Account Receivable Management

DENIAL MANAGEMENT

While posting installments from EOBs/ERAs; all dissents are settled and the legitimate move is made utilizing the remark codes set of rules on the EOBs/ERAs. This helps a great deal to limit the accounts receivable in the healthcare industry to a maximum extent. Our specialists are vigilant and experienced to efficiently work on denial resolutions that truly help define astounding medical billing services for our customers.

PROTECTION INVESTGATION

The primary reason for accounts receivable (AR) buildup is unaddressed claims awaiting response from insurance companies. Our team diligently handles these claims as soon as the payment cycle initiates. This proactive approach allows us to identify underlying issues promptly, facilitating faster resolution of pending claims. In medical billing, AR analysts play a vital role in monitoring receivables to maintain control. As a medical billing outsourcing company, it's crucial for us to optimize collections, and this process ensures we stay on track.

APPEALS MANAGEMENT

Claims with inadequate repayment offers, authorization denials, medical necessity disputes, and other issues are escalated to our appeals division. Here, we meticulously craft compelling arguments to ensure that insurance companies cannot refuse payments rightfully owed. This process, undertaken by a medical billing company in Ontario, CA, aims to enhance financial flow for healthcare providers.

PATIENTS DECLARATION

Claims that result in balances being shifted to patient responsibilities following insurance negotiations are managed by allocating ledger balances accurately to patients. We provide monthly statements detailing these balances. In cases where balances remain unpaid, we send collection letters to patients as required. In medical billing, AR analysts play a vital role in monitoring receivables to maintain control. As a medical billing outsourcing company, it's crucial for us to optimize collections, and this process ensures we stay on track.

PATIENT CALLS

If patient statements remain unpaid in a month, following the dispatch of collection letters, our team takes the initiative to remind them about their outstanding balances with the particular practice or provider. ClaimsCareMD's team explores every avenue to collect potential repayments for our clients and goes the extra mile to ensure that occurs.

ACCOUNTING FOR MEDICAL BILLING

The primary reason for accounts receivable (AR) buildup is unaddressed claims awaiting response from insurance companies. Our team diligently handles these claims as soon as the payment cycle initiates. This proactive approach allows us to identify underlying issues promptly, facilitating faster resolution of pending claims. In medical billing, AR analysts play a vital role in monitoring receivables to maintain control. As a medical billing outsourcing company, it's crucial for us to optimize collections, and this process ensures we stay on track.

Need Proactive AR Management For Your Practice Resulting In High Collection Rates? ClaimsCare MD Knows The Right Way.

Steps In
AR Management

Legal Aspect

1. Don’t bill for Equipment never used in the procedure(s)
2.Take services not performed into consideration
3.No upcoding or undercoding
4.Take note of unbundling charges

Contract Negotiation

1. Know payment terms (s)
2.Reimbursement rates
3.Claim filing guidelines
4.Effective and expiry dates
5. Other provisions

Compliance

1. Running internal checks and auditing
2.Setting up practice standards
3.Assigning a compliance officer
4.Staging workshops and training sessions
5. Detecting offenses

Patient Rights

1. Strong patient-hospital relationship (s)
2.Know about their health plan
3.Choose providers on their own
4.Have access to emergency services
5. Consent to proceed with the procedure

Patient Access

1. Vigilant front desk staff
2.Patient demographic information entry
3.Adequate training of the staff
4.Increase resources at the office
5. Easy access to the medical office for complaints

Charge Capture

1. Appropriate medical coding for procedures performed
2.Timeliness of coding matters
3.Accurate documentation is key to collections
4.Non-discriminatory services
5. Detecting offenses