Success story
North Shore Foot & Ankle Associates
North Shore Foot & Ankle Associates came to MedHeave with a high-risk revenue problem that it could not resolve internally.
Project Metadata
Specialty
Podiatry
City
New York, NY
Practice size
3 providers
Locations
Multi-location
Onboard
Onboarded October 2024
The challenge
A multi-location podiatry practice in New York arrived at MedHeave with $650,000 in stagnant accounts receivable, built up over time due to inaccurate billing, unpaid surgical claims, and high volumes of E&M denials.Â
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The previous billing company had failed to submit claims accurately, leaving many aged claims unresolved and several workers’ compensation payers entirely uncontacted.Â
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Credentialing gaps with multiple UnitedHealthcare plans caused claims to be incorrectly processed as out-of-network, resulting in direct financial losses. The practice lacked the internal resources and vendor support to untangle these compounding issues, and cash flow had deteriorated as a result.
Results
83% $650 Thousand → $110 Thousand
AR recovered
80% in 120 days
Denial reduction
30 days down from 75 days
AR cycle time
~40% Via appeals on surgeries & E&M
Revenue recovered
120 days of full billing operation rebuilt
Time to stabilization
Ongoing stable across billing & AR
Results sustainability
What we did
Prioritized aged & high-value surgical claims
Focused immediately on claims aged over 60 days, with priority given to high-dollar and surgical cases. Submitted formal appeals for claims denied due to timely filing limitations, resulting in successful reviews and payments that were previously written off.
Fixed credentialing gaps & out-of-network misprocessing
Identified and resolved credentialing issues with UnitedHealthcare that caused claims to be incorrectly processed as out-of-network. Corrected and resubmitted affected 2024 claims, recovering the underpaid difference directly from payers.
Broke through unresponsive payers & workers’ comp backlog
Established communication with previously uncontacted workers’ compensation payers through multi-channel outreach, including email and fax. Followed up consistently until resolutions were reached on long-dormant claims.
Forced E&M reprocessing with Healthfirst
Secured payment on a significant volume of E&M claims through targeted appeals, despite Healthfirst’s standard policy of not allowing claim reprocessing, a result that required persistent advocacy and deep payer knowledge.
Your patients need your attention. 

Your claims need ours.
One conversation is enough to identify where your billing is losing revenue, which claims are failing and why, and what a correctly structured billing operation looks like for your practice type.
