Charges Billed

We will work with your billing entity and your front end staff to assure a clean claim goes out the first time, reducing unnecessary time lags in receiving payment.

Follow-up and Correspondence

Is your follow-up occurring in a timely and efficient manner? We will work with your billing entity to review the current processes and make recommendations for improvement. Not only is efficient follow-up conducive to quick cash recovery but also aids in the identification of trends that if addressed can prevent future denials.

Payment Posting & Post Payment Processing

All too often payment posting is not viewed as the important function that it is. We will work with you to maximize the effectiveness of this critical piece of your revenue cycle. Effective payment posting is not limited to balancing posted payments to the bank deposit.

   Accuracy - Assure all items are posted to the correct service as indicated on the Explanations of Benefits. Incorrect postings waste staff resources by following up on items already adjudicated by the payers.
   Appropriate adjustments - Do your payment posters know your contractual payment terms? Lack of knowledge of your contractual obligations may cause incorrect adjustments, reducing your overall revenue.
   Rejection tracking - Do you have a system in place that allows for rejections to be posted and monitored? Tracking rejections assists in the identification of trends negatively impacting your accounts receivables.
   Refunds - Accuracy and timeliness of refunds not only provides a clear vision of the true value of your accounts receivables but also reduces compliance risk (especially with regard to governmental payers).

AR Management Reporting

Regular and Adhoc reporting (both dynamic and static) enables you to determine how your billing processes are performing against your practice goals. In addition, it helps you make those responsible for the performance of your accounts receivables accountable.

   Performance Analysis

   Average days in AR
    % and dollar value of aged AR
    Gross collection ratio
    Monthly AR cash conversion
    Average revenue per encounter
    Payer mix
    Service mix
    Physician production
    Referring physician tracking

   Contract performance analysis

    Review of contracts identifying terms and agreements specific to each payer
    Analysis of actual contract performance as compared to the agreement

   Rejection reporting - Identify areas of improvement in your billing cycle as well as an early warning signal of negative payer trends

   Miscellaneous adhoc reporting - Ability to abstract and analyze data based on the specific needs of your practice.