Every day, unpaid claims sit in AR, and your cash flow suffers. Delayed denials, payer delays, and incomplete follow-up cost you thousands. Practice Mate delivers complete AR follow-up and management services, diligent claim tracking, denial recovery, and payment resolution so you get paid faster.
Accounts receivable (AR) follow-up is the process of diligently tracking and resolving outstanding claims and unpaid balances with insurance companies and patients. In healthcare billing, AR follow-up ensures that claims are paid promptly and that denied or delayed claims are addressed before they become uncollectable.
In the healthcare revenue cycle, AR represents the gap between service delivery and payment collection. The longer a claim remains unpaid, the harder it becomes to collect. A structured AR management process reduces days in AR, prevents revenue leakage, and maintains steady cash flow.
Practice Mate delivers complete AR follow-up and management services — aging analysis, payer follow-up, denial recovery, and payment reconciliation — so you get paid faster and reduce revenue loss.
Every day a claim sits unpaid, your practice loses more than just revenue. You lose:
The reality: The average medical practice has 10-15% of its revenue tied up in accounts receivable at any given time. For a $2 million practice, that’s $200,000-$300,000 in unpaid claims. For a $5 million practice, that’s half a million dollars or more.
Practice Mate’s AR follow-up and management services recover that money—systematically, professionally, and without disrupting your practice.
We provide AR management support for every type of healthcare practice.
| Practice Setting | What We Deliver |
|---|---|
|
Private medical practices |
Reduced days in AR, faster payer payments, less revenue leakage |
|
Specialty clinics (therapy, radiology, etc.) |
Specialty-specific follow-up with payers who know your services |
|
Hospitals and health systems |
High-volume AR management, aging analysis, and denial recovery |
|
Out-of-network providers |
Dedicated AR recovery for out-of-network claims and UCR rate follow-up |
|
Behavioral health and pediatric practices |
AR recovery specific to mental health and pediatric payer rules |
Whoever you are, we manage your AR. Complete AR management means you stop chasing unpaid claims and start collecting what you’ve earned
Healthcare practices depend on steady cash flow to cover payroll, rent, supplies, and physician compensation. Unpaid claims threaten that stability.
Practice Mate provides end-to-end AR management — nothing is left for your practice to handle.
We create and analyze AR aging reports broken down into 30-day increments (0-30, 31-60, 61-90, 90+ days). We prioritize oldest claims and largest balances.
We contact payers via phone, email, or online portals to check claim status, resolve issues, and expedite payments. We document every follow-up action.
We review denial reports, identify patterns, and file appeals for incorrectly denied claims. We prevent future denials by addressing root causes.
We compare actual payments to expected amounts, identify underpayments, and initiate recovery from payers.
We focus on 90+ day claims that are most at risk of becoming uncollectable. We escalate follow-up to recover these balances.
We reconcile posted payments against EOBs and ERAs, ensuring payments are correct, contractual adjustments are accurate, and write-offs are appropriate.
We review AR reports weekly, identifying claims that are past due and need immediate attention.
We prioritize oldest claims and largest balances. 90+ day claims get highest priority.
We contact payers to check claim status, understand delays, and resolve issues.
We review denials, identify patterns, and file appeals for incorrectly denied claims.
We reach out to patients with outstanding balances, sending statements and reminders.
We reconcile posted payments against EOBs and ERAs, identifying underpayments.
We monitor KPIs — AR days, denial rates, collection rates — and adjust strategies as needed.
Managing AR only when time permits leads to lost revenue. A consistent, weekly AR routine is essential.
| Challenge | Revenue Impact | PracticeMate Solution |
|---|---|---|
|
Aging AR > 90 days |
Claims become uncollectable |
Focused recovery on aging claims |
|
Denials not appealed promptly |
Revenue lost permanently |
Denial analysis and timely appeals |
|
No consistent follow-up process |
Unpaid claims accumulate |
Weekly structured AR follow-up process |
|
Underpayments not identified |
Lost revenue from incorrect payments |
Payment reconciliation and underpayment recovery |
|
Patient balances ignored |
Patient AR grows |
Patient follow-up and payment plans |
|
No clear AR reporting |
No visibility into revenue health |
Clear, weekly AR performance reporting |
We don’t ask billing staff to “also do AR follow-up.” We have dedicated AR specialists who focus exclusively on unpaid claims and recovery. This focus means better results.
We don’t wait for claims to age. We review AR every Monday. We follow up every week. Aging claims don’t accumulate. This discipline is the foundation of successful AR management.
We don’t just appeal denials. We analyze patterns and fix root causes. This means fewer denials over time, not just more appeals.
We don’t assume payers are paying correctly. We verify every payment against contracts. When payers shortchange you, we recover the difference.
You don’t get cryptic spreadsheets. You get clear reports showing exactly what’s happening, what we’re doing, and what we’re recovering.
Your dedicated AR specialists work in the US. They’re available when you need them. You can talk to the people managing your AR.
All systems and processes are fully HIPAA-compliant. Your patient data is protected.
Our clients see AR days reduced by 20-30 days and collection rates improved by 10-15%. Results are consistent across specialties and practice sizes.
| Metric | Definition | Target | Our Typical Result |
|---|---|---|---|
|
Days in AR |
Average days to payment |
<40 days |
28-35 days |
|
Clean Claim Rate |
Claims paid first submission |
>95% |
98%+ |
|
Denial Rate |
Claims denied |
<5% |
<3% |
|
First-Pass Resolution |
Claims resolved without appeal |
>90% |
95%+ |
|
Net Collection Rate |
Total collected vs. expected |
>95% |
97%+ |
|
AR > 90 Days |
% of AR over 90 days |
<10% |
<5% |
FaqsAR follow-up is the process of tracking and resolving outstanding claims and unpaid balances with insurance companies and patients. It ensures claims are paid promptly and that denied or delayed claims are addressed before they become uncollectable.
AR management ensures steady cash flow, reduces revenue leakage, and prevents claims from aging beyond timely filing limits. Without consistent AR follow-up, practices lose revenue.
A common benchmark for days in accounts receivable is under 40 days, though performance varies by specialty and payer mix.
AR should be reviewed weekly. Weekly reviews prevent claims from aging, catch denials early, and maintain steady cash flow.
Claim aging refers to how long a claim has been unpaid. Claims are typically segmented into 30-day increments — 0-30, 31-60, 61-90, and 90+ days. The older the claim, the harder it is to collect.
Reduce AR days by submitting claims promptly, following up on unpaid claims consistently, filing appeals for denials, and recovering underpayments.
Key metrics include days in AR (target <40 days), clean claim rate (target >95%), denial rate (target <5%), first-pass resolution rate (target >90%), and net collection rate (target >95%).
Yes. We handle both insurance AR (claims follow-up, denials, underpayments) and patient AR (patient balances, collections). Complete AR management.
FaqsThree to four weeks for most endocrinology practices. We run parallel processing so claims never stop going out. Practices with DSMT program accreditation work or large open AR balances may take five to six weeks.
No. Guaranteed in writing. If your clean claim rate drops below your previous rate in the first 60 days, we work three months at no charge until we close the gap.
We don't issue accreditation — that comes from ADA or ADCES. We do walk you through the application, documentation, program NPI setup, and the billing structure once you're accredited. If you already have accreditation but aren't billing G0108/G0109, we can start within two weeks.
Yes. We audit your CGM patient panel for RPM eligibility, document the 16-day data threshold, set up time-tracking for 99457/99458, and bill monthly. Most practices haven't billed RPM at all — we typically recover six months of eligible RPM revenue in the first 90 days.
Yes. We bill under your NPI and Tax ID. No re-credentialing. No re-enrollment. If you have open credentialing in progress, we manage it as part of onboarding at no additional charge.
Yes. We execute a Business Associate Agreement (BAA) before accessing any patient record. Encrypted transmission. Access-controlled environments. HIPAA-auditable pipeline.
Percentage based on collections. We are paid when you are paid. No flat monthly fees. No per-claim fees that reward volume over accuracy. Written fee proposal before any agreement is signed.
