- 8017 Labana Ct, Canton Township, MI 48187
- +1 (734) 418 2537
- info@a2zbillings.com
We're the RCM team working inside your athenaOne account - clearing the claim hold queue, chasing unpostable payments, closing out kick codes before they repeat, and filing the appeals that need a phone call, not a template.
HOLD [12], MRGHOLD[0], Unpostables [3]- nothing older than [X] days.
What the rules engine cannot do is decide anything. Every claim that needs a judgment call gets routed to a queue with your practice’s name on it, and it sits there until a person opens it, reads it, and resolves it. That queue is the job we do.
Claims athenaOne won't submit until a coding question, an eligibility mismatch, or a missing modifier gets fixed by hand.
The same problem, escalated one level, usually because it needs a decision only your practice can make.
Money that landed in the account but can't auto-post until someone traces which claim, which patient, which adjustment it belongs to.
The same denial reason repeating week after week because nobody has gone back to fix what's causing it upstream.
Visits that happened but never turned into a billable encounter at all.
The ones that need a chart note attached and a call to the payer, not another resubmission.
Claims sit there because a decision belongs to someone on your team, and nobody has been assigned to make it on a schedule.
That money has already been deposited. Your reports are understating collections while it sits unapplied.
One denial reason on repeat almost always traces back to something upstream: a registration field, a modifier, a payer contract detail nobody fixed.
By the time a missed encounter turns up in a month-end reconciliation, the timely filing window on some payers has already tightened.
athenaCommunicator sends the reminders. Nobody is calling on the balances that don't respond to a text.
Seeing that the number moved and knowing why it moved, and what to do next, are two different jobs.
We reconcile the week's schedule against what actually became a claim and chase any Friday-through-Sunday encounter that hasn't been billed yet.
Every held claim gets a decision that day: fixed and released, or escalated to your team with a specific question attached.
We trace unapplied money, match remittances to the right claim, and work the call list for anything stuck longer than 10 days.
Appeals go out with the clinical documentation attached and the denial reason tagged, so a pattern shows up in the monthly review instead of a year later.
We run outreach and payment plan follow-up, then send a short summary: what got resolved, what's still open, and what needs your input Monday.
AthenaOne is a powerful platform, but unlocking its full financial potential requires specialized expertise. A2Z Billings combines deep knowledge of AthenaOne with proven revenue cycle management strategies to help practices reduce errors, improve cash flow, and operate more efficiently.
No. We work inside the athenaOne account you already have. Everything we touch shows up in your own audit trail.
No. We work as named users with role-based permissions your practice controls, so you can see exactly what we've touched and when.
No. We stay on the billing and collections side. If a claim needs a documentation fix, we route it back to your team with a specific note attached.
Typically a percentage of what we actually collect from the queues we're working, agreed on before we start. No long-term lock-in, and we'll walk you through the setup fee, if there is one, before anything is signed.
Most practices see Claim Hold and MGRHOLD current within 30 days. Aged unpostables and older denials usually take a full billing cycle to clear.
Nothing changes on your platform side. We simply take over the queue work your current setup isn't reaching, without touching your athenaOne configuration.
