Accounts Receivable Management

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• What is A/R aging and how should the buckets be read?

  A/R aging groups outstanding balances by how long they have been unpaid, usually in 30-day buckets from the billing date. The headline number is the share sitting past 90 days: it is the part of the balance most likely to age out entirely, and it moves slowly enough that a rising figure is always a process problem rather than a bad month.

• Why do claims get harder to collect after 90 days?

  Because the options narrow. Appeal and reconsideration windows start closing, the documentation trail gets colder, staff who remember the encounter have moved on, and the payer's own records of the claim are further from the front of the queue. The claim does not become invalid — it becomes expensive to prove.

• What is a normal days-in-A/R figure?

  Days in A/R measures the average time between billing and payment, and there is no single number that fits every practice: specialty, payer mix, and how much of the balance is patient responsibility all move it. It is read as a trend against your own baseline and by payer, not against an industry average.

• What is an old A/R clean-up project?

  A one-off pass over aged balances that have gone unworked, usually after a billing transition or a staffing gap. Each claim is triaged into one of four outcomes: appealable, resubmittable, genuinely patient responsibility, or uncollectible. The value is as much in the write-off decision as the recovery — it makes the remaining A/R figure mean something.

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