Transform Aging 60, 90 & 120+ Day Accounts Receivable into Immediate Cash Flow
Commercial and government payers count on your internal staff giving up on aged claims due to administrative friction and looming timely filing deadlines. Mednexa’s forensic recovery specialists systematically resurrect, adjudicate, and collect dormant AR without writing off your hard-earned clinical revenue.
Timely Filing Traps
Commercial carriers deliberately set stringent 90 to 180-day filing limits. In-house staff backlogs cause valid encounters to expire without remediation.
The Administrative Black Hole
Up to 65% of rejected claims are never re-appealed because internal billers juggle check-ins, daily encounters, and patient collections.
Zero-Risk Performance Model
We never charge an upfront retainer. You pay strictly 2.49% of actual cash collected from claims aged 60+ days that we successfully recover.
The Mednexa 4-Tier AR Liquidation Protocol
We don't simply re-transmit rejected files. Our AAPC-certified specialists execute a military-grade forensic workflow directly inside your EHR.
Algorithmic Scrub & Ingestion
Direct API sync with your EHR (Epic, Athenahealth, eCW, NextGen, Kareo). Automated segmentation by carrier filing deadlines, balance size, and recoverable probability.
Root-Cause CARC/RARC Audit
Deep forensic review of Claim Adjustment Reason Codes and Remittance Advice Remark Codes. We identify recurring clearinghouse mapping flaws, medical necessity omissions, and modifier errors.
Multi-Level Payer Escalation
Preparation of substantive clinical appeal packets paired with chart notes. Our senior recovery reps bypass automated IVR phone trees to escalate claims directly to senior payer provider liaisons.
Electronic Remittance Posting
Daily automated posting of cleared ERA/EOB payments into your practice management software. Zero write-off policies ensure every cent is legitimately collected or justified.
Calculate Your Trapped Practice Capital
Estimate how much dormant cash is currently languishing in your 60–120+ day AR buckets based on your monthly collections volume.
In-House Billing vs. Mednexa Forensic AR Team
Why practices across the USA transition their aging claim portfolios to Mednexa's contingency liquidation model.
| Key AR Dimension | Typical In-House Billing Staff | Mednexa Forensic AR Unit |
|---|---|---|
| Aging Threshold Focus | Prioritizes 0-30 days; 90+ claims are pushed to future or written off | Dedicated liquidation squad focusing 100% on 60, 90 & 120+ days |
| Appeal Exhaustion Depth | Simple re-submissions without correcting underlying root clinical cause | Multi-tier forensic appeals, medical necessity defense, supervisor escalations |
| Payer Filing Tracking | Manual spreadsheets; deadlines frequently pass unnoticed | Automated algorithmic countdown with early-warning flags by payer ID |
| Cost Structure & Risk | $15,000–$25,000/mo in fixed salaries, benefits, turnover, & software | Zero fixed salary. Strict 2.49% performance contingency on collected cash |
| Recovery Rate on 90+ Claims | < 15% recovery; bulk marked for bad debt | > 86.4% liquidation recovery without bad-debt write-offs |
How a Dallas Internal Medicine Practice Liquidated $121,350 in 90 Days
"We used to have a 17.9% denial rate, and we simply could not keep up with our accounts receivable follow-up. Claims past 90 days were routinely slated for write-offs. In just 90 days after bringing in Mednexa’s AR Recovery Unit, our clean claim percentage improved to 98%, and they recovered an additional $121,350 that our staff had considered completely uncollectible."
Native Integration With Your Current EHR / PMS
We operate directly within your existing technology stack. No software migrations, no operational downtime, and no extra IT license fees.
Get Your Complimentary AR Aging & Recovery Audit
Upload or describe your aging balance. Our senior forensic medical auditors will evaluate your 60, 90, and 120+ day buckets, verify payer timely filing deadlines, and give you an exact recoverable dollar figure within 24 hours.
Audit Request Dispatched
A senior recovery director from our Miami headquarters is preparing your preliminary file and will contact your team within 24 hours.