ElevatePFS Leadership Insights: A Proactive A/R Strategy for Out-of-State Medicaid Accounts

When it comes to out-of-state Medicaid, waiting until issues arise is not an option. A proactive accounts receivable (A/R) strategy is essential for protecting revenue and minimizing denials in an environment where rules, payers, and timelines vary by state.

At ElevatePFS, proactive A/R management starts with understanding filing deadlines across states and implementing a streamlined tracking process. Monitoring accounts that are approaching critical timelines helps avoid technical denials that can delay or forfeit reimbursement.

Another key step is reconciling inventory regularly—not just for overall charges, but to zero in on high-dollar accounts and aged claims that pose the greatest risk. ElevatePFS tracks monthly volumes by both state and payer, allowing teams to identify trends, prioritize recovery efforts, and uncover areas for operational improvement in Out-of-State Medicaid workflows.

Additionally, payer-specific denial tracking allows for early detection of issues and quicker intervention. This data-driven approach not only helps with current A/R but also guides smarter business decisions on inventory that may no longer be viable.

Finally, robust reporting ensures visibility into recovery performance and account progression by state, empowering providers to better manage out-of-state A/R and reduce financial exposure.

With the right foundation and tools in place, providers can turn a traditionally reactive process into a strategic advantage—boosting cash flow, compliance, and confidence.

Recent Episodes

Healthcare systems continue to face intense workforce challenges, with nursing at the center of concern. According to the U.S. Bureau of Labor Statistics, employment of registered nurses is expected to grow 5% between 2024 and 2034—faster than the average growth across all jobs in the U.S. economy. While this growth reflects rising demand for…

In this episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing Officer of TruMerit, welcomes Kathryn Shaffer, EdD, RN, MSN, CNE, CCFP, Director of Innovation at Thomas Jefferson University’s College of Nursing. Kathryn brings a distinctive perspective on reimagining nursing education and practice through a holistic, self-healing lens. The…

The landscape of employee benefits has undergone a seismic shift in the last decade. From the rise of telemedicine to the introduction of lifestyle spending accounts and stipends for services like DoorDash and HelloFresh, employers are reimagining how they support workers in a post-pandemic, inflation-conscious world. With healthcare costs rising and talent competition intensifying,…