Accelerating A/R Recovery and Reducing Aging Claims
U.S. DME provider with a large insurance receivables portfolio across Medicare, Medicare Advantage and commercial payers.
The challenge
A large share of outstanding receivables had gone unresolved for more than 90 days. Follow-up happened when someone had time, denials were not sorted by value or deadline, and claims sat waiting on records. Payments were slow, and some claims were close to being written off.
Our approach
- Segmented receivables by payer, aging bucket, balance and denial reason.
- Prioritized high-value claims and accounts close to filing deadlines.
- Ran structured payer follow-up and escalation.
- Coordinated missing medical records, proof of delivery and other supporting documentation.
- Tracked recovery amounts, claim status and next actions in one central A/R work queue.
Results
| Metric | Before | After |
|---|---|---|
| Average days in A/R | 72 days | 49 days |
| A/R over 90 days | 32% | 19% |
| Claims with documented follow-up | 68% | 96% |
| Previously unresolved claims recovered | Baseline review | $125,000 |
Business impact
Working the oldest and highest-value claims first cut A/R over 90 days from 32% to 19% and average days in A/R from 72 to 49. Claims with documented follow-up rose from 68% to 96%, and $125,000 was recovered on claims that had been unresolved.
How Salyx RCM supports DME providers
Aging A/R is usually a follow-up problem, not a coding problem. These are the services we use to work old claims through to payment and to stop new ones from piling up.
- Eligibility and benefits verification
- Prior authorization and documentation tracking
- Claims submission and denial management
- Insurance A/R follow-up and appeals
- Payment posting and reconciliation
- Recurring rental and supply billing support
- Payer-specific reporting and performance monitoring
Explore our DME billing services.
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