Accounts Receivable Management Services for Medical Practices
Unpaid claims sitting in aging buckets are revenue you already earned. We work every open claim, follow up with every payer, and recover what your current process leaves behind.
Free Practice Audit: Full review of your aging buckets, denial rate, and days in AR. Report in 48-72 hours, reviewed by a real AR specialist.
Relentless Follow-Up: Every open claim touched every business day. Nothing ages because
Aged Bucket Recovery: 60, 90, 120+ day claims worked oldest and highest-value first until the backlog is clear.
Why Your AR Is Worse Than Your Aging Report Suggests
Your total AR number looks like one problem. It is actually three problems wearing one number. Some of those claims are recoverable with persistent follow-up. Some are past timely filing deadlines and getting harder to collect every week. And some were already written off without anyone ever making a real attempt to collect them. A single AR total hides all of that.
Here is what that looks like in practice. Claims age past 60 and 90 days while nobody follows up, because the person responsible is also answering phones, checking in patients, and handling prior authorizations. Denied claims sit untouched because reworking them takes time nobody has. Cash flow becomes unpredictable: one good month, one bad month, and no clear reason why. The practice owner sees the bank balance swing and assumes it is a payer problem, when it is usually a follow-up problem.
This is the core of what accounts receivable management fixes. Not the number on the report. The daily work behind it: every open claim touched, every payer contacted, every denial reworked inside its appeal window. If you want to understand how aging buckets actually work, our AR aging guide walks through the mechanics. This page is about what we do about them.
One dedicated in-house AR specialist costs a full salary plus benefits, plus the turnover risk every practice knows too well. And one person still cannot cover every payer, every day, across every aging bucket. Claims slip. Follow-up becomes whoever-has-time work, which means it becomes no-one's work.
A partner spreads that cost across a team that does nothing but follow-up, all day, across dozens of practices. The per-practice cost drops while the coverage goes up. If you are weighing the math, our outsourcing cost guide breaks down what each model actually costs. And if you are comparing vendors, our buyer's guide gives you the 15 questions to ask before you sign with anyone, including us.
AR Management Pricing
AR management is priced as a percentage of collected revenue. Your exact rate is set after the free practice audit, because the honest price depends on your AR volume, how aged your book is, and the complexity of your specialty and payer mix. A practice with a clean 35-day AR and a practice with a 120-day backlog are not the same engagement, and they should not pay the same rate. No audit, no accurate quote. Any vendor who quotes a firm number before seeing your aging book is guessing. We would rather show you your real numbers first and price against them.
Why Practices Outsource AR Follow-Up
AR follow-up is the most commonly outsourced revenue cycle function in US healthcare. A 2026 Guidehouse and HFMA analysis found that 67 percent of US health systems outsource AR follow-up and collections, more than any other RCM function. The reason is arithmetic, not trend.
What Our AR Management Service Includes
AR management is not one task. It is five disciplines running at the same time, every business day. Here is exactly what is covered.
Daily Insurance Follow-Up
Payer calls, portal checks, and status work on every open claim until it resolves. Nothing ages because nobody looked at it. Older claims get worked first and more often, because collectability drops as claims age. This is the foundation everything else sits on: consistent, documented contact with every payer on every open balance.
Aged AR Recovery and Cleanup
Systematic workdown of the 60, 90, and 120+ day buckets, prioritized by dollar value and collectability. We start with an honest assessment of your full aging book during onboarding: what is recoverable, what is inside its filing window, and what has already expired. Then we work the recoverable claims payer by payer until the backlog is clear and steady-state follow-up keeps it from rebuilding.
Denial Recovery Tied to AR
Denied claims get reworked, corrected, and appealed inside payer windows instead of quietly aging into write-offs. Most practices lose more to unworked denials than to any other single cause, because a denied claim that nobody touches becomes an aged claim that nobody can collect. Our denial management process runs inside the same queue as AR follow-up, so denials are caught and worked before they age out.
Underpayment Identification
Paid claims get compared against your contracted rates to catch short payments you never notice. Underpayments are invisible on an aging report because the claim shows as paid. But a claim paid at 70 percent of the contracted rate is a 30 percent loss that repeats on every similar claim until someone checks. We check.
AR Aging Analysis and Reporting
A bucket-by-bucket breakdown of your AR by payer, denial reason, and collectability, delivered in regular transparent reporting. You see where the money is stuck, what is moving, and what changed since the last report. The reports are built for practice owners, not billing staff: plain numbers, no jargon.
The Netix Revenue Recovery Process
Every engagement follows the same four-stage process. It is the same framework whether we are cleaning up a backlog or taking over steady-state AR, and it starts before you commit to anything.
Step 1 - Free Practice Audit
We analyze your AR aging, denial rate, days in AR, and write-off history. You get a plain-numbers report in 48-72 hours, reviewed by a real AR specialist, showing what is recoverable and what is at risk. The audit is yours to keep whether you hire us or not. Most practices discover money they did not know was recoverable, and claims they did not know had already expired.
Step 2 - Clean Claims Setup, Zero Disruption
We work inside your existing EHR: Kareo, AdvancedMD, eClinicalWorks, Athena, and Office Ally. No software change, no workflow rebuild, no downtime for your staff. Your front office keeps working exactly as it does today. We plug into your system and take over the follow-up work from there. This is the part practices worry about most, and it is the part we have made boring on purpose.
Step 3 - Relentless Follow-Up
Every open claim gets a follow-up cadence based on its age and payer. Recent claims get steady pressure. Aged claims get aggressive workdown. Denials get reworked inside their appeal windows. Nothing sits in a queue waiting for someone to get to it. This is the daily discipline that separates practices with healthy AR from practices with a growing backlog.
Step 4 - Transparent Reporting
Regular reporting shows exactly what moved: aging buckets, collection rate by payer, denial rate, days in AR, and recovered revenue. You always know where your AR stands and what we did about it. No black box, no monthly summary that hides the details. The same numbers we work from are the numbers you see.
This process is how we work across our full revenue cycle services. AR management is one piece; the same discipline applies to denials, eligibility, and clean claim submission.
Aged AR Recovery: What We Can Still Collect
Most buyers arrive with a backlog. It comes from a previous billing company that stopped working claims, or from an in-house team that never had the bandwidth for real follow-up. Either way, the aging book tells the story: claims at 90, 120, 180 days, some still collectible, some past the point of recovery.
Our approach starts with the full aging-book review during onboarding. We triage every claim by collectability and timely filing deadlines, because the honest truth is that claims past their filing deadlines are harder to recover, and some have already expired. The audit tells you that upfront, in plain numbers, before any work begins. No false hope on dead claims.
- Payer applies wrong fee schedule (old contract rate instead of current negotiated rate)
- Payer applies wrong patient classification (HMO rate instead of PPO rate)
- Payer bundles multiple services that should be separately paid
- Payer applies incorrect multiple procedure reduction
- Payer applies incorrect modifier interpretation
- Payer processing error on a specific claim type
Then we work the recoverable claims payer by payer, oldest and highest-value first, until the backlog is clear. After that, steady-state follow-up keeps it from rebuilding. The goal is not just to clean up once. It is to make sure you never need a cleanup again.
Days in AR Benchmarks: Where Your Practice Stands
Days in AR is the single number that tells you whether your revenue cycle is healthy. Here is where practices typically land, based on MGMA benchmarks:
- Under 40 days: the industry benchmark. Your revenue cycle is working.
- 30-35 days: high performers. Claims move fast and denials get worked quickly.
- Above 50 days: a warning sign. Something in the cycle is slowing collections.
- Above 60 days: serious collection problems. A meaningful share of this AR may never be recovered.
Accounts receivable performance is closely connected to every stage of the RCM process. From timely claim submission and accurate payment posting to denial follow-up and collections, each step affects how quickly a practice converts billed services into collected revenue.
Frequently Asked Questions
What is accounts receivable management in medical billing?
AR management is the systematic tracking and follow-up of unpaid insurance claims until they pay. It covers payer follow-up, denial rework, appeals, underpayment review, and aging analysis. Without it, claims age past filing deadlines and become uncollectible, which is how practices quietly lose revenue they already earned.
How much do AR management services cost?
Most AR management is priced as a percentage of collected revenue. The rate depends on your AR volume, how aged your book is, and your specialty and payer mix. We set your exact rate after the free practice audit, so the quote reflects your actual numbers instead of a generic tier.
Can you recover AR from our previous billing company?
The free practice audit includes a full aging-book review from any source, including work left behind by a previous biller. We triage every claim by collectability and timely filing deadlines, then work what is recoverable. The audit tells you upfront what can still be collected and what has already expired, so you know exactly where you stand before any work begins.
What is a good days in AR for a medical practice?
The MGMA benchmark is under 40 days, and high-performing practices reach 30 to 35. Above 50 is a warning sign, and above 60 indicates serious collection problems. We measure your starting point in the free audit and track it in regular reporting so you can see the trend.
How quickly will we see results?
You get the audit report in 48-72 hours, reviewed by a real AR specialist. AR recovery is sequential: recent claims resolve first because they are closest to payment, and aged claims take longer as they move through payer processes. Regular reporting shows recovered revenue as it comes in, so progress is always visible.
Will you work inside our current EHR?
Yes. We work inside Kareo, AdvancedMD, eClinicalWorks, Athena, Office Ally, and other major systems. Zero-disruption onboarding means no software change and no workflow rebuild on your side. Your staff keeps working the way they work today.
What reports will we receive?
Regular reporting covers aging buckets, collection rate by payer, denial rate, days in AR, and recovered revenue. Reports are built for practice owners, not billing staff: plain numbers, no jargon. You see the same numbers we work from, so there is never a gap between what we report and what is actually happening.
Do you handle patient balances or only insurance AR?
This page covers insurance AR: payer follow-up, denials, and underpayments. Patient balances, statements, and payment plans are handled by our patient billing service, which runs as a separate track with its own follow-up cadence.
Which specialties do you work with?
We bill across 30+ specialties. Specialty context matters for AR because denial patterns, payer rules, and filing windows differ from one specialty to the next, and the team working your claims knows what your specialty’s patterns look like.
Get Your Free Practice Audit
The free AR audit reviews your current days in AR, AR aging composition, denial rate, write-off history, and follow-up process — and shows you in plain numbers how much is recoverable, how much is at risk of timely filing expiration, and what a systematic AR management process would add to your monthly collections.
info@netixmedicalbilling.com