How old is too old for A/R recovery?

Anything inside the payer's timely-filing or appeal window is worth working. We tell you honestly which balances are past recovery so you can write them off with documentation.

Do you handle patient balances too?

Yes — statements, reminders, payment plans and card-on-file, using scripts and tone your practice approves.

What days in A/R should we target?

Under 40 days is excellent for most outpatient specialties; under 30 is achievable in high-volume clean-claim environments. We set your target against your specialty and payer mix.

Cash you have already earned, collected faster

Insurance and patient A/R worked daily by aging bucket, payer and dollar value — with aged-A/R recovery projects for balances everyone else gave up on.

Get a free analysis (239) 748-0627

42 days: Target days in A/R
-38%: A/R over 90 days
Daily: Payer follow-up cadence
98.6%: Net collection rate

Medical billing specialist collaborating with a clinician

Talk to a accounts receivable specialist

Send us your numbers. You get a written analysis of what is recoverable, within one business day.

Full name*

Practice name

Work email*

Phone*

Specialty

State

Monthly claim volume

Service of interest

What would you like us to look at?

HIPAA-aware handling. We never share your details. No contracts to sign to talk to us.

Days in A/R is the single most honest number in a medical practice. It tells you whether your billing operation is a system or a pile. Practices that let A/R drift past 60 days are usually not slow at follow-up — they have no follow-up cadence at all.

Medxcode manages insurance and patient A/R with a fixed daily cadence, prioritized by dollar value, payer behaviour and timely-filing runway.

How we work your A/R

Work queues are rebuilt every morning. The oldest high-value claims with a closing filing window get touched first; low-value balances are batched and automated so they do not consume analyst hours.

Daily insurance follow-up by payer portal, EDI status and phone where required
Aging bucket management across 0–30, 31–60, 61–90, 91–120 and 120+
Claim status research and re-submission of no-response claims
Underpayment identification against contracted fee schedules
Patient balance statements, reminders and payment plan setup
Small-balance batching and write-off recommendations with approval gates
Credit balance and refund reconciliation
Weekly A/R aging report with movement commentary

Aged A/R recovery projects

If you are carrying an old A/R pile from a transition, an EHR migration or a departed biller, we will run it as a standalone recovery project on a contingency basis. We inventory what is still collectible, what is past filing, and what should be written off with documentation — then we work the collectible pool.

Typical recovery on a well-documented aged pool runs between 25% and 45% of the collectible balance.

Patient A/R without damaging the relationship

Patient responsibility now represents a growing share of practice revenue, and it is the balance most practices collect worst. We use clear statements, early estimate communication, card-on-file and payment plans — and every script is approved by you before a patient hears it.

How it works

Onboarding that does not interrupt your clinic

01
A/R inventory
We segment your full A/R by age, payer, dollar value and filing runway to size what is truly collectible.
02
Attack the collectible pool
High-value, near-deadline claims first, with daily payer follow-up until adjudicated.
03
Install the cadence
Fixed daily follow-up rules by aging bucket so A/R never drifts again.
04
Report and tighten
Weekly aging movement, monthly days-in-A/R targets and root-cause fixes upstream.

Packages

Accounts Receivable packages built around volume, not lock-in

Managed service fees start at 3.99% of monthly collections. Specialized projects receive a written custom scope based on volume, complexity and the work required.

A/R Cleanup

Custom scope

proposal based on recoverable balance

One-time aged A/R recovery projects

Full A/R inventory and collectibility analysis
Aged claims worked to resolution
Documented write-off recommendations
Recovery report by payer and bucket
No recovery, no fee

Most chosen

Managed A/R

3.99%

of monthly collections

Ongoing insurance and patient A/R management

Daily insurance follow-up cadence
Patient statements and payment plans
Underpayment detection and appeals
Weekly aging report with commentary
Days-in-A/R target with monthly review
Dedicated A/R analyst

A/R + Denials

Custom scope

proposal based on scope

Practices fixing cash flow end to end

Everything in Managed A/R
Full denial management and appeals
Payer contract underpayment audit
Front-desk collection training
Custom cash-flow forecasting
Executive dashboard access

Calculator

See the numbers before you talk to us

Days in A/R and cash-release calculator

See how much working capital is released when your days in A/R drop.

Monthly collections$420,000

Average monthly cash collected.

Current days in A/R68

Total A/R divided by average daily charges.

A/R over 90 days26%

Share of total A/R older than 90 days.

Working capital released

Typical recovery from an aged A/R clean-up engagement

Total open A/R: $0
A/R over 90 days: $0
Expected recovery (41%): $0

Estimates use benchmark recovery rates from comparable US practices. Your written analysis replaces these estimates with numbers from your own payer mix.

Want this modelled on your real data?

Send the form your figures and we will rebuild this estimate from your payer mix, fee schedule and current aging — free, in writing, with no obligation.

Written analysis within one business day
Line-item view of recoverable revenue
Root-cause list for your top denials
No contracts required to receive it

Try the full custom cost calculator →

Send me this analysis

We will use the figures you moved above as a starting point.

Full name*

Practice name

Work email*

Phone*

Specialty

State

Monthly claim volume

Service of interest

What would you like us to look at?

HIPAA-aware handling. We never share your details. No contracts to sign to talk to us.

Proof

Accounts Receivable results from real practices

+38%

Net collections in two quarters

14-provider cardiology group cuts days in A/R from 71 to 44

Cardiology · New York

$640K

Recovered from aged A/R

Orthopedic practice recovers $640K from a 24-month A/R backlog

Orthopedics · Florida

-57%

A/R over 90 days

Nephrology group cuts dialysis A/R over 90 days by 57%

Nephrology · Pennsylvania

FAQ

Accounts Receivable questions we get every week

How old is too old for A/R recovery?: Anything inside the payer's timely-filing or appeal window is worth working. We tell you honestly which balances are past recovery so you can write them off with documentation.
Do you handle patient balances too?: Yes — statements, reminders, payment plans and card-on-file, using scripts and tone your practice approves.
What days in A/R should we target?: Under 40 days is excellent for most outpatient specialties; under 30 is achievable in high-volume clean-claim environments. We set your target against your specialty and payer mix.