0
Skip to Content
Aimline.
Home
Services
The Leak Map
About
The Guide
Contact
Aimline.
Home
Services
The Leak Map
About
The Guide
Contact
Home
Services
The Leak Map
About
The Guide
Contact
07 · Rate integrity Nicole Sands 9/24/26 07 · Rate integrity Nicole Sands 9/24/26

Agreed rates, not billed rates

Two fields in CentralReach look like the same number and are not. Every revenue report you produce depends on which one you used, and most reports never say. Here is the distinction, why it changes the answer, and five checks you can run this week.
Read More
07 · Rate integrity Nicole Sands 9/24/26 07 · Rate integrity Nicole Sands 9/24/26

What happens to your rate table when a contract renews

The amendment arrives by email, gets read, gets agreed, and never reaches the system. Here is why renewal is the single most reliable moment for a rate to go wrong, what the lag costs, and five checks you can run this week.
Read More
08 · Recoupments and write-offs Nicole Sands 9/24/26 08 · Recoupments and write-offs Nicole Sands 9/24/26

A write-off is a decision, not an outcome

Receivables past timely filing are not receivables. Letting them age quietly is a decision to overstate the balance sheet, made by nobody in particular. Here is how to quantify what is truly uncollectible, and five checks you can run this week.
Read More
08 · Recoupments and write-offs Nicole Sands 9/24/26 08 · Recoupments and write-offs Nicole Sands 9/24/26

Overpayments belong in liabilities

A payer credit balance sitting in revenue is a recoupment you have already spent. Here is how overpayments hide, what happens to a closed month when one lands, and five checks you can run this week.
Read More
08 · Recoupments and write-offs Nicole Sands 9/24/26 08 · Recoupments and write-offs Nicole Sands 9/24/26

The A/R number a buyer will not accept

A quality of earnings process treats unreconciled receivables as worth nothing. Here is what diligence actually does to A/R, why fixing it after the letter of intent costs multiples of fixing it before, and five checks you can run this week.
Read More
03 · Cancellations Nicole Sands 9/12/26 03 · Cancellations Nicole Sands 9/12/26

The cancellation you can make up, and the one that is already gone

Two sessions cancel in the same hour and only one of them is money you can still get back. Here is how to tell them apart, what the gap above a 5 percent floor is actually worth, and five checks you can run this week.
Read More
04 · Session conversion Nicole Sands 9/12/26 04 · Session conversion Nicole Sands 9/12/26

The sessions your billing system has never heard of

The session happened, the clinician got paid, and no claim exists. Here is why this leak shows up in no report you currently run, what a 12-day conversion lag costs against a timely filing window, and five checks you can run this week.
Read More
05 · Conversion to billed Nicole Sands 9/12/26 05 · Conversion to billed Nicole Sands 9/12/26

Your biller’s real number is not the collection rate

A collection rate tells you what happened to the claims that went out. It says nothing about the ones still sitting. Here is what a nine-day biller lag costs, why a percentage-of-collections contract never corrects it, and five checks you can run this week.
Read More
06 · Clean claims Nicole Sands 9/12/26 06 · Clean claims Nicole Sands 9/12/26

A claim that eventually pays still cost you twice

A 97 percent collection rate can sit on top of a 12 percent rework tax and never show it. Here is what first-pass failure actually costs, where denials really originate, and five checks you can run this week.
Read More
07 · Rate integrity Nicole Sands 9/12/26 07 · Rate integrity Nicole Sands 9/12/26

Three numbers should match, and nobody checks

Contracted, loaded, paid. When they drift you underbill quietly and forever, because every individual claim looks like it paid in full. Here is how to find the gap, what a fraction of a dollar per unit is worth, and five checks you can run this week.
Read More
01 · The reservoir Nicole Sands 9/11/26 01 · The reservoir Nicole Sands 9/11/26

The number in your system is not the number you can bill

A payer approving 100 hours a week is not a forecast. Here is the number that is, how to build it for your own clients, and the five checks that catch authorization burn before it costs you payroll.
Read More
08 · Recoupments and write-offs Nicole Sands 9/11/26 08 · Recoupments and write-offs Nicole Sands 9/11/26

Why your collections report looks fine while cash is tight

Your A/R report says one number and your bank says another. Here is what inflates it, what a real reconciliation found on 4,400 claims, and five checks you can run yourself this week.
Read More
Newer Posts
Newsletter Block
This newsletter signup form needs a storage option. Edit the block and enter a storage location via the Storage tab.

The Guide, in your inbox.

One email when a new piece is published on where ABA revenue goes missing. No roundups, no filler.

Unsubscribe anytime.

Thank you!

Start with the numbers

Twenty minutes to find out whether this is a fit.

Bring the question that is costing you sleep. We will tell you what the work would look like, or who to call instead.

Book a 20-minute fit call
Aimline.
From session to cash.
Call or text (323) 889-9947
nicole@aimlineadvisory.com
Services Leak Map About The Guide Contact Privacy LinkedIn
Accounting · Revenue cycle oversight · CFO services