decisionhealth Newsletters, Part B News - 2011 Issue 11 (November)
4 steps to clean up outstanding A/R before 2012 with collectors or write-offs
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Article Overview
This article discusses year-end accounts receivable cleanup for medical practices, focusing on general revenue cycle management tactics for aged patient balances. It outlines broad approaches such as filtering old receivables, sending follow-up letters, offering settlement discounts, using collection agencies, and writing off uncollectable amounts, with commentary from practice finance and collections experts. The piece is aimed at practice managers, billing teams, and revenue cycle staff who want to understand end-of-year A/R cleanup and its accounting implications.
Why This Topic Matters
End-of-year A/R cleanup affects cash flow, collection efficiency, and the accuracy of annual financial reporting. It is relevant to practices planning how to handle overdue balances before closing the books.
Article Sections
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Revenue cycle management
Introduces the article’s focus on managing aged patient balances at year-end and the financial reasons practices review outstanding receivables.
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Follow these steps to figure out which patients to send to collections and which balances to write off.
Presents the overall workflow for sorting outstanding balances into collection, discount resolution, and write-off categories.
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Isolate your aged A/R and apply a filter by dollar amount.
Discusses reviewing older receivables and setting general screening thresholds for very small balances.
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Send out a “10-day” letter after you have a list of balances with aged A/R.
Covers a reminder-letter step used after identifying overdue balances and before escalating accounts further.
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Offer discounts before sending to collections.
Describes a final opportunity to resolve accounts through discounted payment arrangements before escalation.
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Send patients to collections, but don’t expect much back.
Addresses the collections stage and general expectations for recovery performance and market trends.
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The final write-offs:
Summarizes the last step for balances that remain uncollectable after prior recovery efforts.
What You Will Learn
- How year-end A/R cleanup fits into revenue cycle management
- General ways practices review aged patient balances
- The role of reminder letters in overdue account follow-up
- How discount-based settlement efforts fit before collections
- What the article says about the collections and write-off stages
- Accounting considerations related to bad debt and receivables
Who Should Read This
- Practice managers
- Billing staff
- Revenue cycle managers
- Medical office administrators
- Physician practice consultants
- Healthcare accountants
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