From Aging A/R to Real Revenue: How Pivotal Recovered Six Figures for a Mental Health IOP

“We had six figures in aging A/R before we brought Pivotal in. They cleaned it up, recovered most of it, and now we actually know what's going on with our revenue.”
— CFO, Mental Health IOP, Florida

The Problem: $100K+ in Aging Claims… and No Clear Answers

The CFO of a thriving IOP in Florida came to us with a clear ask:

“We know we’re owed a ton of money. We just don’t know where it is — or why it hasn’t been paid.”

Their revenue was unpredictable, their reports were messy, and their prior billing partner offered little more than generic spreadsheets and silence.

Aging A/R over 90+ days had ballooned into six figures. Denials were left unworked. And cash flow was inconsistent at best.

The Pivotal Approach: Dig Deep. Get Paid. Stay Transparent.

We started with a comprehensive A/R audit, line by line. Our goal? Prioritize recoverable claims, stop the bleeding, and fix the systems causing it.

Here’s what we found:

• Dozens of claims submitted with missing modifiers

• Services billed under outdated tax IDs

• Payers requesting documentation no one followed up on

• No follow-through on denied or pended claims

Then we went to work — and fast.

The Recovery: Claim by Claim, Dollar by Dollar

In just 45 days:

• Over $83,000 in aging A/R was recovered and paid

• Denials were appealed, reworked, and resolved

• Real-time A/R dashboards were created so the CFO could actually track what was happening

• Staff were trained on documentation improvements to prevent future delays

The Results: Cash Flow + Clarity

The biggest win wasn’t just the recovered cash — it was the clarity.

“For the first time, I can open our dashboard and know what’s happening with our money. No surprises. No guessing.”

Don’t Let Old Claims Rot — Reclaim Them.

Your aging A/R isn’t gone — it just needs the right team to fight for it.
Pivotal doesn’t just clean up the mess. We help you understand what happened and how to avoid it in the future.