Pain Management Billing Case Study: Recovering Aged A/R
Recovering aging accounts receivable and strengthening revenue cycle performance for a pain management practice.
In this pain management billing case study, Express MBS recovered $300,000 in aged accounts receivable over six months by reviewing unpaid and denied claims, prioritizing the oldest balances and following claims through to final payer response.
Practice Profile
- Specialty: Pain Management
- Focus: Denial resolution, aged A/R recovery, claim follow-up and reimbursement
The Challenge
Pain management billing can involve complex procedures, payer-specific reimbursement policies, authorization requirements, coding rules and documentation standards.
When claims stay unresolved, practices risk delayed payments, growing accounts receivable and revenue loss from missed follow-ups or filing deadlines.
The Express MBS Solution
A structured revenue recovery and claims management process.
Review unpaid and denied claims
Find the claims that can still be resolved.
Prioritize aged A/R
Put the oldest balances first, before deadlines pass.
Investigate underpayments
Check outstanding payer balances and payments that came in below what was expected.
Correct and resubmit
Fix claim issues and prepare resubmissions or appeals when appropriate.
Track to final response
Follow unresolved claims through payer responses and final adjudication.
Results
Measured over six months.
| Performance metric | Result |
|---|---|
| Aged accounts receivable recovered | $300,000 |
Why aged A/R recovery matters
Older unpaid claims can represent revenue a practice has already earned but has not collected. Systematic follow-up helps find recoverable balances, resolve payer issues and lower the risk that claims become uncollectible.
The Takeaway
An organized A/R recovery strategy can help pain management practices pursue outstanding reimbursements and improve financial visibility.
Frequently Asked Questions
Helpful Resources
Official sources for the rules we follow when we bill.
- CMS.gov: Medicare coverage, billing and payment rules.
- Florida Agency for Health Care Administration: Florida Medicaid information.
Have aging claims or unresolved denials?
Talk to Express MBS about your revenue cycle management options. Free practice audit and a free 30-day billing trial.