A Recovery Whitepaper Built on Real Pediatric A/R Data
Most A/R recovery guidance starts with the MGMA benchmark and works backward. This white paper starts with a real engagement: a pediatric group practices with $8.65M in total A/R, 114 Days in A/R, and 66% of receivables concentrated past 90 days. The diagnostic methodology, FTE deployment model, and 90-day execution roadmap in this document are drawn from how that recovery was actually structured, not how it was projected on a slide.
Portco CFOs and PE Operating Partners will find the staffing math, the KPI targets, and the write-off exposure calculations alongside the operational framework.
What's Inside This Whitepaper?
Eight chapters. Covers the full recovery arc from aged A/R diagnosis through working capital unlock and Phase 2 sustainment.
The A/R Problem in Pediatric Practices
- How Medicaid and CHIP payer mix creates longer adjudication timelines and higher denial rates than adult specialty benchmarks
- Why post-acquisition staffing transitions allow A/R follow-up to fall behind claim volume within the first 90 days
- What a 114-day Days in A/R figure means in working capital terms for a practice generating $2.28M in monthly charges
Diagnostic Whitepaper: Reading the A/R Aging Report
- The four operational conditions that reinforce each other to push concentration into the 90+ day bucket
- The recoverability curve: 95-98% at 0-60 days, 85-90% at 60-90 days, 60-75% at 90-120 days, 25-50% past 120 days
- How to read an aging report for boundary risk, not just total balance
The A/R Recovery Framework
- Why distributing follow-up effort evenly across all aging bands produces low recovery value per hour worked
- The four-step model: segmentation by payer, aging band, and denial category; risk-based prioritization; taskforce deployment; Cash Velocity Dashboard
- How phase-based KPI targets make the recovery credible to PE stakeholders without committing to an unrealistic jump to the 30-day benchmark
90-Day Execution Roadmap
- Month 1 through Month 3 week-by-week milestones: from system access and A/R segmentation in Week 1 through Phase 1 close-out review in Week 12
- Six parallel workstreams running concurrently: 90+ day clean-up, EFT/ERA standardization, underpayment recovery, credentialing clearance, patient statement optimization, value-based contract review
- The risk mitigations built into the schedule for the two highest-probability failure points: migration at the 90-120 boundary and follow-up load swamping Month 2 throughput
Created for Healthcare Finance Leaders Running Pediatric Practices
The whitepaper is created for the leaders who carry the financial and operational accountability for A/R performance at pediatric groups, not for the billing team working the claims.