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Case study · Psychiatry · Massachusetts
A psychiatry clinic in Massachusetts came to PhysiAssist in 2025 with a large AR backlog. In 75 days we recovered $1M through targeted denial management and automated claim workflows, and days in AR fell from over 90 to under 40.
DAYS IN ACCOUNTS RECEIVABLE
The situation
The clinic was seeing patients steadily, but a large share of past claims had never been paid. Days in AR had passed 90, and denied claims were piling up faster than staff could work them.
Psychiatry denials are often small rules done wrong: an add-on code without the right E/M, a telehealth modifier a payer does not accept, an authorization that ran out.
What we did
Every open claim grouped by payer, age and denial reason, so the biggest recoverable dollars came first.
Corrected claims and appeals by denial pattern, not one claim at a time.
Payer rules for add-ons, telehealth and authorizations built into claim checks, so new claims stopped repeating old errors.
Every corrected claim tracked until it paid, with payer escalation where needed.
Results
Recovered
$1Min 75 days
Days in AR before
90+at the start
Days in AR after
under 40after the backlog was worked
Recovered amount and days in AR from the clinic's billing and AR reports, 2025.
We review a recent month of claims and denials: add-on codes, telehealth modifiers, authorizations and payer rules, and send a written report.