How 24/7 Medical Billing Services Reduced AR by 75% in 7 Months for Amada Health

Client

Amada Health (Primary Care & Behavioral Health)

Location

USA

Providers

Dr. Kiran Reddy & Dr. Silvia Collazo

Engagement Start

June 2025

Reporting Period

June 2025 – January 2026

Billing Platform

Office Ally

The Challenge

When Amada Health partnered with 24/7 Medical Billing Services, the practice was facing significant revenue cycle inefficiencies that were limiting cash flow and operational visibility.

Key challenges included

• $184,000 in outstanding Accounts Receivable across 1,922 claims
• 86 rejected claims sitting unresolved in Office Ally
• 62 claims delayed due to unsigned provider notes and missing documentation
• No AR segmentation to distinguish collectible revenue from aging debt
• Provider credentialing gaps preventing clean claim submission
• Inconsistent patient collections with no structured follow-up process

The practice lacked a clear recovery strategy, resulting in mounting AR and limited financial predictability.

The 24/7 MBS Approach

24/7 Medical Billing Services implemented a structured, phased AR recovery and revenue cycle stabilization plan.

Phased Execution Model

Phase	Timeline	Key Actions	Business Impact
Phase 1: Discovery & AR Segmentation	Months 1–2	• Comprehensive AR audit and categorization • Identified documentation gaps • Segmented collectible vs non-collectible AR • Initiated provider credentialing	• 62 claims released for submission • 392 capitated claims identified and adjusted • Provider enrollment initiated
Phase 2: Claims Cleanup & Revenue Recovery	Months 2–3	• Resolved rejected claims in Office Ally • Identified deductible and patient-responsibility claims • Retrieved EOBs and posted accurately • Introduced weekly reporting cadence	• 82+ rejected claims corrected and resubmitted  • 191 deductible claims properly posted • Claims backlog eliminated  • Full billing visibility established
Phase 3: Revenue Cycle Optimization	Months 4–7	• Implemented structured AR categorization • Strategic denial management workflows • Provider documentation alignment • Weekly AR accountability tracking	• Every claim is assigned a recovery pathway • Denials tracked through resolution • Clear escalation workflows • Sustainable billing discipline established

The Results: 75% AR Reduction

AR Transformation (June 2025 – January 2026)

Metric	Before (May 2025)	After (Jan 2026)	Improvement
Total Outstanding AR	$184,000	$38,000	↓ 75%
AR > 90 Days	~40% of total	Minimal	Healthy AR mix
Claim Line Items	1,922	378	Manageable volume
Claim Visibility	None	Structured categories	Full transparency

Within 7 months, Amada Health transitioned from reactive billing to a structured, insight-driven revenue cycle model.

Collections Trend After Engagement

From June through December 2025, 24/7 MBS recovered over $112,526 in payments for the practice.

Month	Claims Processed	Collections	Notes
June	88	$5,499	Transition month – cleanup initiated
July	278	$16,909	AR follow-up accelerated
August	362	$20,960	Peak recovery period
September	280	$18,440	Sustained performance
October	307	$18,669	Consistent revenue stabilization
November	181	$13,289	Lower volume (provider vacation period)
December	339	$20,761	Strong year-end close

Total Collections Recovered: $112,526
Total Claims Processed: 1,835

The temporary dip in November reflects real-world practice dynamics and highlights the stability of the recovery strategy.

Key Issues Resolved

Challenge	Resolution
$184K Aging AR	Reduced to $38K — 75% resolved or recovered
Rejected Claims	80+ claims corrected and resubmitted
Unsigned Notes	Structured provider documentation workflows implemented
Capitated Claims	392 claims identified and adjusted
Deductible Claims	191 claims accurately posted after EOB reconciliation
Credentialing Gaps	CAQH, diplomas, and DEA collected — enrollment completed

Business Impact

This transformation delivered more than AR reduction — it created long-term revenue stability.

Outcomes achieved

• 75% reduction in aging AR within 7 months
• Full visibility into claim lifecycle and collections
• Structured denial management and recovery workflows
• Improved provider documentation discipline
• Sustainable revenue cycle governance

Why This Case Study Matters

The Amada Health engagement demonstrates a core reality in healthcare revenue cycle management:

You can’t optimize what you can’t see.

By combining structured AR intelligence, disciplined workflows, and proactive denial management, 24/7 Medical Billing Services transformed a reactive billing environment into a predictable revenue engine.