Long-term care providers often operate under tight financial margins. Poor AR management—such as delayed billing, unresolved denials, and lack of follow-up—can significantly erode revenue. According to industry benchmarks, healthcare facilities aiming for financial health target Days in AR under 35–40 days, while those above 50 days are at risk of cash flow issues.

Moreover, manual processes can result in a loss of up to 30% of revenue due to inefficiencies in follow-up and billing. In comparison, an estimated 40% of providers fail to collect more than $31,000 annually in missed payments for SNFs and ALFs, these gaps can be critical.

What Drives the Revenue Drain?

• Inaccurate initial billing due to outdated patient data
• Eligibility or authorization failures causing claim denials
• Poor charge capture, including ancillary services
• Delayed or inconsistent follow-up on outstanding claims
• Low visibility in aging receivables and denial trends

Proven Strategies to Close the Gap

1. Verify Early, Collect Faster

Revenue cycle leaders from NYU Langone report that increasing financial clearance rates (i.e., insurance verified at the point of service) from 25–75% to over 95% led to a 30% rise in cash collected on-site, and a dramatic drop in claim denials.

For LTC providers, this means resolving eligibility and authorization at the time of intake—before billing even begins.

2. Automate Follow‑Up with Purpose

BillFlash reports that medical practices lose up to 30% of income due to missed follow-up on aging AR. LTCPro utilizes automated aging reports and workflows that prompt systematic follow-up on unpaid claims, appeals, and patient balances, thereby converting lost revenue into recoverable funds.

3. Track Key KPIs Religiously

Strong AR performance relies on continuous tracking of Days in AR, clean claim rates, and denial percentages. LTCPro's dashboards offer SNF and ALF administrators’ instant insights into aging buckets, denial trends, and performance benchmarks.

4. Build Cross-Functional AR Teams

At NYU Langone, cross-departmental collaboration between billing, coding, and intake teams resulted in $200 million in outstanding claims being eliminated in just three months. LTCPro's model brings that synergy into long-term care—uniting roles to prevent rework and accelerate revenue collection.

LTCPro's AR Approach in Action

Clean Up Front

We verify patient data and insurance details at intake, enabling higher claim acceptance rates on the first submission.

Charge Capture & Submission

All services—including ancillary items such as utilities and cable—are coded and billed promptly using payer-specific workflows and formats (e.g., 837 files or portal submissions).

AR Follow-Up

Using automated aging reports and task reminders, our team chases incomplete and denied claims—for both payer and patient balances—until resolution.

Denial Analysis & Root-Cause Mitigation

By tracking denial types and frequency, we provide actionable insights to reduce future rejections and boost clean-claim rates toward the 95% benchmark.

Dashboard Visibility

Our analytics show facility leaders where funds are tied up, which payers underperform, and how AR trends affect overall financial health.

The Results Speak Volumes

By partnering with LTCPro, facilities typically report:

• 25–40% reduction in Days in AR within three months
• An average 30% increase in first-pass clean claim rates
• Recovery of thousands of dollars per facility that were previously lost
• Clear, proactive AR workflows and no more "forgotten" claims

This streamlined approach frees up cash flow, reduces write-offs, and improves predictability—giving both administrators and caregivers the confidence to focus on delivering high-quality services.

Accounts Receivable isn't just an accounting task—it's the heartbeat of operational health. With LTCPro at your side, SNFs and ALFs can turn AR from a vulnerability into a competitive advantage—faster reimbursements, more intelligent reporting, and healthier bottom lines.

Ready to close your revenue gap? Connect with LTCPro today to learn how our AR and RCM services help long-term care providers achieve financial clarity and stability.

Visit www.ltcpro.com or contact us for a tailored AR consultation.