A critical measure of long term revenue risk and follow up effectiveness
Accounts Receivable Over 90 Days measures the percentage of total A R that remains unpaid more than ninety days after the date of service. This metric highlights how much of your revenue is at risk of delayed payment or permanent loss. As balances age beyond ninety days, the likelihood of collection drops sharply.
At Medical Practice Consulting Group, we actively manage this metric with a target of less than 10 percent of total A R.
Why A R over 90 days matters
Older balances represent the highest risk portion of your revenue cycle.
They are harder to collect
They often involve unresolved denials
They may fall outside appeal windows
They increase write off risk
They distort financial reporting
They signal breakdowns in follow up
Allowing balances to age past ninety days without action weakens cash flow and long term financial stability.
How we control A R aging
Our process prioritizes early intervention and consistent follow up.
Rapid identification of unpaid claims
Timely denial correction and appeals
Strong payer communication
Clear escalation paths for stalled claims
Accurate payment posting and reconciliation
Focused A R cleanup for older balances
By addressing issues early, we prevent balances from aging into high risk territory.
The impact on your practice
More revenue collected
Lower write offs
Cleaner A R
Improved cash flow
Better financial visibility
Reduced administrative burden
Keeping A R over ninety days below ten percent protects revenue and supports predictable performance.
A benchmark that reflects disciplined revenue management
Maintaining less than ten percent of A R beyond ninety days reflects strong follow up, efficient workflows, and accountability across the revenue cycle. When this metric rises, it signals problems that must be corrected immediately.
This KPI helps ensure your practice collects what it earns and avoids long term revenue loss.