Four steps from first conversation to cleaner collections

Our process

Five stages, one team, the whole revenue cycle

From the first claim review to aged AR recovery, every stage is owned by the same MedValue team working inside the system you already use — so nothing falls between vendors.

1. 01

   Stage 1 · Weeks 1–2

   Discovery and secure setup

   We review your EHR or practice management system, payer mix, fee schedules, denial history and AR aging. Your named team is assigned and given role-limited, HIPAA-aligned access. Nothing in your system changes — we document how you work before we adjust anything.

2. 02

   Stage 2 · Before the visit

   Eligibility and prior authorization

   Coverage is verified ahead of the encounter: active plan, copay, deductible and any authorization requirement. Problems caught here never turn into denials later, which makes this the cheapest quality check in the whole cycle.

3. 03

   Stage 3 · Claim submission

   Coding review and clean claims

   Charges are reconciled against your schedule daily. ICD-10, CPT and HCPCS codes are reviewed against provider documentation, then claims run through payer-specific edits for bundling, modifiers and place of service before they go out — typically within 24 to 48 hours.

4. 04

   Stage 4 · Post-payment

   Posting, denials and appeals

   ERA and EOB payments are posted and reconciled against contracted rates, and variances are flagged. Denials are categorised by reason code, appealed with supporting documentation, and the upstream cause is corrected so the same denial does not return next month.

5. 05

   Stage 5 · Ongoing

   Aged AR recovery and reporting

   Aging claims are worked by dollar value and filing deadline, including balances a previous biller wrote off. You get weekly reporting and a monthly review with your account manager covering collections by payer, denial categories and AR aging buckets. No black box.