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Breaking Down AR Before It Breaks You

Feb 11, 2026
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If you have ever opened your AR report and felt like it was written in a different language, you are not alone. Most practice owners do not have an AR problem, they have an AR diagnosis problem.

High AR is not one issue. It is usually multiple issues hiding inside one number. If you fix the wrong thing first, nothing gets better.

In this week’s episode, I walk you through a simple, step-by-step way to diagnose exactly where your AR is coming from so you know what to fix first. 

Here is the process:

  1. Split AR into three buckets.
    Patient AR, insurance AR, and 90+ AR. Each bucket tells a different story. Patient AR usually means estimates or collections. Insurance AR usually means claims or verification. 90+ AR means nobody is owning follow-up.

  2. Run a 10-chart audit from the last 30 days.
    Pick 10 random charts and ask: Was insurance verified correctly? Was the estimate accurate? Did we collect at time of service? Were claims sent the day of with the right attachments? You will see the pattern fast.

  3. Match the problem to the right fix.
    Patient AR is usually policy enforcement and front desk skill. Insurance AR is usually documentation and claim support. 90+ AR gets solved by assigning ownership and having a recurring AR meeting.

Most owners try to solve AR with more effort. The real fix is clarity. Once you diagnose the right category, fixing it becomes simple. Listen to the full episode to diagnose your AR the right way and stabilize your cash flow.

If you want help installing systems like this across the entire practice, I am hosting The Freedom Practice Workshop live February 19–21. It is a 3-day virtual masterclass where I will teach practice design, scheduling, leadership, and system frameworks so you can scale without becoming the bottleneck. Click Here for more information and to register.

 

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