Accounts receivable & collections · Home health & hospice
Cut days in AR and recover denials.
An episode denies for medical necessity, a late NOA cuts the payment 1/30 per day, and patient balances age past ninety. The biller works only the loudest accounts.
The reality
AR is a follow-up problem.
Denials don't resolve themselves. A medical-necessity denial needs the OASIS, visit notes, and physician orders assembled into an appeal; a no-auth denial needs the auth retrieved and the claim corrected; aging patient balances need statements and follow-up — and every one has a payer appeal deadline.
The operator works the AR aging end to end: identifying denials by reason, gathering the documentation, filing the appeal, and chasing payer and patient balances until the cash posts.
How the operator runs accounts receivable & collections
AR aging · Buckets
triaging- 60+ day balances surfaced
- Denials grouped by reason code
- Medical necessity — appeal due in 10d
01Work the aging
Sorts the AR by payer and age, classifies each denial by reason code, and prioritises by appeal deadline.
Appeal · Episode EP-4417
filing- Visit notes attached
- Physician orders included
- Appeal submitted — tracking
02Build the appeal
Assembles the OASIS, visit notes, and physician orders into a medical-necessity appeal and files it with the payer.
Collections · Balance follow-up
collecting- Payer reprocessing confirmed
- Patient statement issued
- Payment posted — account cleared
03Chase to cash
Follows payer balances through reprocessing and sends patient statements until the balance posts or resolves.
The outcome
62% of AR work off the team
Reduce days in AR and recover denied revenue.
- Denials worked by reason code before appeal deadlines pass
- Medical-necessity appeals built from the full clinical record
- Payer and patient balances chased to cash, not left to age
Common questions
Accounts receivable & collections
- What does the Accounts receivable & collections operator do?
- The operator works the AR aging end to end: identifying denials by reason, gathering the documentation, filing the appeal, and chasing payer and patient balances until the cash posts.
- What impact does the Accounts receivable & collections operator have?
- 62% of AR work off the team. Reduce days in AR and recover denied revenue.
- How does the Accounts receivable & collections operator work?
- Sorts the AR by payer and age, classifies each denial by reason code, and prioritises by appeal deadline. Assembles the OASIS, visit notes, and physician orders into a medical-necessity appeal and files it with the payer. Follows payer balances through reprocessing and sends patient statements until the balance posts or resolves.
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