REVENUE CYCLE MANAGEMENT
Medical AR Management Services for Healthcare Providers
- Follow up by phone, portal, fax and IVR
- Aging and activity reports for every payer
- Out of network and IDR escalation
Table of Contents
What Is Medical AR Management?
Medical AR (accounts receivable) management is the process of tracking, following up on and collecting every payment owed to a practice by insurers and patients. It covers claim follow up, denial appeals, underpayment review, patient statements and bad debt handling. The goal is simple: lower days in A/R and turn billed charges into cash faster.
Most of your accounts receivable is not patient balances. It is money that insurance companies already owe you for claims you have submitted. When those claims sit unworked, they age, become harder to collect and can pass the payer deadline for follow up or appeal.
Good medical AR management services do three things. They work every open claim by payer and dollar value, they fix the cause of each delay, and they report results so nothing hides in the aging report.
Signs Your Practice Has an A/R Problem
- Days in A/R keep climbing month after month
- More than 20 percent of A/R is older than 90 days
- Claims sit unworked with no payer follow up
- Denials are written off instead of appealed
- Underpaid claims are accepted without review
- Patient balances are not billed on time
- Nobody can tell you your A/R by payer
How Our Medical AR Management Services Work
1. Fast claim submission
Claims go out within 72 hours of service so the A/R clock starts early and first payments arrive sooner.
2. Aging review by payer
We sort open claims into aging buckets and rank them by dollar value and filing deadline.
3. Payer follow up
Our team contacts payers by phone, web portal, fax and IVR until every claim has a clear status.
4. Appeals and corrections
Denied and underpaid claims are corrected, appealed or escalated with the right documentation.
5. Patient balances
Patient responsibility is billed accurately and on time, with clear statements and follow up.
6. Reporting and prevention
Detailed payer reports show where claims stall so we can fix the root cause.
A/R Aging Buckets and What We Do at Each Stage
| Aging bucket | What it means | What we do |
|---|---|---|
| 0 to 30 days | The claim is recent and the payer may still be processing it. | Confirm receipt, check claim status and fix rejections early. |
| 31 to 60 days | The claim is overdue for a normal payment. | Call the payer, resubmit if needed and get the status in writing. |
| 61 to 90 days | The risk of denial or a lost claim rises. | Escalate to a payer supervisor, file the appeal and review for underpayment. |
| Over 90 days | Collection risk and payer deadline risk are highest. | Prioritize by value, appeal, and send out of network claims to negotiation or IDR review. |
Key A/R Metrics We Track
Numbers keep A/R honest. We track these metrics for every payer and report them each month.
- Days in A/R: total accounts receivable divided by average daily charges. Many practices aim for fewer than 40 days.
- A/R over 90 days: the share of A/R older than 90 days. A common target is under 20 percent.
- Net collection rate: payments collected divided by the amount you were entitled to collect after contract adjustments.
- Denial rate: the percentage of claims denied on first submission.
- First pass acceptance rate: the percentage of claims accepted by the payer without rework.
These are common industry benchmarks. The right targets depend on your specialty and payer mix, and groups such as the Healthcare Financial Management Association publish revenue cycle guidance you can compare against. Our billing reports show each metric by payer.
Out of Network A/R: Where IDR Recovers More
Aged out of network claims need a different playbook. When a payer reprices or underpays a claim, ordinary follow up rarely closes the gap.
Medical AR management services for out of network claims start with the EOP and its remark codes. ZanexMed then negotiates with the payer or pricing vendor and files Independent Dispute Resolution under the No Surprises Act when negotiation fails.
Learn more about our IDR billing services and out of network claim negotiation, or test a claim with the free IDR Claim Checker.
Who Benefits From AR Management Services
We provide medical AR management services to freestanding emergency rooms, urgent care centers, hospitals, physician groups and specialty clinics across the USA. ER and urgent care teams often benefit most, because high claim volume and out of network payers make A/R grow quickly.
If your aging report has claims older than 60 days that nobody owns, we can help. See the specialties we support or review our pricing plans.
GOT QUESTIONS?
Medical AR Management Services FAQs
What are medical AR management services?
How do you reduce days in A/R?
What is a good days in A/R number?
What happens to claims older than 90 days?
How much do AR management services cost?
Can you work our existing backlog of old claims?
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