How to Recover Dues from Patients to Streamline your Accounts Receivables
Once a patient leaves a medical office without paying, there is a 30% chance they will never meet their responsibility. To recover these funds, practices must spend significant resources. This fact has led many providers to feel chasing these patients is unprofitable.
However, growing patient responsibility makes this mindset untenable. As Payers burden consumers with higher responsibilities through high deductible health plans, more will leave the office without paying. So, practices must learn how to consistently recoup funds from this demographic.
Here’s how to recover from your patients to streamline your Accounts Receivables.
Encourage Early Payments
Tracking accounts receivables is a time-consuming, expensive process. So, try to reduce the number of accounts your staff needs to track. During the scheduling process, be clear about payment options and patient responsibility.
In 2017, the Academy of Healthcare Revenue studied financial healthcare trends. The organization observed that providers receive reimbursements 70% of the time they request it at the point of service. Consistently encourage patients to pay immediately before or following services. Primarily receiving early compensation simplifies the follow-up process for your recovery team.
Track AR
Label your accounts receivables by age to determine the significance of each charge. Contact consumers as necessary to learn their payment status. Repeat patients may have overdue bills. So, knowing account details is critical to addressing these bills on subsequent visits.
When waiting for insurance payments, wait for a fixed time period before contacting the Payer. How long you wait will be dependent on the type of service and Payer. Ask for clarification if a Payer Rep expresses concerns with your submission. The sooner you receive specific information about the claim, the sooner you can accurately resubmit.
Maintain Staff Standards
Having to resubmit claims is a poor use of time. Instead, instill your staff with well-defined standards to weed out errors before submission. Conduct internal audits to discover discrepancies in billing processes.
Track what error types you commonly receive. Since insurance payers have unique standards, note which Payer is associated with each error. Your team may need to contact a payer supervisor to iron out conflicting information.
Employ Medical Billing Technology
Claim Scrubbing technology can promote more accurate submissions. These systems scan a claim and notify the user of any errors. From here, billing staff can rework the claim as needed. Practices avoid late resubmissions by gaining this knowledge earlier in the billing timeline.
Hire a Professional Billing Company
Practices benefit most by spending their limited time on patient treatment. By focusing on improving medical outcomes, healthcare providers help all parties. Providers can feel satisfied knowing they’ve boosted their patients’ quality of life as well as their practice's finances.
Plutus Health allows practices to focus on patients. Our billing team efficiently submits claims and follows up where appropriate. We save time while getting the highest reimbursement possible from patients with our technology - AnodynePay. Contact us today to learn about our improvement plan for your patient billing process.
Key Takeaways
1. Encourage out-of-pocket payments at the point of service.
2. Track AR by due date and follow up at regular intervals.
3. Instill consistent coding and billing standards in your staff.
4. Adopt new technologies that scan claim submissions for errors.
5. Hire a professional billing company that has smart solutions to handle Patient payments.
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FAQs


ABA providers are grappling with high staff turnover (up to 65%), rising burnout, administrative overload, and stagnant reimbursement rates. These challenges directly impact care continuity, clinical outcomes, and operational performance.


Operational inefficiency costs ABA teams up to 10 hours per staff member per week, contributing to burnout, denied claims, and longer accounts receivable (A/R) cycles. These inefficiencies ultimately result in reduced revenue and patient dissatisfaction.


Burnout leads to costly turnover, lower client retention, and decreased productivity. Recruiting and replacing a BCBA or RBT can cost up to $5,000 per hire, plus months of lost revenue and disruption to morale.


High-performing ABA organizations invest in clear career pathways for BCBAs and RBTs, align compensation with market benchmarks, and foster peer-led mentorship, flexible schedules, and wellness programs.


Automation tools like Plutus Health's Zeus streamline eligibility verification, denial management, and billing, reducing manual workloads by 5–10 hours weekly per clinician and improving clean claim rates by 95%.


Outsourcing revenue cycle management can improve collections, reduce denials by up to 30%, and free clinicians from billing-related admin tasks, resulting in better client care and financial outcomes.


One $200 million ABA network partnered with Plutus Health to automate eligibility and accounts receivable (A/R) processes. The result: $2M reduction in legacy A/R and a 97% Net Collection Rate.


By improving operational efficiency, investing in technology, and ensuring workforce stability, ABA leaders can align outcomes with reimbursement. Plutus Health supports this transition with scalable RCM and automation strategies.
FAQs


ABA therapy billing is the process of submitting claims to insurance or Medicaid for Applied Behavior Analysis services provided to individuals with autism or developmental disorders. It includes using correct CPT codes, proper documentation, and adherence to payer-specific policies.


Common CPT codes for ABA therapy in 2025 include:
- 97151 – Assessment and treatment planning
- 97153 – Direct therapy with the patient
- 97155 – Supervision and modification of behavior plan
- 97156 – Family adaptive training
- Always check with payers for any annual changes.


To bill Medicaid for ABA services, providers must ensure credentialing is complete, services are pre-authorized, and claims use the correct codes and modifiers. Medicaid requirements vary by state, so always follow state-specific billing rules.


Common ABA billing mistakes include:
- Incorrect or missing CPT codesplan
- Lack of documentation or treatment
- Uncredentialed providers rendering services
- Submitting duplicate or late claims


Without proper credentialing, providers can’t get reimbursed. Insurance and Medicaid require that BCBAs, RBTs, and organizations are credentialed and contracted. Delays in credentialing often cause revenue losses and claim rejections.
FAQs


CMS proposes a 2.4% increase in Medicare ASC payment rates, contingent on meeting ASCQR quality reporting requirements. Plutus Health helps ASCs meet these compliance benchmarks by integrating quality reporting data into RCM workflows, ensuring eligibility for full payment updates.


The ASC Covered Procedures List will expand by 547 procedures, including cardiology, spine, and vascular surgeries. Plutus Health supports expansion into new service lines by customizing RCM processes for high-acuity procedures, minimizing claim denials during the transition.


Site-neutrality narrows the payment gap with hospital outpatient departments, enhancing ASCs' cost-efficiency appeal. Plutus Health helps leverage this advantage in payer negotiations by providing performance dashboards and cost-justification analytics to secure stronger reimbursement terms.


Complex procedures increase denial risk and slow cash flow. Plutus Health's automation-first RCM model delivers 95%+ clean claim rates, reduces A/R days, and safeguards margins, even as your case mix becomes more complex.