Proven Strategies to Reduce Days in A/R

1. Front-End Optimization

✔ Real-Time Eligibility Checks – Verify coverage before visits
✔ Pre-Authorization – Secure approvals for high-cost services
✔ Point-of-Service Collections – Collect copays/deductibles upfront

2. Claim Submission Best Practices

✔ Electronic Claims – Submit within 24-48 hours of service
✔ Claim Scrubbing – Use AI tools to catch errors pre-submission
✔ Payer-Specific Rules – Follow individual insurer guidelines

3. Proactive Follow-Up

Days OutstandingAction
1-30Monitor via payer portals
31-45First follow-up (phone/email)
46-60Escalate to payer representative
60+Formal appeal with documentation

4. Denial Prevention

✔ Root Cause Analysis – Fix recurring denial patterns
✔ Staff Training – Monthly updates on coding/policy changes

5. Technology Solutions

✔ Automated Payment Posting – Reduce manual errors
✔ AR Dashboards – Track KPIs in real-time

Goal: Maintain <40 Days in A/R (MGMA benchmark)

Need an A/R reduction checklist? [Download here]

Word Count: 150 | Tone: Actionable & results-driven
Sources:

8. Strategies to Reduce Days in AR

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Here’s a concise, actionable guide to reducing Days in Accounts Receivable (A/R) for medical practices:

1. Front-End Fixes (Prevent Delays)

  • Verify insurance eligibility before every visit (automate with RCM tools)
  • Collect copays/deductibles at time of service (reduce patient AR)
  • Train providers on clean documentation (avoids coding-related denials)

2. Faster Claim Submission

  • Submit claims within 24 hours of service
  • Use AI claim scrubbers to catch errors pre-submission
  • Assign staff to daily charge entry audits

3. Smart Follow-Up System

Days OutstandingAction
1-30Monitor via payer portals
31-45Phone/email follow-up
46-60Escalate to payer rep
60+Appeal with clinical documentation

4. Denial Prevention

  • Weekly denial meetings to address trends
  • Appeal within 5 days of denial (most payers allow 30-180 days)
  • Color-code AR reports to prioritize high-dollar/oldest claims

5. Key Tools

✔ Automated eligibility checks (e.g., Experian, Waystar)
✔ Payer performance dashboards (track slow payers)
✔ Patient payment portals (reduce self-pay AR)

Target: <35 days in A/R (top-performing practices achieve this)

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