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What Can Benchmarking do for my Practice? Lisa Warren Warren, Averett, Kimbrough and Marino, LLC 2500 Acton Rd Birmingham, AL 35243 www.WAKM.com.

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Presentation on theme: "What Can Benchmarking do for my Practice? Lisa Warren Warren, Averett, Kimbrough and Marino, LLC 2500 Acton Rd Birmingham, AL 35243 www.WAKM.com."— Presentation transcript:

1 What Can Benchmarking do for my Practice? Lisa Warren Warren, Averett, Kimbrough and Marino, LLC 2500 Acton Rd Birmingham, AL 35243 www.WAKM.com

2 For questions email: Lisa.Warren@wakm.com Collection Rates Total Accounts Receivable Days in A/R A/R Aging Credit Balances Denial Rates A/R Diagnostic Measures

3 For questions email: Lisa.Warren@wakm.com Gross Collection Percentage Formula = Payments/Charges Goal: ???? Net Collection Percentage Formula= Payments/(Charges-Contractual Adjustments) Goal: 97% Collection Rates

4 For questions email: Lisa.Warren@wakm.com Total Accounts Receivable Goal: ???? Days in Accounts Receivable F ormula=(Total AR/Avg Charges per month) *30 Goal: 35-40 Days Accounts Receivable

5 For questions email: Lisa.Warren@wakm.com Accounts Receivable Aging Source: 2010 Medical Group Management Association Cost Survey-Pediatrics Accounts Receivable AgeMean 0-30 days68% 31-60 day13% 61-90 days7% 91-120 days5% 120+ days8%

6 For questions email: Lisa.Warren@wakm.com How is it aging? What is aging? Credit Balances Accounts Receivable Aging, cont.

7 For questions email: Lisa.Warren@wakm.com Accounts Receivable Aging, cont.

8 For questions email: Lisa.Warren@wakm.com Staff – Denial Rates -Reason - CPT Codes - Claims paid at first submission- 97% – Aging Reports by Payor Tracking Performance

9 For questions email: Lisa.Warren@wakm.com Aging by Payor Tracking Tracking Performance, cont.

10 For questions email: Lisa.Warren@wakm.com Aging by Payor Tracking Tracking Performance, cont.

11 For questions email: Lisa.Warren@wakm.com Copay Collection Rate Collection Agency Payors Staff Incentive Plans Tracking Performance, cont.

12 For questions email: Lisa.Warren@wakm.com Adjustment Codes “Hidden” buckets “No statement” accounts Paying according to fee schedule Other Areas to Watch

13 Questions? Contact Us: Lisa G. Warren, MBA/MSHA, CPC Lisa.Warren@wakm.com (205) 769-3262 www.wakm.com


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