Aging Analysis
Review 30/60/90/120+ balances and segment accounts by payer, balance, denial status and timely filing risk.
Focused follow-up for unpaid, denied and aging claims—organized by payer, age, value and next action so your team can work toward recovery instead of repeatedly touching the same accounts.
Large AR balances become difficult when claims lack clear status, denial reasons are not categorized, or repeated payer calls do not lead to documented next steps. I organize AR into actionable work queues, identify denial and payment patterns, follow payer requirements, and separate recoverable accounts from balances that need escalation, correction or documented closure.
Review 30/60/90/120+ balances and segment accounts by payer, balance, denial status and timely filing risk.
Contact payer portals or representatives, document claim status and identify the specific action required to move each balance.
Group denials by root cause such as eligibility, authorization, coding/edit issues, medical records, duplicate claims or payer policy.
Prepare corrected claims, reconsiderations or appeals when supported by payer requirements and claim history.
Compare payment activity with expected adjudication and flag potential underpayments or missing payment issues for further review.
Feed recurring denial causes back to front-office and billing workflows so the same errors are less likely to repeat.
The exact workflow is adjusted to your practice, payer mix, software and existing team responsibilities.
Export or review the current AR and denial inventory.
Prioritize high-value, older and timely-filing-sensitive balances.
Verify claim history, payer response and required documentation.
Submit corrections, appeals or follow-up actions and track the response.
Report recoveries, unresolved issues and recurring denial trends.
The objective is not simply to touch claims. It is to move accounts toward a documented resolution while identifying repeat issues that can be prevented.
Every outstanding item should have a status, action and next follow-up rather than remaining in an undefined queue.
Claims are worked based on payer response, plan requirements and documented claim history instead of a one-size-fits-all approach.
Reporting focuses on AR, denials, recoveries and recurring issues that help the practice decide what to fix next.
Yes. Aging AR can be reviewed and worked based on payer status, documentation and timely filing or appeal requirements.
No. Follow-up can include unpaid claims, no-response claims, underpayments, rejections and patient-versus-payer balance issues.
Recurring denial reasons and workflow gaps are documented so corrections can be made upstream in eligibility, authorization, claim preparation or documentation processes.
Start with the problem that is creating the most friction—current billing, aging AR, denials, credentialing, eligibility or specialty-specific RCM.