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SIGNIFICANT AR ANALYSIS AND FOLLOW-UP PROCESSES.

Of the plethora of things that top the agenda of a healthcare provider running behind payments due and clearing blocks in the payment pipeline is a pain that every Clinic, hospital, or physician group would love to avoid. Account Receivables at a hospital/nursing home were purely a departmental activity until some time ago.

New and evolving payer plans, co-insurance agreements, patient co-pays, and the increase in patients with a high deductible health plan has exceedingly complicated the nature of AR. It demands the healthcare provider to revamp and re-strategize their revenue cycle management. The process is now complex requiring the skill of specialists and trained professionals who have diligence, analytical skills and patience.

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    HOW WE HANDLE AR ANALYSIS AND FOLLOW-UP?

    We do a scrupulous Study


    An in-depth research on the accounts to determine the right follow-up strategy. Understanding the size and scale of your receivables and the risk- exposure.

    We prime for the Process


    A thorough eligibility check, claim scrub and continuous analysis for patterns on global problems, procedures and codes.

    We stay on top of Quality

    Readily available reports, quality assessment, technical support and special assistance during crisis.

    As the adage goes “A Penny saved is a penny earned”

    Dealing with over 1000 patients per day, each insurer with a different insurance plan, along with the consistent updates and guidelines provided by the insurance companies, following up on the patient’s claim becomes tedious and eventful for a Hospital.

    Well, if the importance of the issue doesn’t hit you well-enough, take a look at what the Accounts Receivables analysis and follow-up service can do for the healthcare provider:

    • 15% OVERALL INCREASE IN ANNUAL REVENUE.
    • MINIMIZE ACCOUNTS RECEIVABLE DAYS.
    • ACCELERATE CASH FLOW.
    • REDUCES OVERHEADS 30-40% BELOW OPERATIONAL COSTS.

    Keep your financial health intact with QWay Health A/R Analysis and Follow-up. Your Revenue cycle will now become SMART, SMOOTH, and SEAMLESS. Enjoy the even and predictable flow of cash.

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    PATIENT DEMOGRAPHICS ENTRY SERVICES FROM QWAY WILL CAPTURE

    PATIENT DETAILS

    Patient name and ID#, Gender, Marital Status, Email, Date of Birth, Social Security Number, Contact numbers work and home and Address work and home.

    GUARANTOR / ACCOUNT DETAILS

    Guarantor Name, Date of Birth, Work and Home Phone and Address details.

    INSURANCE DETAILS

    Insurance Identification Number, Name and address of the Insurance company, Group name/ group number, Details of the policy and policy effective date and termination, policy number, Name of the insured, Date of Birth and the relationship of the insured to the patient.

    FREQUENTLY ASKED QUESTIONS

    • 1. What is Account Receivable in Medical Billing?

      The amount owed for the service rendered by healthcare professionals to the patient is billed to the insurance companies. This is called account receivable process.

    • 2. What are the most common problems in A/R follow-up?

      The most common problems for high account receivables are:
      01. Claim Denials
      02. Unwarranted write offs
      03. Substandard Debts
      04. Collections

    • 3. Important reasons for AR follow up requirements:

      01. Financial stability of healthcare organizations.
      02. Helps to recover overdue payments.
      03. Minimizes time for outstanding accounts.
      04. No claims will go missing.
      05. Follow up on denied claims.
      06. Claim Recovery.

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    ISO 9001:2015 & ISO/IEC 27001:2013
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    HEALTHCARE BILLING
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    RBMA Corporate Partner

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