Aged accounts receivable is money you have already earned and haven’t collected. It builds quietly: a claim that was never followed up, a denial that was never appealed, a balance that aged past the point where anyone remembers it. Left alone, it eventually becomes a write-off.

MedPlus RCM actively audits and pursues aged, outstanding A/R balances to capture lost income and clean up your balance sheet. We reclaim what you are owed, including balances many practices have already written off.

What A/R recovery covers

  • A/R audit and aging analysis. Your full accounts receivable is reviewed bucket by bucket, current, 30, 60, 90, and 120+ days, to separate what is collectible from what is truly dead.
  • Unpaid claim follow-up. Claims that were submitted but never paid are chased with the payer until they resolve, not left to age.
  • Denied claim recovery. Denied claims with open appeal windows are investigated, corrected, and appealed.
  • Underpayment detection. Payments posted below the contracted rate are identified and pursued for the difference.
  • Patient balance recovery. Patient-responsibility balances are followed up professionally, with clear statements and a process that protects the patient relationship.
  • Ongoing A/R discipline. Once the backlog is cleared, the same follow-up process keeps new claims from aging in the first place.

Why A/R ages, and why it doesn’t have to

A/R usually ages for ordinary reasons: a front desk stretched too thin to follow up, a denial queue nobody owns, a payer that quietly short-paid and nobody noticed. None of these require a dramatic fix. They require consistent follow-up by people whose job is follow-up.

That consistency is how MedPlus RCM keeps client accounts receivable under 30 days. When every claim is tracked to payment and every unpaid claim is worked on a schedule, balances don’t accumulate, and when they do, they are caught early, while recovery is still straightforward.

Recovery across specialties and states

Aged balances look different by specialty and payer. A surgical practice’s aged A/R often hides in high-value claims denied on modifiers. A behavioral health practice’s often hides in authorization-linked denials. A primary care practice’s often hides in eligibility denials and small balances nobody chased. MedPlus RCM serves practices across all specialties and all 50 states, so the recovery playbook for your payer mix is already in place.

Part of a complete revenue cycle

A/R recovery works best when it is not a one-time cleanup. The same team that recovers your aged balances also runs your billing, coding, credentialing, and denial management, so the causes of aging are fixed at the source. A recovered balance that teaches the front end a lesson is worth more than a recovered balance alone, because next month’s claims won’t age the same way.

Transparent, performance-based pricing

MedPlus RCM charges a performance-based percentage of successfully collected revenue. If you don’t get paid, we don’t get paid. That applies to recovered A/R too: we earn when the aged balance is actually collected.

Security and compliance

MedPlus RCM is 100% HIPAA compliant, using enterprise-grade encryption, secure servers, and strict internal compliance protocols to keep patient and practice financial records safe.

Frequently asked questions

What is considered aged A/R?

Balances unpaid beyond 30 days are aging. Beyond 90 days they are at serious risk. MedPlus RCM keeps client A/R under 30 days as a standard, and recovery work targets anything already past that.

Can you really recover balances we’ve written off?

Often, yes, if the claim is still within the payer’s appeal or timely-filing window. The free financial audit will show you which balances are still recoverable before you assume they are gone.

How is A/R recovery different from collections?

Recovery works your insurance and payer balances, claims, denials, and underpayments, through the payer process. It is revenue cycle work, not third-party debt collection.

How long does it take to clean up our A/R?

It depends on the size and age of the backlog. Onboarding takes 2 to 4 weeks, and recovery work begins during that window, starting with the oldest collectible balances.

Get a free financial audit

Find out how much of your aged A/R is still recoverable. Request a free financial audit and our specialists will review your outstanding balances and show you the number.

Request your free financial audit