Whitepaper: How to Stop Zero Balance Accounts from Bleeding your Bottom Line

December 30, 2025

Whitepaper: How to Stop Zero Balance Accounts from Bleeding your Bottom Line

Revenue cycle teams focus on open balances – but what about the accounts marked as paid? Across managed care contracts, these “zero-balance” accounts often hide underpayments no one is tracking.

The result: $1-3 million left uncollected for every $100 million in annual managed care revenue.

This whitepaper examines the overlooked revenue crisis and shares how a $1.7 billion nonprofit health system built a zero-balance review program that recovers $2 million annually – and prevents future losses.

You’ll learn:

  • Why 54% of zero-balance recoveries come from unknown or underworked denials, and why they’re invisible in active AR,
  • How comprehensive reviews drove 180% greater recovery than selective methodologies, and
  • How payer-specific insights from zero-balance reviews strengthen negotiation, compliance and monitoring.

Click Here to Download this Whitepaper