Accounts Receivable & Patient Financial Communication
Work A/R aging, prioritize follow-up, call payers effectively, explain bills to patients, set up payment plans, and follow price transparency and the No Surprises Act.
A/R aging and priorities
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Accounts receivable = money owed to the practice/hospital. Reports group it by age from the date of service (or billing): 0–30, 31–60, 61–90, 91–120, 120+ days.
Prioritize:
• High-dollar claims and claims near timely-filing or appeal deadlines.
• No-response claims (no ERA after 30–45 days) → check status (276/277 or payer portal).
• Denials by root cause — fix the cause, not just the claim.
Healthy targets: most A/R under 60 days; less than ~15–20% over 90 days (benchmarks vary by specialty).