get a team that doesn’t just submit claims—we fight for them. From denial appeals to old A/R digs, we go after every dollar with strategy, speed, and precision.
Don’t let lost claims or stalled payments drag your practice down. Partner with us today