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Your aged A/R is not dead. It is undermanaged.

Every claim past 90 days still has a pulse until timely filing runs out. We work legacy A/R one claim at a time and recover money most billing shops already wrote off.

60%+ recovery on 60 to 120-day A/RTimely filing monitoring by payerClaim-level appeal documentation
Request a free audit Call (973) 699-6689
60%+recovery rate on appealable A/R
11%typical 90+ day A/R after cleanup
120 daystarget A/R cleanup window

Why A/R piles up

Staff turnover. EHR switches. Unworked denials. A practice can cross 120 days on 15 percent of its A/R without noticing because every month the number looks the same. The dollars age but the worklist stays roughly the same size. Meanwhile payers quietly close their filing windows.

How we work aged A/R

Triage by collectibility

We sort aged A/R by payer rules, filing windows, and dollar value. High-value claims close to filing cutoff go first. Small-dollar write-off candidates get flagged early.

Root cause by bucket

We identify the top 5 denial reasons in your aged A/R. Fixing those recovers the majority of collectible dollars.

Appeal with payer-specific logic

We write appeals using the CARC, RARC, and medical necessity framework each payer actually reviews. Generic appeals fail. Specific ones get paid.

Monthly recovery report

You see what came back, what was written off, and why. Every claim is accounted for.

Your aged A/R is not dead. It is undermanaged. Every day past 60 is money drifting toward timely-filing write-off.

ASA Management playbook

What typical recovery looks like

  • Orthopedic practice: recovered $340K of $1.1M aged A/R in 120 days
  • Multi-site primary care: reduced 90+ day A/R from 28% to 11% in one quarter
  • ASC: recovered $620K of timely-filing-at-risk claims in 60 days
Further reading

Where to go next

Pick a thread and keep pulling. Every engagement starts with the piece that has the biggest revenue leak.

ServiceDenial ManagementServiceMedical BillingServiceRevenue Cycle ManagementSpecialtyNeurology BillingSpecialtyCardiology BillingSpecialtyAnesthesiology Billing
How old is too old to collect?
Every payer has its own timely filing window. Medicare is typically one year from service date. Commercial varies from 90 days to 18 months. We work claims up to the filing cutoff and flag anything past that for write-off.
Is this a one-time project or ongoing?
Either. Most practices start with an aged A/R cleanup project (60 to 120 days) then move into ongoing RCM so the problem does not come back.
What does it cost?
Contingency-based: percentage of recovered dollars. No recovery, no fee. Exact rate depends on age and volume of A/R.
Start here

See the revenue leak before you sign anything.

A 30-day claim review, written findings, and a number. That is enough to decide.

Request a free audit Call (973) 699-6689
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