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2.4x touches/hr · predicted outcome · senior auto-routing

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.

2.4x touches per FTE-hour 71% first-call resolution Full per-claim audit trail
The worklist outcomes

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.

Per 100 worklist accounts · active book · last 90 days
47
Paid or in payer commitmentResolved within 7 days of first touch
28
Documentation, appeal, or coordinationMulti-touch active recovery in progress
16
Upstream remediation queueCredentialing, eligibility, or auth root cause
9
Write-off recommendation with dollar valueStatute expired, payer dead, or denied final
Triage axis: recoverable dollars · not days in AR
The capabilities

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.

01 · Triage axis

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.

02 · Outcome prediction

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.

03 · Productivity

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.

04 · Senior routing

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.

05 · Work-queue management

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.

06 · Real-time dashboard

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.

How the work runs

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.

Step 01

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.

Step 02

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.

Step 03

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.

Step 04

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.

What clients see

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.

2.4x
Touches per FTE-hour
Industry-published AR follow-up touches sit at 12 to 14 per FTE-hour. Our specialists average 30 to 34. The lift compounds: more touches per hour, higher resolution per touch, lower dead-end rate per shift.
71%
First-call resolution
Of calls placed against the active worklist, 71 percent end in either resolution or a documented payer commitment with a callback date. Industry-published baseline is 38 percent. The lift comes from predicted outcome and prefetched context.
16%
Upstream root-cause route
Of 100 accounts entering the engine, 16 are root-caused upstream: credentialing inactive, eligibility expired, authorization missing. These never enter standard AR follow-up. CredPro v6 and the authorization tracker handle the remediation.
Common questions

Frequently asked questions: AR Workflow Engine.

Why prioritize by recoverable dollars instead of days in AR?
Because oldest does not equal most collectible. A 45-day Aetna balance with a known eligibility issue has a higher recovery probability than a 120-day balance that has been worked twice and denied for medical necessity. The traditional days-in-AR sort routes specialists to dead ends; the recoverable-dollars sort routes them to the live cash. On the active book, working the top-quartile recoverable-dollar queue first lifts cash collected per FTE-hour by 2.4x compared to the days-in-AR sort.
How does call outcome prediction work?
Every prior call attempt against every payer feeds a model that predicts the likely outcome of the next call: payer answers and resolves, payer answers and requests documentation, payer queues for callback, payer line dead, IVR loop. The specialist sees the predicted outcome plus the recommended script before dialing. The result is that 71 percent of calls now end in either resolution or a documented next-action commitment, versus the industry-published 38 percent first-call resolution rate.
What does senior specialist routing actually decide?
The router scores each account on three axes: dollar value, denial reason complexity, and payer escalation history. Junior specialists work straightforward documentation requests and low-complexity coordination calls. Senior specialists work medical-necessity appeals, underpayment recoveries, and accounts that have already failed one resolution attempt. The routing is reversible: a senior can hand a case back if it does not require senior judgment, and the router learns from the hand-back.
What is the 2.4x touches/hour number based on?
Active-book benchmark across our specialist pool. Industry-published touches per hour on AR follow-up sit at 12 to 14 per FTE. Our specialists average 30 to 34 per FTE. The lift comes from prefetched account context (claim, EOB, last note, payer rule), predicted call outcome surfaced before dial, and the worklist eliminating the half-minute search and the minute of scrolling that compound across an eight-hour shift.
How does the engine connect to credentialing and authorization?
Two upstream signals feed the AR triage. First, CredPro v6 flags accounts where the rendering provider's enrollment with that payer was inactive on the date of service, because no follow-up call will collect on a credentialing denial; the account routes to the credentialing remediation queue instead. Second, the authorization tracker flags accounts where the auth balance was exhausted on date of service. Both are pre-AR roots that traditional follow-up burns hours on without recovery.
Is the workflow auditable?
Every action is logged: who touched the account, what they said, what the payer said, what the next-action commitment was, and what the predicted outcome was versus the actual outcome. The audit trail is exportable per claim, per specialist, per payer, per date range. Client directors review the audit during the weekly QBR. Compliance reviews use the same trail for both SOC 2 and HIPAA evidence.
What does the real-time dashboard show?
Three views. The specialist view shows the active worklist, the next-best account, and the predicted call outcome. The supervisor view shows live touches per hour per specialist, recovery rate per payer, and accounts breaching SLA. The client director view shows cash collected month-to-date versus forecast, AR over 90 days trending, and the top three recoverable-dollar opportunities surfaced this week.
How does this differ from a typical AR follow-up worklist?
Typical AR worklists sort by aging bucket and pay the specialist to discover the work. The ASP engine triages by recoverable dollars, prefetches context, predicts outcome, routes to specialist skill, and audits the action. Specialists arrive at an account with the call script, payer rule, denial code translation, and recommended documentation already loaded. The minute they save per account compounds to hours of capacity per week.

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.