Recover Found Revenue from Written-Off Medicare Advantage Q-Code Denials
We turn wrongfully denied Q-code claims into recovered revenue on a 100% contingency basis—even for claims your internal billing team or third-party billers have already worked, appealed, and written off.
Key Performance Metrics Bar
00% Recovery Rate on Qualifying Claims to Date
$8M+ Recovered in the First 6 Months
2022 Oldest Claims Successfully Recovered
100% Contingency-Based (No Recovery = No Fee)
The Core Challenge: Revenue You’ve Already Given Up On
Most medical practices and specialty clinics consider written-off Q-code claims a total loss. After internal billing staff or third-party billing companies exhaust standard appeal processes, complex Medicare Advantage denials are quietly written off A/R ledgers.
Why Traditional Appeals Fail: Medicare Advantage plans frequently apply internal denial logic that conflicts with governing Centers for Medicare & Medicaid Services (CMS) coverage guidelines. Standard billing software and internal appeal teams simply do not have the specialized legal and regulatory framework needed to prove payer non-compliance.
How We Differ: Fields Consulting Group, in partnership with 7Streams, deploys a proprietary recovery framework designed specifically to identify and leverage CMS violations that traditional billing workflows miss. We do not replace your billing team—we recover what they couldn't.
Key Advantages for Medical Practices
There are no upfront costs, evaluation fees, or retainer requirements. Your clinic writes no check to us unless we first recover and deposit funds into your account. If we do not recover money, you owe nothing.
We don't just pursue the original denied claim amount. When Medicare Advantage payers wrongfully withhold payment, they owe statutory interest. Our recovery methodology aggressively pursues both principal and accrued interest.
Your IT and compliance teams remain in total control. We do not require integration or administrative access to your EHR, EMR, or internal billing systems. All documentation is exchanged through a secure, encrypted file portal.
Protecting Patient Health Information (PHI) is non-negotiable. We execute a formal Business Associate Agreement (BAA) before any documentation is transferred, maintaining full compliance with federal privacy standards.
Right-Fit Qualification Profile
Our Q-Code Recovery program is specifically engineered for practices that meet the following criteria:
Right-Fit Criteria:
Payer Mix: Medicare Advantage denials (not Medicaid or Medicare Fee-For-Service).
Claim History: Aged or written-off Q-code claim denials (ranging from recent write-offs back to 2022).
Prior Authorization: Claims where prior authorizations or IVR pre-approvals were originally established.
Exhausted Options: Claims that internal billing teams or third-party billing agencies have already worked and written off.
Volume: Practices holding $100K+ in cumulative written-off Q-code denials (or 10+ denied claims).
How the 3-Step Recovery Process Works
Step 1 : Free Claims Assessment
You upload a sample batch of denied Q-code claim files (EOBs, prior authorization records, and date-of-service chart notes) to a secure, HIPAA-compliant folder. We analyze the files at no cost to validate whether they meet our qualifying recovery criteria.
Step 2 : Findings & Engagement
We schedule a short Confidence Call to review our findings. We outline the exact dollar amount we are confident we can recover. Once the Services Agreement and BAA are executed, our team takes over the entire appeals process.
Step 3: Appeals & Revenue Collection
Your staff stays completely hands-free. 7Streams builds the legal appeal package citing specific CMS regulatory non-compliance, submits the filings, negotiates directly with Medicare Advantage plans, and recovers your principal plus interest.
Addressing Common Questions (FAQ)
Our billing team already appealed these claims and lost. How can you recover them?"
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That is the exact proof point we look for. Standard billing departments rely on routine billing codes and general appeal letters. Our proprietary methodology targets payer non-compliance with governing CMS guidelines—a legal framework traditional billing systems aren't equipped to execute. Every dollar in our $8M+ recovered total was previously worked and written off by other teams.
How far back can you go to recover written-off claims?
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We can evaluate and recover written-off Q-code denials dating back to 2022. Once a claim is written off, it leaves your active A/R, but the payer's legal obligation remains. Furthermore, the longer the claim has been wrongfully withheld, the more interest has accrued.
Why don't you need access to our EHR or billing software?
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We keep your IT systems completely locked down. You simply upload the necessary claim documentation (EOBs, chart notes, authorization forms) to a secure Google Drive workspace backed by a signed Business Associate Agreement (BAA). You control every file that enters the folder.
What does this service cost our clinic?
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There is zero upfront cost. The program operates on a 100% contingency model. If we do not recover money from the payer, you owe us nothing. Because these claims are already written off to $0 on your books, every dollar recovered is pure found revenue.
Uncover Found Revenue Trapped in Your A/R
Don't leave written-off Medicare Advantage claims on the table. Let our advisory team conduct a confidential, zero-risk claims assessment to determine exactly how much revenue your practice can recover.
100% Contingency-Based — No recovery, no fee.
Zero System Access Required — Safe, secure, and HIPAA-compliant.
Hands-Free for Your Staff — We handle the heavy lifting.
Request Your Free Q-Code Claims Assessment
Complete the form to get started. An advisory partner will contact you within one business day to coordinate secure file upload instructions.