Rapid Physician Services is dedicated to delivering timely, high-quality medical care. In many situations, their clinicians provide necessary treatment without waiting for the lengthy credentialing and contracting process to finish, especially when patients’ needs are urgent. While this commitment prioritizes patients, it can also create challenges on the billing side.
Denials Create a Growing Revenue Problem
Because services were delivered before credentialing and contracting were completed, most of Rapid Physician Services’ claims were denied when submitted to insurers. What began as a small number of rejections quickly turned into a significant backlog. Payments stalled, and thousands of dollars remained unrecovered, leaving the organization at risk of serious cash-flow strain.
Liberty Liens Steps In
Recognizing the mounting losses, Rapid Physician Services brought in Liberty Liens to manage the situation. Our medical billing and medical coding team reviewed the denied claims, analyzed the reasons for rejection, and advised leadership on how to frame the medical necessity of each encounter. We explained to the insurer that the services were not optional but essential to meet urgent patient needs.
Building a Compelling Appeal
Armed with thorough documentation, our specialists prepared and submitted detailed appeals for every affected claim. We emphasized the urgency of care, the lack of available alternatives at the time of treatment, and the importance of reimbursing the provider for services already rendered. We also worked directly with the insurer to ensure the claims were properly reconsidered and processed under the correct dates of service.
$8,000 Recovered and Operations Stabilized
Within a short time, the results were clear. The insurer acknowledged the medical necessity of the encounters, updated the dates of service, and paid out $8,000 in previously denied claims. This infusion of revenue alleviated financial pressure, provided leadership with breathing room, and enabled the team to focus on patients rather than resolving payment disputes.
A Stronger Process for the Future
Beyond recovering funds, Liberty Liens helped Rapid Physician Services implement preventive measures. We educated staff on how to identify potential credentialing issues early, developed a protocol for documenting medical necessity in real-time, and created a checklist to support future appeals if needed. Today, Rapid Physician Services can continue providing urgent care without fear that payment delays will disrupt operations.
“Liberty Liens not only recovered $8,000 we thought was lost but also showed us how to strengthen our billing process for the future.” — Rapid Physician Services
