OLD AR
Cleanup

Aging accounts receivable represent one of the most significant sources of revenue leakage in a medical practice. Claims that have been sitting unpaid for 90, 180, or even 365 days are often overlooked or written off prematurely — yet many of these balances are recoverable with the right expertise and focused effort. Careways RCM’s Old AR Cleanup service is specifically designed to recover this lost revenue systematically and efficiently.

Our Old AR Cleanup team begins with a comprehensive audit of your outstanding receivables, analyzing claims by age, payer, balance amount, and denial status. We identify accounts where recovery is viable and develop a prioritized work plan based on balance value, timely filing deadlines, and payer-specific appeal windows. This structured approach ensures that our efforts are focused where they will yield the greatest return.

For each claim identified for recovery, our specialists conduct targeted follow-up with the appropriate payer — whether through payer portals, phone-based escalation, or formal written appeals. We gather and submit all required documentation, including medical records, coding justifications, and prior correspondence, to support the appeal or reconsideration request.

For claims that have been denied, we assess the denial reason and develop a tailored appeal strategy. For claims where the denial is upheld or timely filing has lapsed, we evaluate secondary billing options, patient responsibility transfer, or, where applicable, Bad Debt write-off with proper documentation.

Throughout the engagement, we provide regular status updates and recovery tracking reports so your leadership team can see exactly what is being worked, what has been collected, and what remains outstanding. Our Old AR Cleanup service is available as a one-time project engagement or as an ongoing supplement to your existing billing operations — whatever best meets your practice’s current needs.