Launching a new healthcare center presents a unique revenue cycle challenge. Without disciplined billing processes from the outset, claims can quickly age, cash flow becomes unpredictable, and administrative backlogs begin to grow.
When a new urgent care center partnered with Lister in January 2026, our objective was clear: establish a proactive revenue cycle that prevented aged receivables rather than reacting to them later.
By implementing continuous claim monitoring, payer-specific analysis, and collaborative provider education, Lister successfully maintained 90+ day Insurance A/R below 3% throughout the startup phase, with all aged claims fully resolved by July 2026.
A newly established urgent care center in the United States that began revenue cycle operations with Lister in January 2026.
As a brand-new practice, the priority was to build a scalable billing process that supported healthy cash flow from the very beginning.
New healthcare centers often experience growing aged receivables during their first few months as billing processes mature and payer-specific issues emerge.
The objective was to prevent claims from accumulating in the 90+ day aging bucket while maintaining timely reimbursements and operational efficiency.
Lister’s Approach
Rather than waiting for aging claims to become a problem, Lister adopted a proactive, prevention-focused strategy.
Early Identification
Aging reports were monitored continuously from the first month of operations, allowing claims approaching 90 days to be identified and prioritized before they became long- standing receivables.
Root Cause Analysis
Every claim entering the 90+ day aging bucket was individually reviewed.
The analysis revealed that the majority of aging claims resulted from one provider’s medical record review requests rather than billing errors.
Contract Evaluation
Our team reviewed the payer agreement and identified an important opportunity.
Under the client’s contract with the provider, reimbursement was based on a fixed global contracted rate, regardless of whether Level 3 or Level 4 E/M services were billed.
Collaborative Solution
Lister discussed the findings with the Center Owner and recommended billing appropriate provider encounters using Level 3 E/M codes where clinically supported.
Following provider approval:
| Month | 90+ Insurance A/R |
|---|---|
| March 2026 | 0.00% |
| April 2026 | 0.46% |
| May 2026 | 2.83% |
| June 2026 | 2.21% |
Many organizations focus on reducing aged receivables only after they become a problem.
This engagement demonstrates the value of building strong revenue cycle processes from the outset. Through proactive monitoring, payer-specific insights, and close collaboration with providers, Lister helped the practice avoid unnecessary aging, improve reimbursement efficiency, and establish a strong financial foundation from day one.
Instead of spending its first year recovering aged receivables, the practice focused on growth while maintaining a healthy revenue cycle.
By combining proactive claim monitoring with payer-specific optimization, Lister enabled the client to achieve predictable cash flow, minimize aged receivables, and establish scalable billing processes that will continue to support the organization’s long-term success.
Strong revenue cycle performance begins long before claims reach the 90-day aging bucket. It starts with proactive monitoring, informed payer strategies, and continuous collaboration between billing teams and providers.
This engagement demonstrates how the right processes, implemented from the very beginning, can prevent aging claims, improve reimbursement efficiency, and create a solid financial foundation for sustainable growth. At Lister, we believe the best revenue cycle outcomes come not from fixing problems after they occur, but from preventing them in the first place.
Whether you’re looking to reduce aged A/R, improve reimbursement, recover unpaid claims, or strengthen your entire revenue cycle, our specialists are ready to help.
Complete the form below to schedule your complimentary Revenue Leakage Assessment (Worth $750) and discover practical opportunities to improve your financial performance.
