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Despite being financially successful, a ten (10) physician orthopaedic practice was leaving millions of dollars in accounts receivable uncollected every year. Upon completion of a preliminary practice assessment, it was determined that the practice was writing off in excess of $2 million dollars a year as a result of a failure to appeal denied claims, meet timely filing deadlines, and improper submission of claims. More than 30% of the A/R outstanding was at least 150 days past due, and the practice was taking an average of 45-60 days to post charges.