AR clean-up projects
Focused recovery work on legacy aging, with clear reporting on what is collectible and what is not.
Accounts Receivable Management
Accounts Receivable Management That Works the Whole Ledger
Aging AR rarely resolves itself. RCM Nexa segments your receivables by payer, age and value, then works each bucket with a defined follow-up cadence and documented outcomes.
Overview
Why this work decides whether you get paid
Aged receivables are not one problem; they are several problems sorted by age. Some claims were never acknowledged, some were denied and never worked, some were underpaid against contract, and some are patient balances with no follow-up cadence. Working them as a single queue is why AR clean-ups stall.
RCM Nexa segments receivables by payer, age, value, denial category and recoverability, then works them in the order that protects deadlines and recovers the most defensible dollars first — documenting what is genuinely uncollectible so write-offs are a decision, not a backlog.
Who this is for
- Practices with a growing bucket over 90 days
- Organizations that recently changed billing systems or vendors
- Providers who suspect underpayment but cannot evidence it
- Teams needing a one-time clean-up plus ongoing follow-up
What this includes
- Aging bucket segmentation and prioritization
- Documented payer follow-up cadence
- Escalation on stalled and underpaid claims
- Root-cause reporting to stop AR rebuilding
Ongoing AR follow-up
Continuous work on open claims by age and payer so receivables stay current.
Underpayment review
Payments compared against expected reimbursement to identify short-paid claims.
Aging analytics
0–30 through 120+ visibility by payer and provider, refreshed on an agreed cycle.
How We Run It
Our accounts receivable management workflow
A defined sequence with named ownership at every handoff, so accountability does not disappear between steps.
Segment the aging
Receivables are broken out by payer, age band, denial category, value and timely-filing exposure.
Protect deadlines
Claims closest to appeal or filing limits are worked first so recoverable revenue is not lost to the calendar.
Work by cause
Each segment is worked with the action its cause requires — correction, appeal, reprocessing request or contractual review.
Close the loop
Uncollectible balances are documented with rationale, and repeating causes are sent back to the originating step.
Common Problems
What usually goes wrong — and how we handle it
Follow-up is oldest-first and never finishes
Prioritization weighs recoverability and deadline risk, not age alone.
Underpayments are posted as paid
Payments are reconciled against expected contractual reimbursement and variances are flagged for review.
The same claims are called repeatedly
Every payer contact is logged with reference numbers and next action dates so follow-up compounds instead of restarting.
Common Questions
Questions we get asked about accounts receivable management
- Can you work our old AR only?
- Yes, legacy AR clean-up is a common starting engagement and often runs alongside your existing team.
- How do you decide what to prioritize?
- By recoverability — value, payer timelines and filing deadlines — so the work protects claims most at risk.
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Talk to an RCM expert about your revenue cycle
Share where billing is slowing down and we'll walk through what a managed revenue cycle would look like for your organization.