You’ve done the work. The care was delivered, the claims were submitted but the money still isn’t in the bank.
If you lead revenue cycle for a community health center, you know this feeling all too well. Claims hit 60, 90, even 120 days old with no resolution. Payer silence, documentation gaps, and write-offs become the norm. The backlog builds. And suddenly, your team is spending more time chasing old dollars than collecting new ones.
Sound familiar?
Why It Happens – and Why It Doesn’t Have to
A/R aging isn’t just a back-end problem. It’s a symptom of deeper misalignment:
- Claims go out without required documentation
- Eligibility wasn’t fully confirmed up front
- Follow-up is inconsistent or outsourced without oversight
- Denials aren’t tracked or trended just refiled
And in community health, where margins are razor-thin, that lag can mean delayed hires, missed expansion goals, or worse reduced patient access.
We’ve worked with FQHCs and community clinics with over $1.2M in 90+ A/R and no real idea where the breakdowns started. We don’t throw tools at the problem. We get inside the workflow and fix it.
Our Cleanup Model: Human Oversight + Smart Workflows
At Scionis RCM, we approach A/R cleanup like a forensic audit and recovery plan.
- Step one: Get clear visibility into aging buckets payer mix, denial types, recurring patterns.
- Step two: Prioritize clean-up based on yield, write-off risk, and contract timelines.
- Step three: Build or retrain workflows to prevent the same A/R from returning.
Our team brings trained A/R recovery specialists not generalists who know payer logic, Medicaid quirks, and how to fix aging without overwhelming your front office. And every week, you’ll see where we’ve moved the needle claim by claim through a transparent, audit-ready dashboard.
What a Community Health Group Saw in Just 90 Days
One CHC we worked with had over $900K in unresolved A/R above 90 days. After just 12 weeks:
- $412,000 recovered from aged claims
- Medicaid-related denials cut by 37%
- 22% reduction in avoidable write-offs
- Aging A/R over 120 days dropped from 46% to 19%
The difference wasn’t in the billing system it was in the follow-through.
Final Takeaway
You can’t keep moving forward if old claims are weighing you down. A/R cleanup isn’t glamorous but it’s one of the fastest ways to restore financial control in community health. We’ll help you get caught up, and more importantly, stay ahead.
Case Study: Reclaiming $400K+ in Aging A/R for a Community Health System
Summary
A five-site community health organization reduced aging A/R over 90 days by 54% and recovered over $400K in outstanding revenue in under three months without disrupting ongoing billing operations.
Client Background
This federally qualified health center (FQHC) served underserved populations across five locations. With over 22,000 annual visits and high Medicaid volume, their internal billing team was stretched. Old claims were falling behind, and A/R was stacking up without a clear recovery plan.
Key Challenges
- $900K+ in 90+ day aging A/R
- Medicaid and Medicare claims stuck due to auth and eligibility errors
- Denials being refiled without root-cause correction
- No tracking system for payer-specific follow-up
- Internal team overloaded with current claim volume
Scionis RCM’s Recovery Plan
- Segmented aging A/R by payer and denial category
- Prioritized claims by yield and timely filing windows
- Rebuilt Medicaid eligibility documentation trail for retro-approval
- Implemented weekly cleanup reporting tied to cash impact
- Shared dashboards with leadership showing denial trends and financial lift
Results Within 90 Days
- $412,000 recovered from aged A/R
- Denials reduced by 37%
- A/R >120 days reduced by 58%
- Write-off volume reduced by 22%
Full audit log created for compliance and leadership transparency
Client Quote
“It felt like we were drowning in old claims. Now we’re actually seeing the money we earned months ago hit our books.” – CFO, Multi-site Community Health Center
Closing Insight
Revenue left unresolved is revenue lost. Community health centers need more than billing they need clean recovery. Our team brings it claim by claim, line by line.
