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2015 User Conference Managing Your Accounts Receivable April 23, 2015 Presented by: Sally Texidor, RHIA Training Specialist PM Session.

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Presentation on theme: "2015 User Conference Managing Your Accounts Receivable April 23, 2015 Presented by: Sally Texidor, RHIA Training Specialist PM Session."— Presentation transcript:

1 2015 User Conference Managing Your Accounts Receivable April 23, 2015 Presented by: Sally Texidor, RHIA Training Specialist PM Session

2 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

3 Appointment Superbill charges posted claim created Claims transmitted to clearinghouse Insurance processes claims Claims Cycle

4 2015 Office Practicum User Conference

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7 Appointment

8 2015 Office Practicum User Conference Before Check In

9 2015 Office Practicum User Conference Before Check In

10 2015 Office Practicum User Conference Before Check In

11 2015 Office Practicum User Conference At Check In

12 2015 Office Practicum User Conference Check In Protocol

13 2015 Office Practicum User Conference Collecting Patient Responsibility Check In Protocol

14 2015 Office Practicum User Conference Check Out

15 2015 Office Practicum User Conference Money Out the Door?

16 2015 Office Practicum User Conference Money Out the Door? 1.Patient Portal 2.Payment Plans 3.Statements

17 2015 Office Practicum User Conference Money Out the Door? Patient Portal Instamed Fetch & Process Applies automatically

18 2015 Office Practicum User Conference Money Out the Door? Payment Plans Task Instamed Save CC on file

19 2015 Office Practicum User Conference Money Out the Door?

20 2015 Office Practicum User Conference Money Out the Door?

21 2015 Office Practicum User Conference Make Balances Stand Out

22 2015 Office Practicum User Conference Make Balances Stand Out

23 2015 Office Practicum User Conference Make Balances Stand Out

24 2015 Office Practicum User Conference Sorting through A/R Superbill charges posted claim created Claims transmitted to clearinghouse Insurance processes claims

25 2015 Office Practicum User Conference Sorting through A/R

26 2015 Office Practicum User Conference Sorting through A/R

27 2015 Office Practicum User Conference Sorting through A/R

28 2015 Office Practicum User Conference Sorting Through AR

29 2015 Office Practicum User Conference

30 Let’s Try It!

31 Documentation Claim Note Task Billing Note Message

32 2015 Office Practicum User Conference Minimizing Turnaround Time Insurance processes claims

33 "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

34 2015 Office Practicum User Conference Minimizing Turnaround Time

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40 2015 Office Practicum User Conference Minimizing Turnaround Time

41 2015 Office Practicum User Conference Minimizing Turnaround Time

42 2015 Office Practicum User Conference Minimizing Turnaround Time

43 2015 Office Practicum User Conference Minimizing Turnaround Time

44 2015 Office Practicum User Conference Minimizing Turnaround Time Benefits ▪Ensure denials are fixed quickly ▪Reduce the number of days in receivable ▪Prevent duplicate errors

45 2015 Office Practicum User Conference Minimizing Turnaround Time When you re-bill an insurance claim, remember the aging clock starts all over again.

46 2015 Office Practicum User Conference When All Else Fails

47 2015 Office Practicum User Conference

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49 When All Else Fails 1. 90 days 2. 120 days 3. Collections

50 2015 Office Practicum User Conference Adjustments Adjust balance uncollectable 1/2/2015

51 2015 Office Practicum User Conference Adjustments Adjust balance uncollectable 1/2/2015

52 2015 Office Practicum User Conference Collections 1.Adjust off balance 1.Add any important documentation(Billing notes, Claim notes) 1.Change Patient Status

53 2015 Office Practicum User Conference Collections 1.Utilities 2.Manage Practice 3.Appointment Preferences 4.Patient Status

54 2015 Office Practicum User Conference Collections

55 2015 Office Practicum User Conference Uncollectible Claims

56 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.

57 2015 Office Practicum User Conference Reports

58 2015 Office Practicum User Conference Reports Permission: OP_Rpts_AR

59 2015 Office Practicum User Conference Reports AR Aging Analysis

60 2015 Office Practicum User Conference AR Aging Analysis

61 2015 Office Practicum User Conference AR Aging Analysis 1.Reports 2.Proof Patient Accounts 3.AR Data Update Procedures

62 2015 Office Practicum User Conference AR Aging Analysis

63 2015 Office Practicum User Conference AR Aging Analysis

64 2015 Office Practicum User Conference AR Aging Analysis

65 2015 Office Practicum User Conference AR Aging Analysis

66 2015 Office Practicum User Conference Let’s Try It!

67 2015 Office Practicum User Conference AR Reports 1.Billing Center 2.Overview tab

68 2015 Office Practicum User Conference Reports Permission: Billing_Overview Permissions

69 2015 Office Practicum User Conference Let’s Try It!

70 2015 Office Practicum User Conference Helpful Tips 1.Disclosure Tab 2.Timely Filing

71 2015 Office Practicum User Conference Disclosure Tab

72 2015 Office Practicum User Conference Timely Filing Clearinghouse

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74 What’s the Plan? Ensure there is a plan in place for the collection of payments on accounts so your office remains profitable.

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77 Questions ?

78 2015 Office Practicum User Conference We want your feedback!


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