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Out-of-Network Revenue Recovery

You Provided the Care.
Now Get Paid for It.

AJ Medical Revenue Consulting helps physicians, surgical practices, and billing companies maximize out-of-network reimbursements through expert Revenue Cycle Management, NSA Arbitration, State IDR, and Medical Collections.

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Millions+ Recovered
0+ Professional Providers
0% Claim Resolution Rate
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Older Claims

Don’t Let Older Claims Go Unpaid.

We recover out-of-network revenue through Federal NSA Arbitration — including older claims from 2022 and beyond.

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Your Practice.
Stronger Revenue.

We handle the complex reimbursement process so you can focus on what matters most — your patients.

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Our Services

NSA Arbitration icon

Federal No Surprises Act (NSA) IDR Arbitration

Federal No Surprises Act dispute resolution from eligibility review through award submission.

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Upcoming Services

Revenue Cycle Management icon

Revenue Cycle Management

Complete revenue cycle support from claim submission through payment reconciliation.

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State IDR & Arbitration icon

State IDR & Arbitration

Expert management of state surprise billing disputes across applicable jurisdictions.

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Medical Collections icon

Medical Collections

Aggressive yet compliant collections for unpaid out-of-network claims and arbitration awards.

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Medical Billing Consulting icon

Medical Billing Consulting

Workflow optimization, payer strategy, compliance reviews, and operational consulting.

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Why Choose AJ Medical Revenue Consulting?

Revenue Cycle Experts
NSA & State Arbitration Specialists
Out-of-Network Billing Experience
Customized Practice Solutions
Fast Response Times
Transparent Communication
Increased Collections
Reduced Administrative Burden

About Us

Helping Practices Recover More Revenue

AJ Medical Revenue Consulting LLC was founded to give physicians, surgical practices, and billing companies a dedicated partner for the most complex part of healthcare finance: getting paid fairly for out-of-network care. Our goal is simple — put more of the revenue you've earned back in your practice, faster.

  • Increase reimbursement
  • Reduce denials
  • Accelerate collections
  • Improve cash flow
  • Allow providers to focus on patient care

A true partnership — your recovery is our priority.

Industries We Serve

Specialized Revenue Solutions
for Healthcare Providers

AJ Medical Revenue Consulting partners with healthcare providers and organizations to strengthen revenue performance, resolve complex reimbursement challenges, and maximize collections.

Surgical and specialty practices we support: neurosurgery, orthopedic surgery, spine surgery, plastic surgery, pain management, anesthesia, vascular and cardiothoracic surgery, assistant surgeons, and intraoperative neuromonitoring providers

Our Process

Every underpaid or improperly denied claim can mean revenue your practice has already earned but hasn’t collected. AJ Medical Revenue Consulting identifies payment discrepancies, challenges improper reimbursements, manages open negotiations, and develops strong arbitration submissions designed to pursue the reimbursement you’re entitled to.

From federal No Surprises Act disputes to state-specific surprise billing requirements, we navigate the process nationwide so your team can stay focused on patient care while we focus on recovering your revenue.

01

Free Practice Assessment

We evaluate your current revenue, workflows, and opportunities.

02

Claim & Revenue Review

We analyze claims, payments, denials, and underpayments.

03

Customized Strategy

We create a tailored plan to maximize collections and reduce losses.

04

Implementation

We put the plan into action with expert execution and payer follow-up.

05

Ongoing Revenue Optimization

We continuously monitor, improve, and optimize your revenue performance.

Frequently Asked Questions

The federal No Surprises Act (NSA) governs payment disputes for certain out-of-network services, including emergency care and services at in-network facilities. If a payer's initial payment is insufficient, we manage the entire Independent Dispute Resolution (IDR) process on your behalf — from eligibility review through award submission.

We typically work on a contingency basis tied to recovered revenue, so our incentives are aligned with yours. Every engagement starts with a free practice assessment so you know exactly what to expect before committing.

Timelines vary by payer, jurisdiction, and claim complexity. Federal IDR determinations are typically issued within 30 business days of case initiation; collections timelines depend on payer responsiveness. We provide transparent status updates throughout.

We work with neurosurgery, orthopedic surgery, spine surgery, pain management, ambulatory surgery centers, independent physician practices, medical billing companies, and multi-specialty groups.

Schedule a free consultation using the contact form below or call us directly. We'll review your current revenue cycle and outline exactly where we can help.

Get In Touch

Let's Improve Your Revenue

Schedule a free consultation today — let's find where your practice is leaving revenue on the table.

  • ☎ 347-278-5236
  • ✉ info@ajmedicalrevenue.com
  • 🌐 ajmedicalrevenue.com