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Home / Revenue Cycle Management / Credit Balance Solution
Revenue cycle management
Overpayments found, reviewed and refunded correctly, keeping your practice compliant with payer rules.
Credit balances are one of the more stressful parts of the revenue cycle. They happen when a practice receives more money than it charged for the services provided. Resolving them takes accuracy, care and full attention.
Unresolved credit balances can lead to:
Our trained analysts review and resolve outstanding credit balances accurately, including refunds where they are due. Our goal is to keep your practice compliant and in good standing.
We review your credit balance report and payment history to find every patient and insurance overpayment.
Each balance is checked for the cause: duplicate payments, posting errors, coordination of benefits or retro adjustments.
We correct posting errors, transfer balances where allowed and prepare refunds with the right documentation.
You get a clear record of every refund and adjustment, so your books stay accurate and audit-ready.
Overpayments that are not refunded on time can break payer contracts and federal rules, especially for Medicare and Medicaid, and they make your AR reports misleading.
Under federal rules, identified Medicare and Medicaid overpayments generally must be reported and returned within 60 days of being identified. We help you stay inside that window.
Yes. We can work through older credit balances as a one-time project and then keep them under control each month.
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