Accounts receivable that ages past 90 days is one of the clearest warning signs in a practice's financial health. The revenue isn't gone — but the longer a claim sits unworked, the less likely it is to ever be collected.
Know Exactly Where Your Money Is Stuck
Before fixing aging A/R, break it down by payer, by claim status, and by age bucket. A generic "we have too much in A/R" diagnosis doesn't point to a fix — a breakdown showing that one payer accounts for the bulk of 90+ day claims does.
Put Claims on a Follow-Up Schedule That Never Slips
Aging A/R is almost always a follow-up problem, not a documentation problem. Claims that aren't actively worked on a set schedule — typically every 15 to 30 days — simply sit until someone eventually notices them, often far too late to correct easily.
Chase the Claims That Matter Most First
Not every aging claim deserves equal attention. Prioritizing high-dollar claims and claims approaching the timely filing deadline protects the most revenue with the least effort.
Fix the Cause, Not Just the Claim in Front of You
If the same denial reason keeps showing up in your A/R report, fixing each claim individually without addressing the underlying process just refills the aging bucket every month.
What Healthy A/R Actually Looks Like
Healthy practices typically keep the majority of their A/R under 60 days, with very little sitting past 120 days. If a meaningful share of your receivables is aging past that mark, it usually points to a follow-up capacity problem that a dedicated billing team can solve.