AR triage by recoverable dollars, not days.
A days-in-AR sort routes your highest-paid specialists to the oldest balances. That is not the same as the most collectible balances. The ASP-RCM AR engine triages every open account by recoverable dollar value, predicts the outcome of the next call, routes complexity to senior specialists, and feeds the action back into a real-time recovery dashboard. Specialists work the cash, not the calendar.
Where every 100 accounts on the worklist actually go.
A typical AR worklist is a flat sort by days-in-AR. The result is that specialists burn hours on accounts that will never pay (credentialing dead, eligibility dead, statute expired) while live-cash accounts sit untouched. The triage to the right shows where 100 accounts that enter our engine actually land. 47 are paid or in active payer commitment within seven days. 28 route to documentation, appeal, or coordination. 16 route to the upstream remediation queue because the root cause is not an AR follow-up problem.
The remaining 9 accounts get a documented write-off recommendation with the dollar value and the reason. Honest visibility into write-off candidates is part of a real AR workflow, not a marketing chart.
Six capabilities. Compression at every touch.
Each capability runs in production today across the active book. Every worklist account, whether a $40 patient balance or a $40,000 underpayment, runs through the same triage, prediction, and routing engine. The model carries the differences; the specialist carries the judgment.
Recoverable dollars, not days.
Every open account scored on recoverable dollar value: balance, payer behavior, denial reason, time-to-cash probability. The specialist’s next-best account is the one most likely to convert to cash this week, not the one that has aged longest. Working the top quartile first is what produces the 2.4x lift.
Predict the next call.
Every prior call against every payer feeds a model that predicts the next call outcome: resolves, requests docs, requires callback, IVR dead. Specialist sees prediction and recommended script before dialing. First-call resolution lifts from a 38 percent industry baseline to 71 percent.
2.4x touches per hour.
Industry-published AR follow-up touches sit at 12 to 14 per FTE-hour. Our specialists average 30 to 34. The lift comes from prefetched context, predicted outcome, and worklist sequencing that eliminates the half-minute search and the minute of scrolling that compound across an eight-hour shift.
Complexity to senior, automatically.
Router scores accounts on dollar value, denial complexity, and payer escalation history. Junior works straightforward documentation; senior works medical-necessity appeals, underpayment recoveries, and second-attempt failures. The routing is reversible and learns from every hand-back.
Pre-fetched account context.
Claim, EOB, last note, payer rule, denial-code translation, and recommended documentation load before the specialist opens the account. The minute saved per account compounds to hours per shift. Account context is the same library credentialing and authorization tools draw from.
Three views, live.
Specialist view: active worklist plus next-best account. Supervisor view: live touches per hour, recovery per payer, SLA breaches. Client director view: cash month-to-date versus forecast, AR over 90 trending, top three recoverable-dollar opportunities surfaced this week. Same data, three lenses.
Four steps. From queue to cash.
From the moment an account enters AR to the moment cash posts or the documented write-off recommendation lands in the client director’s queue, here is the work the engine and our specialists run together.
Score the account.
Recoverable dollar model runs on every account at queue entry: balance, payer behavior pattern, denial reason, time-to-cash probability, upstream root cause flag. Score determines worklist position and specialist tier.
Pre-fetch the context.
Claim, EOB, prior notes, payer rule, denial translation, and recommended next-action load into the worklist card. Specialist arrives at the account fully briefed. CredPro v6 flags pull credentialing-dead accounts to upstream queue.
Predict the outcome.
Before the call, model surfaces predicted payer behavior and recommended script. After the call, specialist logs actual outcome. Delta between predicted and actual feeds the model. The loop tightens weekly across every payer combination.
Route the exception.
Resolved accounts post to cash. Multi-touch accounts hold in active recovery. Upstream root causes route to credentialing or authorization queues. Write-off candidates surface to the client director with the dollar value and the reason.
Measured outcomes from AR triage.
Across the active book. Anonymized; individual results depend on payer mix, AR aging composition at engagement start, and worklist hygiene.
Frequently asked questions: AR Workflow Engine.
Why prioritize by recoverable dollars instead of days in AR?
How does call outcome prediction work?
What does senior specialist routing actually decide?
What is the 2.4x touches/hour number based on?
How does the engine connect to credentialing and authorization?
Is the workflow auditable?
What does the real-time dashboard show?
How does this differ from a typical AR follow-up worklist?
Compounds with upstream remediation.
AR triage gets stronger when the upstream roots are clean. Credentialing prevents the dead denials. Authorization prevents the auth-expired write-offs. Discovery finds the coverage that turns self-pay into billable AR.
Credentialing health platform.
HIPAA-hardened multi-tenant credentialing with PHI-at-rest encryption, NCQA dashboard, and per-payer enrollment tracking. Flags inactive enrollment on date of service before AR burns the call.
Find the missed coverage.
Monthly cross-payer sweep on self-pay AR. NPPES plus payer-roster match plus 270/271 confirmation. Reclassifies discovered coverage into active billable AR and triggers retroactive billing.
Engine in writing.
99.9 percent uptime SLA on the AR engine, quarterly DR drills, daily encrypted backups, and 24/7 monitoring. Specialist worklists never go cold on a deploy or an incident.
Send 30 days of AR. We send back the triage map.
A free 30-day AR audit. Drop your last 30 days of open AR, denials, and worklist actions. We return a four-page audit covering recoverable dollars by payer and bucket, predicted first-call resolution lift, upstream root-cause root-cause percentage, and a 90-day fix plan. A senior partner on the call.