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WHAT REPORTS SHOULD I

RUN TO MONITOR MY AR?{PART II}

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OM

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REPORTS TO MONITOR AR {PART II}

Forwarded Status

• {Weekly} Run a report to check claims that are in a forwarded status, ideally claims should not be in forwarded status for more than 7-10 days. After this allotted time, open a case with your billing processor to investigate the claim. If the claim has not been processed 10 days after filing an investigation, re-file the claim.

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REPORTS TO MONITOR AR {PART II}

Pending Claim

Status

• {Weekly} Any pending claims should be resolved within 48 hours. Pending claims should also be pulled and processed with the practice and the batch balanced within five working days.

Payment Receipt &

Posting

• {Bi-weekly} All payments should be deposited and posted as revenue in your EMR/PM system within 48 hours of receipt. All payments should be balanced by the end of the work shift.

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REPORTS TO MONITOR AR {PART II}

Claim Denials

• {Bi-weekly} Any claims that are denied should be resolved within three working days of receipt.

Reconcile Appointme

nts to Charges

• {Daily, Bi-weekly} It’s important to cross reference kept patient appointments with corresponding claims to ensure all patient visits have been billed. This report should be ran daily.

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REPORTS TO MONITOR AR {PART II}

Claim File Reconciliati

on

• {Daily} Once a claim has been submitted to your clearinghouse, check the status of the file delivery and the status of all the claims in the file. Any claims that are not acknowledged by the payer within 10 days should be investigated.

Reconcile Batches

• {Daily} Process and balance all of your claims batches within two working days of creation.

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