2015 user conference managing your accounts receivable april 23, 2015 presented by: sally texidor,...
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2015 User Conference
Managing Your Accounts ReceivableApril 23, 2015
Presented by:
Sally Texidor, RHIATraining Specialist
PM Session
2015 Office Practicum User Conference
Touch Points
▪ Causes of an unhealthy A/R▪ Collecting balances
▪ Sorting through your A/R
▪ Minimizing turnaround time
▪ A/R Report
▪ Helpful tips
Appointment
Superbill charges
posted claim created
Claims transmitted to clearinghouse
Insurance processes
claims
Claims Cycle
2015 Office Practicum User Conference
2015 Office Practicum User Conference
2015 Office Practicum User Conference
2015 Office Practicum User Conference
Appointment
2015 Office Practicum User Conference
Before Check In
2015 Office Practicum User Conference
Before Check In
2015 Office Practicum User Conference
Before Check In
2015 Office Practicum User Conference
At Check In
2015 Office Practicum User Conference
Check In Protocol
2015 Office Practicum User Conference
Collecting Patient Responsibility
Check In Protocol
2015 Office Practicum User Conference
Check Out
2015 Office Practicum User Conference
Money Out the Door?
2015 Office Practicum User Conference
Money Out the Door?
1. Patient Portal2. Payment Plans3. Statements
2015 Office Practicum User Conference
Money Out the Door?
Patient Portal InstamedFetch & ProcessApplies automatically
2015 Office Practicum User Conference
Money Out the Door?
Payment Plans
TaskInstamedSave CC on file
2015 Office Practicum User Conference
Money Out the Door?
2015 Office Practicum User Conference
Money Out the Door?
2015 Office Practicum User Conference
Make Balances Stand Out
2015 Office Practicum User Conference
Make Balances Stand Out
2015 Office Practicum User Conference
Make Balances Stand Out
2015 Office Practicum User Conference
Sorting through A/R
Superbill charges
posted claim created
Claims transmitted to clearinghouse
Insurance processes
claims
2015 Office Practicum User Conference
Sorting through A/R
2015 Office Practicum User Conference
Sorting through A/R
2015 Office Practicum User Conference
Sorting through A/R
2015 Office Practicum User Conference
Sorting Through AR
2015 Office Practicum User Conference
2015 Office Practicum User Conference
Let’s Try It!
Documentation
Claim Note
Task
Billing Note
Message
2015 Office Practicum User Conference
Minimizing Turnaround Time
Insurance processes
claims
"Nearly 20 to 30% of healthcare insurance claims are rejected or denied. As a result of such rejections and denials, health care organizations face heavy losses every year and this in the long run can affect the productivity and sustainability of the medical practice to a bad extent. A thorough and effective denial management process could wipe out such rejections and denial worries."
Minimizing Turnaround Time
2015 Office Practicum User Conference
Minimizing Turnaround Time
Minimizing Turnaround Time
Minimizing Turnaround Time
Minimizing Turnaround Time
Minimizing Turnaround Time
Minimizing Turnaround Time
2015 Office Practicum User Conference
Minimizing Turnaround Time
2015 Office Practicum User Conference
Minimizing Turnaround Time
2015 Office Practicum User Conference
Minimizing Turnaround Time
2015 Office Practicum User Conference
Minimizing Turnaround Time
2015 Office Practicum User Conference
Minimizing Turnaround Time
Benefits
▪ Ensure denials are fixed quickly
▪ Reduce the number of days in receivable
▪ Prevent duplicate errors
2015 Office Practicum User Conference
Minimizing Turnaround Time
When you re-bill an insurance claim, remember the aging clock starts all over again.
2015 Office Practicum User Conference
When All Else Fails
2015 Office Practicum User Conference
2015 Office Practicum User Conference
2015 Office Practicum User Conference
When All Else Fails
1.90 days2.120 days3.Collectio
ns
2015 Office Practicum User Conference
Adjustments
Adjust balance uncollectable 1/2/2015
2015 Office Practicum User Conference
Adjustments
Adjust balance uncollectable 1/2/2015
2015 Office Practicum User Conference
Collections
1. Adjust off balance
2. Add any important documentation(Billing notes, Claim notes)
3. Change Patient Status
2015 Office Practicum User Conference
Collections
1. Utilities2. Manage Practice3. Appointment Preferences 4. Patient Status
2015 Office Practicum User Conference
Collections
2015 Office Practicum User Conference
Uncollectible Claims
2015 Office Practicum User Conference
Uncollectible Claims
A useful way to keep track of uncollectible claims is to change the category to Finalized Uncollectible. This options allows for claims to be grouped together under the stage of Uncollectable.
2015 Office Practicum User Conference
Reports
2015 Office Practicum User Conference
Reports
Permission:OP_Rpts_AR
2015 Office Practicum User Conference
Reports
AR Aging Analysis
2015 Office Practicum User Conference
AR Aging Analysis
2015 Office Practicum User Conference
AR Aging Analysis
1. Reports2. Proof Patient Accounts3. AR Data Update
Procedures
2015 Office Practicum User Conference
AR Aging Analysis
2015 Office Practicum User Conference
AR Aging Analysis
2015 Office Practicum User Conference
AR Aging Analysis
2015 Office Practicum User Conference
AR Aging Analysis
2015 Office Practicum User Conference
Let’s Try It!
2015 Office Practicum User Conference
AR Reports
1. Billing Center2. Overview tab
2015 Office Practicum User Conference
Reports
Permission:Billing_Overview Permissions
2015 Office Practicum User Conference
Let’s Try It!
2015 Office Practicum User Conference
Helpful Tips
1. Disclosure Tab2. Timely Filing
2015 Office Practicum User Conference
Disclosure Tab
2015 Office Practicum User Conference
Timely Filing
Clearinghouse
2015 Office Practicum User Conference
2015 Office Practicum User Conference
What’s the Plan?
Ensure there is a plan in place for the collection of payments on accounts so your office remains profitable.
2015 Office Practicum User Conference
2015 Office Practicum User Conference
2015 Office Practicum User Conference
Questions?
2015 Office Practicum User Conference
We want your feedback!