Most healthcare organisations assume 90+ day accounts receivable is a lost cause. Our Legacy AR Audit consistently proves otherwise — identifying an average of 18–32% in recoverable revenue from balances your team has stopped chasing. We show you exactly where it is, with no obligation to engage us for the recovery.
Takes 2 minutes. Our team responds within one business day.
An RCMAXIS revenue cycle specialist will contact you within one business day to begin the intake process. You will receive a calendar invite for your Strategy Session within 48 hours.
Accounts receivable aged beyond 90 days has a quiet, insidious effect on healthcare organisations. Finance teams reclassify it as a write-off. Revenue cycle directors accept the aging as "normal." And millions of dollars that were legitimately earned — and legitimately collectible — quietly disappear from the books.
The industry calls this Legacy AR. We call it a preventable revenue problem.
The numbers are stark: HFMA research indicates that healthcare organisations write off an average of 3–8% of net revenue annually to bad debt and uncollected AR — much of which could have been recovered with the right follow-up process. For a $10M practice, that is $300,000–$800,000 in revenue walking out the door every year.
The problem compounds because most in-house billing teams are optimised for current claims. Working 90+ day AR requires a different skill set: payer escalation expertise, clinical documentation review, denial appeals writing, and persistence that resource-constrained billing departments rarely have bandwidth for.
This is not a failure of your team. It is a structural reality of how most revenue cycle departments are built. Our audit is designed to show you the scope of the problem — impartially, transparently, and at no cost.
Important: This is a Non-Intrusive Audit. We work from de-identified or aggregate AR data you share via our secure transfer portal. Your IT department will not need to grant us system access. No PHI is required to produce the Discovery Report. Data Privacy Guaranteed — a signed BAA is available before any data is exchanged.
Most payers enforce 12–24 month timely filing windows. Legacy AR sitting unworked is silently expiring. Every month of inaction permanently closes the window on collectible claims.
Up to 65% of denied claims are never reworked. That means a systematic denial reason — one that could be corrected and appealed — is generating a permanent write-off every billing cycle.
Payers routinely pay below contracted rates on complex claims, knowing appeals are resource-intensive. Legacy AR often contains years of accumulated underpayments — each individually small, collectively significant.
Internal billing staff often write off claims to meet productivity metrics. Our audits routinely find 10–20% of "written-off" balances that were incorrectly categorised and remain legally billable.
We have deliberately designed this process to be lightweight for your team. You provide the data; we do the analysis. Our consultants have reviewed over $180M in legacy AR across 40+ specialties.
You upload your AR aging report (Excel or CSV) to our 256-bit encrypted SFTP portal. No system access required. No PHI exposure. Your IT team reviews the transfer protocol before anything moves. We sign a BAA on day one.
Day 1Our senior AR analysts — not offshore data entry staff — review your aging buckets by payer, denial code, CPT category, and provider. We cross-reference against payer timely filing limits, current fee schedules, and appeal success rates from our proprietary database.
Days 2–4You receive the Legacy Recovery Roadmap — a structured report identifying: recoverable vs. non-recoverable balances, top denial root causes, expired vs. still-actionable claims, estimated recovery value by payer, and a prioritised action sequence.
Day 5A senior RCMAXIS consultant walks you through the findings — live, on your schedule. We answer every question, explain every number, and give you a clear picture of what recovery would look like. You decide what to do next. There is no sales pitch.
Day 6–7A structured deliverable — not a vague summary. Every finding is quantified, prioritised, and explained in plain language your CFO and RCM director can act on immediately.
Delivered as a branded PDF report with executive summary and detailed appendices. Typical report: 12–18 pages.
Total legacy AR reviewed, estimated recoverable balance, top 3 action items, and urgency rating by timely filing deadline proximity.
Every balance categorised: currently actionable, expired (timely filing passed), patient-responsible, or dispute-eligible. Quantified by dollar value and claim count.
The primary denial codes and patterns driving your backlog, ranked by dollar impact — not just claim count — with upstream process recommendations for each.
Which payers are holding the most recoverable revenue, their appeal success rates from our database, and recommended escalation channels for each.
A 30-60-90-day recovery plan ranked by: dollar value, timely filing urgency, and ease of collection. Ready to hand directly to your billing team — or ours.
Claims that are still within timely filing windows, have valid clinical documentation, and meet payer appeal criteria. These are your highest-priority recovery targets. We rank them by dollar value and estimated collection probability so your team can sequence the work efficiently.
Claims where the payer paid below your contracted rate. These require a formal dispute letter and supporting documentation — a different workflow from standard denial appeals. We flag every underpayment above $200 with the specific contractual reference and recommended dispute language.
Beyond the immediate recovery opportunity, we identify the upstream processes that created your legacy AR in the first place. Whether it is eligibility verification gaps, charge lag, or a specific payer's billing quirks — fixing the source prevents the same balances from accumulating again.
Our auditors review your internal write-off codes for misclassification. Claims written off as "timely filing" that still have valid secondary payer coverage, or "no authorisation" denials that can be retroactively authorised — these are recoverable with the right process and often represent 10–20% of the total legacy balance.
We built this audit to demonstrate our expertise, not to create a sales funnel. If your AR is unrecoverable, we will tell you. If your internal team can handle the recovery, we will tell you that too.
Our analysts have deep experience across specialty clinics, behavioural health, cardiology, orthopaedics, and gastroenterology. We understand the coding nuances, payer behaviours, and documentation requirements that differ significantly by specialty — and that drive the majority of complex denials. Learn more about our specialty billing services.
Our reports are written for RCM directors and CFOs, not billing staff. Every finding includes a plain-English explanation of the issue, the dollar impact, the recommended action, and the expected outcome. No obfuscation, no upselling within the report itself.
We understand that healthcare financial executives deal with aggressive vendor outreach constantly. Our strategy session is structured as a peer consultation — you ask questions, we answer them. Whether you engage RCMAXIS for the recovery or take our report to your existing team, we consider the audit a success. Our revenue recovery team earns its reputation through results, not pressure.
Five business days for a Discovery Report is fast. We achieve it because we have built proprietary analysis workflows and maintain a dedicated legacy AR audit team — not because we are doing a surface-level scan. Our benchmark: every dollar figure in the report is individually substantiated. We do not estimate what we have not verified.
"We assumed the $1.1M in our 90+ bucket was effectively gone. RCMAXIS identified $340K as recoverable in the first week of their audit — including $90K in commercial payer underpayments we had accepted as correct. The report alone was worth engaging them."— Revenue Cycle Director, Multi-Site Orthopaedic Group, Illinois
It takes two minutes to request the audit. It takes us five business days to show you what is recoverable. There is no cost, no commitment, and no sales pressure. Just answers.
HIPAA-Compliant · Data Privacy Guaranteed · Non-Intrusive Audit · No Vendor Lock-In