#accounts-receivable
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As of January 1, 2026, CMS-0057-F requires Medicare Advantage, Medicaid, CHIP, and ACA marketplace payers to decide prior authorization requests within 72 hours (expedited) or 7 calendar days (standard) and to give specific denial reasons — with FHIR-based prior auth APIs mandated by January 1, 2027. Here's what small medical and dental practices should do now.
Home care agencies collect from private pay, Medicaid MCOs, and VA Aid and Attendance on three different timelines while caregiver payroll runs on a fixed biweekly schedule, so tracking AR by payer separately (not blended) is the key to forecasting cash and catching the 2026 EVV hard-edit denials that make unresolved visit exceptions permanently unbillable.
Retainage withholds 5-10% of every construction progress payment until project completion, and contractors who book it into regular AR/AP instead of separate Retainage Receivable and Retainage Payable accounts lose visibility into which "earned" revenue is actually collectible now versus locked up for months.
ABA practices bill in 15-minute units under CPT codes 97153 and 97155, face industry-wide denial rates of 15-30%, and see predictable cash-flow dips when six-month prior authorizations lapse before renewal paperwork clears.
A 2.5% CMS cut to OT evaluation codes, a $2,480 KX modifier threshold, and the 8-minute rule all shape 2026 revenue for occupational therapy private practices, and each one requires a specific change to how the books are kept.
Medicare excludes routine foot care under Section 1862(a)(13) unless a Q7, Q8, or Q9 modifier documents a qualifying systemic condition, and a missed modifier produces a flat claim denial that podiatry practices often never trace back to a root cause in their books.
Hotshot trucking operators need a chart of accounts that separates fuel, MC-authority insurance, factoring fees, and IFTA liability from generic vehicle expenses, since brokers often pay 15-45 days after delivery while fuel and insurance are due immediately.
Income share agreements break ASC 606's fixed-price assumption, and the Department of Education ruled in March 2022 that ISAs are private education loans. Here is how bootcamps and trade schools should book ISA revenue — variable consideration with the constraint, loan-receivable treatment under ASC 310/326, and cohort-level non-payment reserves.
B2B Buy Now, Pay Later platforms pay suppliers upfront on Net 30/60/90 invoices and take on non-recourse collection risk, with transaction volume around $14 billion in 2023 forecast to grow at over 25% annually through 2030.
Debt collection agencies must hold client recoveries in a segregated trust account, recognize contingency fees only after collection, and run monthly three-way reconciliations of bank balance, book balance, and client ledger totals to avoid commingling violations and FDCPA compliance gaps.
On $10M in annual revenue with a 50-day collection cycle, a freight broker has roughly $1.4M of working capital tied up bridging shipper and carrier payment terms, costing $84,000 to $112,000 a year in financing fees.
RV repair shops often bill $140-$190/hour retail but get reimbursed $20-$40/hour less on warranty labor, and two-thirds of shops under-mark parts by $40,000-$70,000 a year, so separate warranty, retail, and parts revenue accounts to see the real margin.
