How to Reduce Your Days in Accounts Receivable (A/R)

High A/R days mean your money is stuck with payers and patients. Here is how to bring it down and keep it there.

How to Reduce Your Days in Accounts Receivable (A/R)

Updated July 2026 | By Consult By Me Team

What days in A/R means, and why it matters

Days in accounts receivable estimate how long, on average, it takes to collect what you have billed. You can calculate it by dividing your total accounts receivable by your average daily charges. A rising number means cash is sitting with payers and patients instead of in your practice, which strains everything from payroll to growth.

Submit clean claims the first time

Nothing lengthens A/R like rework. Accurate eligibility verification, correct coding, and claim scrubbing before submission mean claims are paid on the first pass instead of bouncing back for correction.

Work the A/R by aging buckets

Sort receivables into aging buckets (0 to 30, 31 to 60, 61 to 90, and over 90 days) and work them deliberately, prioritizing high-dollar and older claims before they hit timely-filing limits. Anything sitting past 90 days deserves special attention.

Follow up on unpaid claims promptly

A submitted claim is not a collected claim. Systematic follow-up on unpaid and no-response claims, rather than waiting to see what comes in, is one of the biggest levers on A/R days.

Prevent and rework denials fast

Denials stall A/R twice, once when they are denied and again if they sit unworked. Fast, tracked denial management and appeals keep that revenue moving instead of aging out.

Tighten patient collections

As patient responsibility grows, so does its share of A/R. Collecting copays and estimated balances at the point of service, sending clear statements, and offering payment plans all shorten the patient side of A/R.

How Consult By Me helps

We attack A/R from both ends, cleaner claims on the front and disciplined follow-up, denial work, and A/R recovery on the back, with reporting on your aging buckets so you can see the trend. See our RCM services.

Benchmark A/R targets vary by specialty and payer mix; the most important signal is a steady downward trend in your own numbers.

Frequently Asked Questions

How do I calculate days in A/R?
Divide your total accounts receivable by your average daily charges (total charges over a period divided by the number of days in that period). The result estimates how many days of billing you have outstanding on average.
What is a good number of days in A/R?
It varies by specialty and payer mix, but many practices aim for somewhere under about 40 to 50 days. Rather than fixating on a single benchmark, watch your own trend and the share of A/R sitting over 90 days.
Why are my A/R days climbing?
Common causes are slow or inconsistent claim follow-up, a backlog of unworked denials, growing patient balances, and front-end errors that cause first-pass rejections. Each one keeps money in A/R longer than it should be.