Services
A/R recovery
Aged accounts receivable is the clearest signal of how a practice is actually being billed. It is also where the fastest money usually is.
What aging tells you
A single A/R number tells you almost nothing. The shape of it tells you everything. Split by age, by payer and by provider, an aging report shows whether you have a submission problem, a follow-up problem, a credentialing problem or a patient-collections problem, and those have completely different fixes.
Commonly cited benchmarks put days in A/R under about 35 for a well-run practice, with the share of A/R over 90 days somewhere under 15 to 20%. Specialty and payer mix move those numbers, so the useful comparison is against your own trend, not a generic target.
Why old claims get abandoned
Aged claims are unglamorous work. They are slow, each one needs its own history reconstructed, and the recovery per claim is lower than on fresh work. A biller paid as a percentage of collections has an obvious incentive to spend their hours on new claims instead. So the 120-plus bucket grows, and eventually someone proposes writing it off as the cost of doing business.
Some of it genuinely is uncollectable, because timely filing runs out, and some balances are not worth the cost of pursuing. But the write-off decision should be made deliberately, claim by claim, with a reason recorded. Not by default, because nobody got to it.
What we do
- Full aging analysis by payer, provider, location and bucket, so the problem has a shape before anyone starts dialling.
- Work the old buckets deliberately, including claims a previous biller abandoned, starting with what is both recoverable and closest to a filing deadline.
- Reconstruct claim history, meaning what was submitted, what came back, what was tried, because an appeal without that history usually repeats a failed attempt.
- Separate the genuinely dead from the merely neglected, and document why, so write-offs are a decision with a reason attached.
- Credit balances and refunds reviewed too. Unresolved credits are a compliance exposure, not a cushion.
- Report recovery separately from current collections, so you can see what the recovery work itself actually returned.
Start with the audit
The free A/R audit is exactly this analysis run across ninety days of your claims data. You get the findings whether or not you hire us, which is the point: you should be able to see the size of the problem before anyone asks you to sign anything.
Common questions
How far back is it worth going?
It depends entirely on each payer’s timely filing and appeal deadlines, which range from roughly 90 days to a year or more. The audit identifies what is still inside a window and what is genuinely closed.
Do you charge extra for old A/R?
Pricing is quoted after the audit, because recovery work on a neglected 120-plus bucket is a different job from running current claims. You will know the terms before anything starts.
What if our previous biller left bad notes?
That is normal. Part of the work is reconstructing what was actually submitted and what came back, from the clearinghouse and payer side rather than from the notes.
Start with the free audit
Send us ninety days of claims data and we will show you what was left uncollected. No charge, no obligation, and the findings are yours either way.
Request my free audit