Solution: Slow AR & Cash Flow
Days in A/R above 40 means your practice is financing the healthcare system, not getting paid for it. Every day of excess AR is real cash flow you can't use for payroll, equipment, or growth. We fix the follow-up process that's letting claims age.
Root Causes
Slow AR is almost never a payer problem. It's a follow-up and process problem. Here are the most common causes we find.
Claims are submitted and then passively waited on. Without a defined follow-up cadence (21 days for commercial, 28 days for Medicare), claims simply age without action.
A denial received on Day 30 that isn't appealed until Day 75 is a claim that may miss timely filing windows. Denial backlogs are one of the fastest ways to convert workable claims into write-offs.
Most billing companies stop working claims at 90 days. 60–80% of claims in the 90–180 day bucket are still recoverable, but only if someone is actively pursuing peer-to-peer reviews, appeals, and escalations.
A $12 copay and a $4,200 procedure both sit in the same work queue. Without triage by balance, high-value claims get the same (insufficient) attention as small-balance items.
If charges aren't entered for 7–10 days post-service, your AR aging clock starts late, and your effective Days in A/R is higher than your reports show.
Every payer has a different timely filing window (90 days to 365 days). Claims approaching the limit need priority attention; most practices don't track this by payer.
Our Approach
We pull your full AR aging report at onboarding and segment every open claim by balance, payer, and days outstanding. Claims over $500 in the 90+ bucket get individual case review within the first week.
For every recoverable claim in your 90–180 day bucket, we initiate appeals, peer-to-peer requests, or corrected submissions, prioritized by balance and payer timely filing deadline.
New claims follow a defined follow-up schedule: status check at Day 21 for commercial, Day 28 for Medicare. No claim ages past 30 days without an action on record.
Claims over $1,000 are tracked individually with daily status monitoring. Escalation paths (peer-to-peer, attorney review, state insurance commissioner) are triggered automatically at defined thresholds.
We reconcile charges against the schedule daily, every appointment gets a charge within 24 hours, ensuring your AR clock starts on time and nothing falls through.
Illustrative Scenarios
Our free revenue assessment includes a full AR aging audit. We'll identify every recoverable claim, show you the total amount, and outline the specific steps to collect it.