Compliant credit balance resolution and refund management.
Systematic resolution of patient overpayments, dual-insurance coordination surpluses, and compliant refund processing to protect against severe CMS and OIG overpayment withholding penalties.
Compliance with CMS Overpayment Rules
How ARDA Health-Tech Delivers Operational Precision
A disciplined blend of autonomous software and clinical specialists executing with zero tolerance for administrative error.
Credit Ledger Auditing
Systematic auditing of negative balances to determine true overpayments versus erroneous posting adjustments.
Dual-Coverage Coordination
Re-adjudication of primary and secondary insurance payments to identify duplicate payments and contractual offsets.
Audit-Proof Refund Processing
Compliant check issuance, escheatment filing, and documentation trails meeting state unclaimed property laws.
Measurable Revenue & Efficiency Gains
Clear operational deliverables backed by strict Service Level Agreements (SLAs).
- ✓ Complete elimination of accumulated unallocated credit backlogs and aging negative ledger balances
- ✓ Full compliance with CMS 60-day overpayment disclosure rules, shielding providers from severe False Claims Act exposure
- ✓ Standardized operating procedures for patient refunds that build patient trust and financial clarity
- ✓ State-specific unclaimed property compliance avoiding costly escheatment audits and penalties
Looking for our full spectrum of revenue cycle disciplines and practice models?
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