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

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

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

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 Collecting Patient Responsibility Check In Protocol

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 Claims transmitted to clearinghouse Insurance processes claims

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

Let’s Try It!

Documentation Claim Note Task Billing Note Message

2015 Office Practicum User Conference Minimizing Turnaround Time Insurance processes claims

"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

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

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

When All Else Fails days 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.Utilities 2.Manage Practice 3.Appointment Preferences 4.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

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

Questions ?

2015 Office Practicum User Conference We want your feedback!