Accounts Receivable (AR) is the money owed to Providers or medical billing companies for the medical care rendered to patients.
The generated invoices are sent out to insurance companies or patients for payment
Identifying the root cause for claim denials is one of the important processes in Accounts Receivable management. The staff must be highly skilled to analyze the reason for claim rejection, correct the claims and re-file without delay. Also, it is essential to
>examine denial patterns and find proper solutions to eradicate future occurrence of denials.
Following up on the AR on a timely basis is very important for uninterrupted cash flow.A good Accounts Receivable management team will keep track of all claims that have been filed. Also, it will execute an action plan immediately if the claims are not paid within the 30-day time limit.
The team will also ensure that there is no underpayment or overdue payment.
After the introduction of self-pay, medical billing companies had to rely more on the patients than insurance companies for payments. If there is any outstanding balance, the Accounts Receivable management team should follow-up with patients through phone calls or emails, so there are no delays. Good patient-provider relationship is the key to timely payments. Another best practice
is to explain the patients about their financial responsibilities before providing the care.
One of the top qualities of a good Accounts Receivable management team is conducting audits frequently to learn areas of improvement, check for problems, and assess risks. Then, the team submit reports on the audits conducted. Such reports include aging AR reports, outstanding payment report and more.
These reports will ensure there are no future claim denials and payments reach on time.