What is a good DSO (Days Sales Outstanding) target?

Best-in-class medical billing achieves DSO under 30 days. Most practices we onboard start at 45–60+ days. We target under 30 days within 6 months.

How do you prioritize which claims to follow up on first?

We prioritize by aging bucket (oldest first), claim value (highest first), and payer response patterns. Claims approaching timely filing limits are escalated immediately.

AR Follow-Up

AR Follow-Up & Collections

No claim left behind. Every dollar recovered.

Unpaid claims cost you more than money — they cost cash flow and staff time. Our AR team works aging buckets daily with systematic payer follow-up on every outstanding balance.

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Problems We Solve

Growing AR aging with no systematic follow-up

Claims stuck in pending status for 60+ days

No visibility into who owes what

Staff spending time on admin instead of follow-up

Write-offs growing due to missed timely filing

What's Included

Daily AR aging monitoring across all payers

Systematic follow-up by aging bucket (30/60/90/90+)

Escalation workflows for non-responsive payers

Secondary and tertiary billing

Balance write-off review and approval process

AR aging dashboard and weekly status reports

Expected Outcomes

AR aging reduced by 40–60%

DSO (Days Sales Outstanding) reduced significantly

Systematic daily follow-up on all open balances

Recovery of previously stagnant or at-risk claims

Clear aging reports by payer, date, and provider

AR aging is a leading indicator — we work it that way

AR aging tells you where your revenue is at risk before write-offs hit. Anything over 60 days has materially lower collection probability; over 120 days, the recovery rate drops sharply. Most billing companies report AR aging monthly but don't work it daily. We assign every AR ticket over 30 days to a working queue with a payer-specific play — call vs portal vs written appeal — and a target close date. Performance is tracked per biller per week.

For Florida payers specifically, follow-up cadence matters. Florida Medicaid MMC plans respond to written requests faster than phone follow-up. Florida Blue's provider portal is faster than calling. Medicare Advantage plans require a payer-portal escalation before they'll accept a written appeal — calling directly doesn't move the claim. Our team works the cadence each payer responds to, which is why our average days-in-AR runs 24–28 against an industry median around 38.

Recovery on patient-responsibility balances

Patient AR is the most ignored revenue category in Florida billing. Most clinics either don't bill patients consistently or send statements without follow-up calls. We handle both — statement generation on a fixed cadence with clear payment options, plus bilingual patient calls in English and Spanish for South Florida clinics where 60–80% of patient communication needs to happen in Spanish.

When patients become uncollectable, we apply Florida-specific bad debt write-off rules so the clinic's financial reporting stays clean and Medicaid bad-debt cost reports (for Medicaid-certified providers) carry correct documentation. The handoff to external collections only happens when internal recovery is exhausted, never before.