SolutionsAR Management
AR Management
Pursuing outstanding balances by what is recoverable, not just what is oldest.
Why this one
costs you money.
Ageing receivables are not one problem. Some balances are recoverable and have simply never been worked. Some are approaching a filing deadline after which they stop being receivables at all. Some were never going to be paid, and are absorbing effort that belongs elsewhere.
Exact Core works receivables by what is recoverable rather than by what is oldest, and makes writing a balance off a decision rather than a default.
What this discipline
actually involves.
- Receivables prioritised by value, age and likelihood of recovery.
- Aged balances worked before timely-filing limits close them out.
- Payer-side and patient-side balances handled as distinct workflows.
- Write-off decisions made deliberately rather than by default.
- Root causes of ageing fed back upstream so the pattern stops.
The method.
Segment
The ledger is segmented by payer, age, value and likelihood of recovery. Payer-side and patient-side balances are separated, because they need different work.
Prioritise by deadline
Balances near a timely-filing or appeal limit are worked first regardless of size. Time is the only variable in the ledger that cannot be recovered later.
Work the reason
Balances are pursued against the specific reason they are outstanding — no remittance, partial payment, denial, patient responsibility — rather than by generic follow-up.
Close deliberately
Balances that are genuinely unrecoverable are written off with the reason recorded, so the ledger reflects reality and effort stops being spent on them.
What you receive
- Ageing by payer, value and recoverability — not by age alone.
- Balances at risk of a filing deadline, flagged before they close.
- Patient-side and payer-side balances reported separately.
- Write-offs with a recorded reason.
The failure modes.
Working the queue by age alone
The oldest balance is not always the most recoverable. Effort should follow return.
Timely filing limits missed
A balance that passes the filing deadline stops being a receivable and becomes a loss.
Silent write-offs
Balances written off by default, never by decision, never reviewed.
What clients say.
We had a significant amount of AR that needed more focused attention. Exact Core helped us prioritize the accounts based on recoverability and gave our team much better visibility into what was actually being worked.
Better revenue-cycle visibility has made it easier for us to make operational decisions. The reporting we receive from Exact Core helps us understand what’s happening rather than simply giving us another set of numbers.
Transparency has been one of the strongest parts of our experience with Exact Core. We have a clearer understanding of what is being worked, where problems are occurring, and what actions are being taken.
About ar management.
Where do you start with an aged ledger?
With the deadlines. Any balance approaching a timely-filing or appeal limit is worked first, because it is the only part of the ledger where waiting removes the option entirely. Value and recoverability set the order after that.
Do you handle patient balances as well as payer balances?
Yes, as a separate workflow. Patient-responsibility balances need different timing, different communication and different escalation from payer balances, and running both through one queue does neither of them well.
What happens to balances you cannot recover?
They are written off with the reason recorded. The point of writing off deliberately is that the reasons accumulate into a pattern you can act on; balances that decay quietly teach you nothing.
Does AR Management overlap with denial management?
They meet. A denied claim sitting in AR is both. In practice denial management addresses why it was refused, and AR Management addresses whether it is still collectable and in what order — which is why the two are managed together rather than by separate vendors.
The other five disciplines
Revenue leaks between them, which is why they are managed as one cycle.
Medical billingMedical codingDenial managementCredentialingEligibility verificationPatient supportFront office management
How is ar management
performing for you?
A revenue assessment reviews all eight disciplines end to end and shows you where the reimbursement is going.