Why Accounts Receivable Management Matters for Your Practice
Every dollar sitting in your AR is a dollar you've earned but haven't been paid. The national average days in AR is 45+ days. Our clients average under 28 days. The difference is systematic, relentless follow-up on every single aging account.
We work every bucket — 30, 60, 90, 120+ days — with different strategies for each. Payers get phone and electronic follow-up. Patients get clear, respectful statements with easy payment options. Nothing falls through the cracks.
Everything included with Accounts Receivable Management
- Average days in AR reduced to under 28 days
- All aging buckets worked — 30, 60, 90, 120+ days
- Contractual adjustment variance analysis (CO-45 charge-exceeds-fee-schedule tracking)
- Weekly AR aging reports with trend analysis
- Denial-specific appeal strategies per payer and per CARC/RARC code
- Patient-friendly collections that preserve relationships
- Recovery of previously written-off balances
- Zero abandoned claims — every dollar pursued
Sound Familiar? These Mistakes Are Costing You Revenue
Most practices silently lose 15–30% of collectible revenue to these avoidable problems.
Claims Sitting in the 90+ Day Bucket
Accounts over 90 days have a 50% lower collection probability. Every day without action reduces your chance of payment.
Staff Only Working Recent Claims
Most in-house billing staff prioritize new claims and neglect the aging bucket — where the most money is stuck.
No Systematic Follow-Up Process
Without a defined follow-up workflow, denials and no-responses just age until they're written off. That's lost revenue.
Underpayments Never Identified
Payers routinely pay less than contracted rates. Without contractual adjustment analysis, you accept the shortfall.
Practices trust ZenoMedix RCM to fix these exact problems.
Denial Codes Our Accounts Receivable Management Team Resolves
Standard CMS/payer Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) we see most often, and how we resolve them.
❌ CO-45 — Charge Exceeds Fee Schedule/Maximum Allowable
The payer paid less than the contracted rate. Left unchecked, these variances accumulate silently — every remittance shows a payment, so the shortfall never triggers a denial alert.
✓ Our Fix
We compare every posted payment against your actual payer fee schedule and flag variances for recovery, not just outright denials.
❌ CO-22 — Coordination of Benefits — Other Payer Responsible
The claim was sent to the wrong payer in a multi-coverage situation, stalling the account until COB is corrected.
✓ Our Fix
We verify primary/secondary payer order at intake and re-file to the correct payer in COB sequence rather than letting the balance age.
❌ CO-27 — Expenses Incurred After Coverage Terminated
Coverage lapsed between the last eligibility check and the date of service — a common cause of claims that age in the 90+ day bucket with no clear resolution path.
✓ Our Fix
We re-verify eligibility as of the actual date of service and either identify the patient's new coverage or move the balance to patient responsibility promptly instead of letting it sit unresolved.
❌ CO-29 — Timely Filing Limit Expired
Once the payer's filing deadline (typically 90–365 days depending on payer) passes, the claim is effectively unrecoverable from that payer.
✓ Our Fix
We track every open claim against its specific payer filing deadline so it never ages past the point of no return.
Our Accounts Receivable Management Process
A proven 4-step system that maximizes collections and minimizes your team's workload.
AR Analysis
Complete aging report review with priority scoring — highest value and highest collectibility first.
Payer Follow-Up
Systematic phone, portal, and electronic outreach to payers on every outstanding claim.
Denial Appeals
Every denial appealed with correct documentation, corrected claims, and escalation paths.
Patient Collections
Professional patient statements, payment plans, and compassionate collections outreach.
Accounts Receivable Management for Every Medical Specialty
Dedicated billing teams trained on your specialty's CPT codes, payer rules, and compliance requirements.
The ZenoMedix RCM Difference
Unlike generalist billing companies, ZenoMedix RCM assigns dedicated Accounts Receivable Management specialists who understand the specific CPT codes, payer rules, and denial patterns in your service line. Real-time transparency — no black-box billing.
Performance-Based Pricing
You pay only when we collect — 2.49–3.99% of collections. Zero risk.
48-Hour Onboarding
We integrate with your EHR and start submitting claims within 2 business days.
Full Transparency
Real-time dashboard with every claim, payment, and denial visible 24/7.
HIPAA Certified
SOC 2 Type II certified. Your PHI protected by military-grade security.
Dedicated Specialist
One expert assigned to your account — not a call center.
Denial Recovery
We appeal 100% of denials. Average denial recovery rate: 94%.
Accounts Receivable Management FAQ
Most practices see AR days drop within the first 30–60 days of service. We start with an immediate AR sweep of all open claims, then maintain a systematic follow-up cadence going forward.
Yes. We offer an AR recovery service for accounts accumulated before our engagement. We review claims up to 3 years old (within timely filing limits) and recover what can still be collected.
Our overall appeal overturn rate is 78%+ — meaning nearly 4 out of 5 denied claims that we appeal get paid. We know which denial reasons respond to which appeal strategies for each payer.
We set up payment plans, apply for financial hardship programs where applicable, and communicate with empathy. Our goal is to collect what's collectible while maintaining the patient relationship your practice depends on.
Never without your explicit approval. Every write-off decision goes through your practice manager. We report on every write-off with the reason, so you have full visibility into what's uncollectable and why.
In-House Billing vs. ZenoMedix RCM Accounts Receivable Management
| Factor | In-House Billing | ZenoMedix RCM |
|---|---|---|
| Collection Rate | Typically 82–87% | ✓ 95% average |
| Staff Turnover Risk | High — single point failure | ✓ Zero — dedicated team backup |
| Denial Rate | 10–25% average | ✓ Under 4% target |
| Coding Accuracy | Generalist biller | ✓ Specialty-certified coders |
| Technology Cost | $20K–$80K/year software | ✓ Included — no extra cost |
| Setup Time | 4–8 weeks | ✓ 48-hour onboarding |
| Reporting | Basic or manual | ✓ Real-time 24/7 dashboard |
| Fee Structure | Fixed salary + benefits | ✓ 2.49–3.99% of collections only |
Get Your Free Accounts Receivable Management Audit
In 15 minutes we'll show you exactly how much revenue you're leaving on the table — and how we fix it. Zero cost, zero obligation.
- ✓Response within 2 business hours
- ✓No long-term contracts required
- ✓HIPAA-secure — your data is protected
- ✓Start Accounts Receivable Management billing within 48 hours