Aged accounts receivable is the slowest leak in a U.S. hospital's revenue cycle. Claims sitting at 90+ days are statistically 3 to 5 times less likely to collect than claims worked at 30 days. By 120 days, most hospitals have effectively written the balance off operationally, even if it stays on the books. The gap between what is collectible and what is being collected is where a typical 5% to 8% of net patient revenue gets lost every year.
RCMGen's aging A/R recovery and resolution service is structured to close that gap. Continuous 24/7 follow-up on aged claims, payer-specific resolution workflows, structured patient balance recovery, and weekly executive reporting that shows aged A/R declining month over month rather than compounding.
A typical engagement runs through six structured stages from discovery to continuous improvement.
Stage 1: A/R diagnostic and aging analysis
We analyze your last 12 months of A/R aging trend by payer, service line, and date of service to identify your highest-impact recovery opportunities and revenue leakage patterns.
Stage 2: Onboarding and workflow design
System access provisioning, aging bucket workflow configuration, patient balance protocol design, KPI baseline establishment, and integration with your existing EHR and practice management systems.
Stage 3: Active 24/7 A/R operations
Continuous payer follow-up across all aging buckets, scheduled portal monitoring, denial workflow integration, structured patient balance outreach, and aged claim escalation through resolution.
Stage 4: Performance reporting and reviews
Weekly aging dashboards, monthly executive reviews, payer-specific A/R tracking, Days in AR trend reporting, and dollar-recovery results tied to your contract performance commitments.
Stage 5: Root-cause prevention
Quarterly aging deep dives, payer behavior analysis, front-end intervention proposals, denial-prevention workflow guidance, and process improvements that stop A/R from compounding upstream.
Stage 6: Continuous improvement
Annual contract review, KPI recalibration as your operations mature, payer playbook updates, and engagement scope adjustments as your A/R profile evolves.
Patient balance resolution as a distinct workflow
Patient responsibility now represents 30% to 35% of total provider revenue, driven by high-deductible health plans and increased patient cost-sharing. Most A/R recovery vendors handle patient balances poorly, defaulting to statement-and-wait followed by aged write-off or external collections agency placement.
RCMGen’s patient balance resolution is a distinct workflow:
- Multi-channel patient outreach (phone, text, email, portal, mail) with cadence based on balance size and payment history
- Payment plan structuring with verified terms and automated payment processing
- Charity care qualification and Financial Assistance Program (FAP) routing for patients meeting eligibility criteria
- Pre-collection segmentation that identifies which accounts will respond to additional outreach and which require alternative resolution paths
- Statutory deadline tracking to prevent uncollectible balances from aging past state-specific limitations
Get a free denial recovery report
Submit a deidentified denial export and receive a written 12-page diagnostic inside 5 business days. The report identifies which payers are costing you the most, which denial reason codes are driving the largest losses, and which aged denials are still recoverable. No PHI upload. No BAA. No contract.
