Rapid cash acceleration without permanent overhead. Nova Arc deploys specialized, certified revenue surge pods that seamlessly overlay your existing hospital business office to liquidate aged A/R backlogs, overturn complex clinical denials, and recover trapped revenue during EHR conversions, staffing vacancies, or M&A integrations—available on a 100% contingency, risk-free model.
Even the strongest hospital revenue cycles encounter acute operational disruptions that overwhelm internal billing teams. Nova Arc's Extended Business Office is purpose-built to step in, absorb the shock, and restore balance sheet health.
Migrating to Epic Resolute, Cerner Millennium, or MEDITECH Expanse inevitably triggers a temporary 30-to-60 day cash freeze. Workqueue volumes quadruple, charge routers misfire, and billing clerks struggle with new software. Nova Arc overlays legacy queues, keeping cash flowing while your team masters the new system.
When aged receivables exceed 20% of your total ledger, internal staff are forced to triage—working fresh claims while older claims age toward commercial timely-filing limits (typically 90 to 180 days). Nova Arc's surge teams attack aged buckets with algorithmic speed before claims become uncollectible write-offs.
Healthcare billing turnover exceeds 25% annually. When senior appeal specialists or inpatient hospital billers resign, institutional knowledge is lost and backlogs instantly mushroom. Nova Arc provides immediate, credentialed surge pods within 5 business days, eliminating recruiting delays and training lag.
When a health system acquires community hospitals or hospital-based specialty groups (radiology, anesthesia, pathology), the legacy A/R is often trapped in disparate systems. Nova Arc runs a time-boxed wind-down of legacy practice management software, extracting maximum cash while the enterprise moves forward on Epic or Cerner.
Nova Arc's staffing overlay is engineered to integrate alongside your existing hospital billing operations. We never displace or disrupt your internal team—we shield them from historical backlogs so they can focus on current day-to-day cash.
Hospital leaders avoid consulting engagements that drag on indefinitely. Nova Arc's EBO projects operate under strict, time-boxed charters. We ingest the aged backlog, liquidate the claims, train your internal team on preventative rules, and cleanly exit.
Securely connect into your EHR. Our algorithmic models stratify your aged accounts by collectibility, recovery yield, and timely-filing risk. High-dollar surgical and inpatient claims nearing timely-filing deadlines are tagged for immediate Day 15 attack.
Surge pods execute systematic payer follow-ups, submit automated 276/277 status inquiries, re-transmit scrubbed electronic 837 claims, and dispatch first-level clinical appeal packages. Initial cash acceleration surge hits hospital bank lockboxes.
Focus shifts to contested accounts: high-level administrative appeals, Medicare RAC dispute packages, commercial contract underpayment demands, and credit balance reconciliation. Payer escalations are managed at the provider relations executive level.
Final zero-balance reconciliation of workqueues. Post-audit executive briefing delivered to C-suite with documented root-cause cures. Unworked legacy backlog is eliminated, and stabilized queues are handed back to internal staff with zero disruption.
Configure your hospital network or physician group's aged receivables parameters below to calculate estimated net cash collections, avoided write-offs, and your projected time to portfolio liquidation.
Generic temporary billing agency workers lack the specialty expertise to overturn complex clinical denials. Nova Arc deploys credentialed, domain-specific revenue pods tailored to health systems and hospital-based specialties.
Staffed by certified registered nurse auditors (RN) and AHIMA-credentialed inpatient coding specialists. Investigates clinical downcoding, sepsis criteria disputes, observation-to-inpatient 2-midnight denials, and Medicare RAC Additional Documentation Requests (ADR).
The Challenge: Following an enterprise Epic migration, workqueues swelled with $18.4M in stalled legacy accounts exceeding 120 days. Internal staff were overwhelmed by new system workflows and could not touch aged claims.
The Challenge: Commercial payers misapplied Multiple Procedure Payment Reductions (MPPR) to professional interpretation claims (Modifier 26) and truncated anesthesia minutes, trapping $4.8M in aged accounts past 150 days.
Schedule a confidential backlog evaluation with our revenue surge architects. We will analyze your aged trial balance, quantify collectible cash yield, and outline a custom 90-day time-boxed staffing overlay proposal within 5 business days.