2015 User Conference
Managing Your Accounts Receivable
April 23, 2015
Presented by:
Sally Texidor, RHIA
Training Specialist
PM Session
Touch Points
▪ Causes of an unhealthy A/R
▪ Collecting balances
▪ Sorting through your A/R
▪ Minimizing turnaround time
▪ A/R Report
▪ Helpful tips
2015 Office Practicum User Conference
Claims Cycle
Appointment
Superbill
charges
posted claim
created
Insurance
processes
claims
Claims
transmitted to
clearinghouse
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
Check In Protocol
Collecting Patient Responsibility
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 Portal
2. Payment Plans
3. Statements
2015 Office Practicum User Conference
Money Out the Door?
Patient Portal
Instamed
Fetch & Process
Applies
automatically
2015 Office Practicum User Conference
Money Out the Door?
Payment Plans
Task
Instamed
Save 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
Insurance
processes
claims
Claims
transmitted to
clearinghouse
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!
2015 Office Practicum User Conference
Documentation
Claim Note
Message
Task
Billing Note
Minimizing Turnaround Time
Insurance
processes
claims
2015 Office Practicum User Conference
Minimizing Turnaround Time
"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
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 days
2. 120 days
3. Collections
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
1. Add any important documentation(Billing notes, Claim notes)
1. Change Patient Status
2015 Office Practicum User Conference
Collections
1.
2.
3.
4.
Utilities
Manage Practice
Appointment Preferences
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. Reports
2. Proof Patient Accounts
3. 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 Center
2. 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 Tab
2. 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!
2015 Office Practicum User Conference