Days in AR — 2026 BH Playbook
Days-in-AR (Accounts Receivable) above 45 days is the single loudest financial-health warning sign in BH RCM. Best-in-class multi-site BH operators run 32-38 days. Where are you?
The AR Aging Buckets Every BH CFO Should Track
| Bucket | Best-in-class | Warning | Crisis |
|---|---|---|---|
| 0-30 days | 65%+ | 50-65% | <50% |
| 31-60 days | 20% | 25-30% | >30% |
| 61-90 days | <8% | 10-15% | >15% |
| 90+ days | <5% | 8-12% | >12% |
Fix Framework — Get to Under 40 Days
- Front-end scrub — pre-submission claim edit-rules to prevent CO-16/CO-197
- 72-hour claim submission SLA — no session sits in DAR >3 days
- Weekly denial worklist — every denied claim assigned + timed to appeal
- Monthly aged-AR sweep — 90+ days triaged into “recover / write-off / secondary bill”
- Patient responsibility clarity — deductible/copay collected at time of service
Case Study
12-site BH $70M rev. Days-in-AR 52 → 37 in 90 days. Cash acceleration alone: $2.1M working-capital release. Full case study.
Free 30-day AR audit · Pricing 4-8%
– KD, Revenant Care