LC
AR Recovery
Legacy AR Conversion & Implementation
Legacy AR conversion and implementation into a separate billing environment.
Confidential Proposal · Prepared for South San Francisco Fire
Legacy AR
recovery, carried through resolution.
Solutions Group Services proposes a focused legacy AR recovery project designed to maximize collections while identifying additional reimbursement opportunities that may not be captured through a traditional AR cleanup.
Prepared for
Richard Walls, EMS Chief
South San Francisco Fire
Prepared by
Griffin Hebert
Solutions Group Services
Engagement
Legacy AR
Recovery
Duration
Approximately
120 days
THE TRANSITION
One partner.
One point of resolution.
As South San Francisco Fire transitions billing vendors, Solutions Group will transfer the legacy AR into a separate billing platform and independently work outstanding balances through resolution. This scope is designed to be a comprehensive alternative to any secondary recovery vendor currently used for legacy AR, so Solutions Group can serve as the single point of resolution.
SCOPE OF SERVICES
What the project
will include.
The project will include:
FU
AR Recovery
Active Payer & Patient Follow-Up
Active payer and patient follow-up on outstanding balances.
CR
AR Recovery
Claim Correction & Denial Follow-Up
Claim correction, resubmission, and denial follow-up where appropriate.
OR
AR Recovery
Project Oversight & Reporting
Ongoing project oversight and reporting.
ENHANCED REVENUE DISCOVERY
Beyond the balance on file.
In addition to standard AR recovery, Solutions Group will use specialized technology to identify potential reimbursement sources that may not currently be reflected in the account.
TP
Revenue Discovery
Third Party Liability (TPL) Discovery
We will scrub applicable accounts for potential third-party liability coverage, including accounts that may have already been written off.
SP
Revenue Discovery
Self-Pay Discovery
Applicable self-pay accounts will be reviewed for previously unidentified insurance coverage, including eligible written-off accounts.
These services are intended to uncover new reimbursable revenue, not simply collect balances based on the payer information currently on file.
PRICING
One recovery fee.
Technology included.
Implementation covers moving your legacy AR into a separate billing environment. From there, one contingency fee covers the recovery work and the discovery technology.
Engagement model
One-time implementation + contingency recovery fee.
TPL and Self-Pay discovery are included within the recovery fee at no additional charge.
$7,500
one-time implementation
20%
of recovered collections
Service
Structure
Fee
Implementation and Legacy AR Conversion
StructureOne-time fee
Fee$7,500
Legacy AR Recovery Services
StructureContingency
Fee20% of recovered collections
TPL, Self-Pay & Enhanced Revenue Discovery
StructureIncluded in recovery fee
FeeNo additional charge
~120 days
expected engagement length
$300K to $400K
preliminary estimated recoveries
The goal is to provide South San Francisco Fire with a comprehensive final recovery effort that addresses both existing AR and previously unidentified reimbursement opportunities.
ENGAGEMENT TIMELINE
120 days to final resolution.
Days 0 to 30
Conversion & Implementation
Legacy AR is transferred into a separate billing environment and set up for independent recovery work.
Days 30 to 90
Active Recovery & Discovery
Payer and patient follow-up, claim correction and denial follow-up, plus TPL and Self-Pay discovery across applicable accounts.
Days 90 to 120
Final Resolution & Reporting
Outstanding balances are worked through resolution and findings are reported back to South San Francisco Fire.
Day 0
Day 30
Day 90
Day 120
Ongoing project oversight and reporting
- 1Days 0 to 30
Conversion & Implementation
Legacy AR is transferred into a separate billing environment and set up for independent recovery work.
- 2Days 30 to 90
Active Recovery & Discovery
Payer and patient follow-up, claim correction and denial follow-up, plus TPL and Self-Pay discovery across applicable accounts.
- 3Days 90 to 120
Final Resolution & Reporting
Outstanding balances are worked through resolution and findings are reported back to South San Francisco Fire.
Ongoing project oversight and reporting
Timeline is approximate and will be confirmed at kickoff.
More about this engagement
Context, on demand.
Everything you might want to know about the engagement. Expand any section for the full detail.
NEXT STEPS
From proposal
to project kickoff.
- 1
Review proposal
South San Francisco Fire reviews the scope, discovery services, and pricing outlined here.
- 2
Confirm legacy AR scope
Align on the accounts and balances included in the transfer.
- 3
Execute agreement
Accept this proposal and execute the engagement agreement.
- 4
Convert legacy AR
SGS transfers the legacy AR into a separate billing environment.
- 5
Begin recovery
Active follow-up and revenue discovery begin.
READY WHEN YOU ARE
Ready to accept the proposal?
Acceptance confirms the scope and pricing structure above. Final account lists and timeline details are confirmed at kickoff.
SGS
Griffin Hebert
Your primary contact for this engagement
Solutions Group Services