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Accounts Receivable Management

Accounts Receivable (A/R) Management: Follow-Up on Every Unpaid Claim

Unpaid claims and slow payments hurt any practice's cash flow. We follow up on unpaid and underpaid insurance claims, fix what's holding them up and appeal when needed, before the payer's deadline passes.

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  • HIPAA compliant
  • AAPC/CPC Certified Coders and Billers
  • Works inside your existing EHR/PM system
  • You keep ownership of your data
Aging Claims Process

How We Work Aging A/R

Older claims take persistence. Our goal is that no claim is written off while it can still be paid. Here's how we work them:

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  1. 01

    Sort Aging Claims by Value and by How Close They Are to the Payer's Filing or Appeal Deadline

  2. 02

    Detailed Review of Claim History and Denial Reasons

  3. 03

    Correction of Errors and Resubmission of Claims

  4. 04

    Follow Up with Payers Until Each Claim Is Paid, Appealed or Closed

  5. 05

    Appeals Where Necessary

Why age matters

Why age matters. Every payer has filing and appeal deadlines. For Original Medicare, a claim must be filed within one calendar year of the date of service, and a redetermination (first-level appeal) must be requested within 120 days of receiving the initial determination. Commercial payers set their own limits, often shorter. We work claims by deadline, not just by age.

Sources: 42 CFR 424.44; 42 CFR 405.942.

2026 update

What changed in 2026 (CMS). For services on or after January 1, 2026, Medicare pays physician services using two conversion factors: $33.4009 for most clinicians and $33.5675 for qualifying Advanced APM participants, up from $32.3465 in 2025. That changes what a correct 2026 Medicare payment looks like, so accounts receivable follow-up should compare payments with the 2026 rates, not last year's.

Source: CMS fact sheet, CY 2026 Physician Fee Schedule final rule (CMS-1832-F), October 31, 2025.

Insurance Follow-Up

Insurance Claim Follow-Up Before Claims Go Stale

Claims shouldn't sit unattended. We track each open claim and follow up with the payer to check its status and fix what's holding it up, such as missing information or processing errors. Steady follow-up keeps claims moving and helps bring down days in A/R.

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Why Outsource

Why Outsource Accounts Receivable Management?

Outsourcing accounts receivable management gives you specialized expertise and consistent follow-ups without increasing internal workload. What you get:

Steady Follow-Up

Claims get worked on a schedule, not when someone has a free hour.

Less Work for Your Staff

Payer calls, portal checks and appeals come off your team's desk.

AAPC/CPC Certified Coders and Billers

They fix the coding errors behind unpaid claims instead of just resubmitting them, and they handle the payer follow-up.

Clear Reporting

See open claims by payer, provider, location and CPT.

Don't Let Aging Claims Slow You Down

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Older, Complex Claims

Aged Claim Recovery for Revenue You've Already Earned

Recovering old and complex claims requires more than routine follow-ups. It requires a strategic and data-driven approach. We review each older claim for denial reasons, documentation gaps or payer issues, then rework, resubmit or appeal it. We start with high-value claims and those nearest a deadline, so less revenue is written off.

Coordinated with Billing

Coordinated with Your Billing and Revenue Cycle

Accounts receivable work goes better when it's tied to billing, coding and denial management. When follow-up finds a coding or billing error, we fix the cause so the same problem doesn't come back. See Denial Management and Revenue Cycle Management.

Why MedixCode

Why Choose MedixCode for Accounts Receivable Management?

The right partner makes a real difference to how much of what you bill you actually collect.

We track and follow up on each open claim. Our AAPC/CPC Certified Coders and Billers do this work in the EHR/PM system you already use, and you can see where every open claim stands.

Collect What You've Earned

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Reporting

Reporting That Shows Where Money Is Stuck

Reports break unpaid balances down by payer, provider, location and CPT, so you can see where they're aging. When the reports show a bottleneck, such as one payer slowing down or one provider's claims coming back, we look for the cause and work on it.

Free consultation

Get Your Unpaid Claims Worked

Book a free consultation and tell us how old your unpaid claims are and which payers are slowest.

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If email is easier, write to info@medixcode.com about your open claims, or use our contact page.

Related

Related Services

Specialties with Long Payment Cycles

Ambulance & EMS Billing Home Health Billing Nephrology Billing

We also bill for cardiology, orthopedics, OB/GYN, neurology and psychiatry. Don't see yours? Ask us.

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FAQs

Frequently Asked Questions

Common accounts receivable management questions we hear from healthcare providers.

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More questions? See our FAQ
What is accounts receivable management in healthcare?

Accounts Receivable Management involves tracking, managing, and collecting outstanding payments from insurance companies and patients. We track each open claim, follow up with payers and appeal denials when needed.

How can you help with our aging A/R?

Our AAPC/CPC Certified Coders and Billers follow up on unpaid claims by value and deadline, fix and resubmit claims, and appeal denials. You see the results in your regular reports.

What types of claims do you handle?

We handle commercial, Medicare and Medicaid claims, including denied, underpaid and aged claims. Patient balances are handled through our Patient Billing & Collections service.

What reporting do we get?

Reports by payer, provider, location and CPT.