A/R as collateral: You can't pledge your Medicare A/R as collateral - but you have other options

Why This Topic Matters

Financing decisions can affect a practice’s ability to cover payroll, operating costs, and delays in reimbursement. Understanding the general boundaries around receivables-based lending helps practices evaluate options without relying on assumptions that may not apply to Medicare funds.

Article Sections

1. Medicare accounts receivable and collateral

   Explains the article’s main topic and the general lending context involving Medicare-related receivables. It also introduces the distinction between Medicare receivables and other payer receivables.

2. Private payer receivables and lender considerations

   Describes how the discussion differs for commercial and managed care payers. It also notes the importance of reviewing payer contract terms and notice provisions.

3. Alternative financing through receivables sales

   Covers the broader concept of selling receivables to improve cash flow. It also discusses a bank-lockbox arrangement and the article’s treatment of that option in a general financing context.