Reducing Accounts Receivable

by | Last updated Jun 19, 2023 | Published on Oct 12, 2012 | Medical Billing

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One of the most critical things in running a medical practice is efficient AR management. If not resolved quickly, rejected and unpaid claims can build up and seriously affect your cash flow.

Claims are rejected due to various reasons: invalid or missing codes, illegible claim fields, missing provider ID, coverage is terminated, incorrect coding or other incomplete information. Managing AR involves following up on unpaid claims, examining the reasons for denial and taking appropriate measure to ensuring reimbursement. Your practice would need a team on the job and this more manpower and infrastructure costs.

  • Checking with the clearing house for rejected claims
  • Analysis of the reasons for rejected claims
  • Assessment of Explanation of Benefits (EOBs) and follow-up of unpaid claims without delay
  • Correction of errors
  • Resubmissions of claims

No claim is written off without being appealed first. Every appeal is accompanied by the necessary supporting documents and a letter stating clearly why the claim should not be rejected. Medical necessity letters are provided as proof of why the procedure or treatment is justified.

The AR follow-up team establishes effective communication with the insurance companies to dispute and negotiate denials using the right techniques. Phone calls are made to the insurer continually till the issues are resolved. In addition to this, patients are contacted for missing information and for enquiries on their accounts.

Reports are an essential feature of efficient claim denial management service. The reports help track claim denial issues so that steps can be taken to prevent them from recurring.

It’s quite obvious that managing AR is a full-time task that needs great attention to detail – a very good reason why you should outsource it.

  • Natalie Tornese
    Natalie Tornese
    CPC: Director of Revenue Cycle Management

    Natalie joined MOS’ Revenue Cycle Management Division in October 2011. She brings twenty five years of hands on management experience to the company.

  • Meghann Drella
    Meghann Drella
    CPC: Senior Solutions Manager: Practice and RCM

    Meghann joined MOS’ Revenue Cycle Management Division in February of 2013. She is CPC certified with the American Academy of Professional Coders (AAPC).

  • Amber Darst
    Amber Darst
    Solutions Manager: Practice and RCM

    Hired for her dental expertise, Amber brings a wealth of knowledge and understanding of the dental revenue cycle management (RCM) services to MOS.

  • Loralee Kapp
    Loralee Kapp
    Solutions Manager: Practice and RCM

    Loralee joined MOS’ Revenue Cycle Management Division in October 2021. She has over five years of experience in medical coding and Health Information Management practices.