Many nursing home facilities and medical practices lack the expertise and resources to recover payment from aging Account Receivables. The collection of aging Account Receivables (follow-up) and appeals of unpaid claims is one of the most challenging issues facing the administrative staff of any nursing home facility or medical practice. MCR&DS’ director has an extensive medical and nursing background and vast experience in managed care (case management/utilization review, billing/coding, and appeals processes), and MCR&DS serves an extensive variety of medical specialties: