Stage 2: Recover The Money
Revenue Recovery Sprints
A focused project addressing the difficult, high-dollar accounts your routine billing operations do not have the time or specialized expertise to resolve.
Who Needs This?
Recovery Sprints are for organizations that have identified specific pockets of unresolved revenue—either internally or via a RevIQ Diagnostic—and need immediate execution to convert it to cash.
- ✓ High-dollar surgical or complex procedural denials
- ✓ Aged accounts approaching timely filing deadlines
- ✓ Disputed underpayments requiring rigorous payer escalation
- ✓ Coding and authorization-related rejections
- ✓ Backlogs that internal staff lack bandwidth to process
Required Inputs
The exact access model is established during scoping. Typical inputs include the claim population and supporting information needed for the agreed recovery work.
- Targeted AR FileThe specific universe of claims defined for the recovery sprint.
- Agreed System or Report AccessAccess to claim histories, remittances, and supporting documentation appropriate to the engagement scope.
- Payer and Remittance InformationInformation needed to verify claim status, understand payment decisions, and support authorized follow-up.
Work Performed
These claims are no longer routine. We treat them as financial assets requiring forensic follow-up.
Complex Appeals & Escalation
Preparing evidence-based follow-up and appeals using available claim documentation, payer requirements, and the escalation paths authorized for the engagement.
Coding-Related Issue Coordination
Identifying coding-related denial patterns and coordinating findings with the practice's authorized coding and clinical professionals.
Underpayment Recovery
Demanding accurate reimbursement for claims paid incorrectly according to your negotiated payer contracts.
Deliverables
Recovery activity and outcome reporting, plus a Final Sprint Report detailing resolutions, remaining barriers, and root-cause intelligence. Recovery results vary by claim and payer.
Expected Timing
Typically structured as a 60–90 day project, depending on claim volume and payer response times.
Next Steps
Following a sprint, organizations may choose Revenue Assurance for ongoing visibility into performance and emerging revenue risk.
How We Work With You
We do not replace your billing team.
Your team continues managing current charges. We work solely within the defined historical scope. We document our actions directly in your system, leaving a clear audit trail.
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