Where Adjustments Appear
See takebacks, reversals, and related payment activity across the agreed historical period
For Surgeon-Owned Practices
Are Payers Taking Back Money on Claims They Already Paid?
Historical reversals and adjustments can be difficult to trace, reconcile, and connect across payer activity, leaving potential revenue impact unidentified.
- No RCM commitment. Your current billing company can stay in place.
- Scope, NDA and BAA agreed before practice data is shared.
A Paid Claim May Not Be the End of the Story
A payment recorded at one point may later be reduced through a reversal, adjustment, deduction, or offset, making it difficult to understand what changed, why it changed, and how the adjustment affects the practice.
What Makes Takebacks Difficult to Resolve
-
Unclear Adjustment Rationale
Teams need to connect later payment changes to the original claim and supporting remittance evidence to understand what was adjusted and why
-
Incomplete Historical View
A simple aging view does not capture the full historical picture when the relevant activity includes paid and closed claims, payments, reversals, and takebacks
-
Hidden Payment Patterns
Similar adjustments may repeat across payers, procedures, or time periods, but those patterns can remain buried across historical payment activity
-
Limited Visibility into Next Steps
Not every adjustment is necessarily invalid or recoverable. The challenge is identifying which items have supporting evidence, what remains uncertain, and what warrants further review
Free Historical A/R Evaluation to Identify Takebacks and Recurring Payment Patterns
PhiCognition reviews historical claims, payments, adjustments, reversals, and takebacks to help your practice understand what changed, where patterns repeat, and what may need attention
Which Patterns Repeat
Identify recurring trends across payers, procedures, reasons, and time periods
What Deserves Attention
Identify items that may need supporting documentation, further review, known deadlines, or practical next steps
Claim Your Historical A/R Evaluation at No Cost →
Get a clearer view of payer takebacks, payment reversals, and recurring adjustments affecting your surgical practice.
AI-Assisted Analysis + Expert Review | Your Billing Company Can Stay in Place
A Straightforward Process from Data Review to Actionable Insights
Start with a defined historical scope, securely share the agreed data, and review the findings with your team.
-
01
Confirm Fit
Start with a 30-minute discussion to align on your practice, historical period, available data, and evaluation scope
-
02
Share Securely
After the NDA and BAA are signed, your designated billing or finance contact securely shares the agreed historical data for review
-
03
Review the Findings
Once complete, usable data is accepted, initial findings are typically planned for about one month later, giving you the evidence needed to determine what comes next
-
Decide What's Next
Use the findings with your current team. If you choose to pursue further review, audit or recovery work can be addressed separately. Your current billing company can stay in place.
No downstream purchase is required. The agreed evaluation is provided at no charge.
Frequently Asked Questions
We already have a billing company. Is this still relevant?
Yes. This focused historical review does not require you to replace your current billing team or provider.
What data will you need?
Historical claims and payment data, including adjustments and paid or closed claims, plus relevant remittances or notices. We confirm data requirements with your data owner before transfer.
Is the evaluation really free?
The agreed analysis and findings discussion are free. Any later audit, appeal, recovery, or ongoing RCM work would be separately scoped and agreed.
How long does it take, and what is guaranteed?
Initial findings are typically planned for about one month after complete, usable data is accepted, depending on scope and data quality. Recovery is not guaranteed, and some adjustments may be valid or no longer actionable.
How is practice information handled?
Confidentiality, the BAA, and data access requirements are agreed before data transfer. Information is handled only within the approved scope. Do not submit claim files through the website form.
Get a Free Historical A/R Evaluation
PhiCognition combines AI-assisted analysis with expert review to trace historical payer adjustments and recommend practical next steps.
See the Pattern | Understand the Impact | Move from Findings to Action