INDUSTRIES / HEALTHCARE RECEIVABLES
Medical receivables are billed at one number and collected at another. Our exams establish what the receivables will actually collect, how the payor mix affects that, and whether government payors can even be pledged as collateral.
RISKS WE TEST FOR
- Gross charges far above what payors actually pay
- Medicare and Medicaid anti-assignment rules
- Denials, rebills and write-offs that surface months later
- Lag between payor remittance and cash posting
- Patient-responsibility balances with low collection rates
- Personal-injury and lien-based receivables with uncertain timing
WHAT THE EXAM COVERS
- Payor mix analysis by aging bucket
- Historical collection look-back to set net collectible value
- Contractual allowance and write-off review
- Cash posting and remittance reconciliation
- Denial and rebill trend analysis
- Deposit account structure for government versus commercial payors
COMMON INELIGIBLES
- Government receivables without a compliant lockbox structure
- Self-pay balances
- Accounts over 120 or 150 days from service
- Contractual allowances above historical collection
- Disputed and denied claims
- Lien-based accounts without settlement history
Full ineligibles directory →