Accounts Receivable and Collections - a Deep Dive

Disclaimer

The content of this presentation represents the views of the author and presenters.

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HealthCo - Our Story

• Value Added Reseller

• Over 400 clinics

• 2013 and 2014 GE Channel Partner of the Year

Presenter:  Donna Dietz, Senior Implementation Consultant

Co-Presenter:  Andrea Cunningham, Director - Professional Services

Best Practices“medical practices leave up to 30% of their reimbursement behind….”  the Medical Group Management Association estimates”

“harder then filing Federal Income Taxes……can be more than five different entities sharing responsibility….” 

http://www.eligibilityverification.net/medicalbilling.htm   Medical Billing Page

Centricity Practice Solutions • Registration 

– Insurance / Financial Group/ Allocation Sets• Billing Component

– EDI Claims/ Remittance / Eligibility 

Claim Management • Follow up Strategy

– Filing Method– Financial Class– Denials

Accounts Receivable• Optimize field utilization• Field Sort 

– Status– Filing Method– Insurance Carrier– Visit Owner

Accounts Receivable Criteria

Visit Record • Summary Line• Billing Notes • Correspondences• Claims• Visit Owner 

Document and Own

Collections Module• Managing High Risk A/R

– Insurance – Patient 

• Payment Plans• Letters • Auto Roll 

Collections Module• Visit Owners• Collections Groups• Restrictions on Scheduling Patients

Collections Criteria

“High Risk A/R” 

Maximize Screen 

Real Estate 

It’s in the Settings

Denials & Appeals• Denial Management 

– Tracking– Trending 

• Appeals– Tracking 

It’s in the Settings

Document and Share

Letters• Patient/Guarantor Letters• Insurance Letters• Appeal Letters 

Mail Merge Fields

Follow Up

• Part of the Plan• Tracking • Benchmarking• Letting Go• Interfaces

Questions