Will you be satisfied with medical practice if you experience frequent denials and loss of payments for the services rendered? Do you think revenue cycle management companies would be the right choice for AR follow ups? Well! It’s most obvious that denials can push healthcare professionals deep into revenue loss and it’s always better to approach best AR follow up team to overcome denials and drive straight to revenue profits. Anyways, what can be motivating is outsourcing the best revenue cycle management companies for AR follow up process to increase revenue payments.

Why is it necessary to have AR follow up?

  • The account receivable follow up team is very essential and responsible for having regular follow up on the denied claims and resubmit them to receive reimbursements and revenue profit.
  • Earlier medical billing and RCM services were handled by healthcare professionals with in-house billing.
  • At present, it requires experts to handles denial management that demands medical billing professionals efficiently skilled to take care of AR follow ups.
  • It is to be noticed that other vital processes such as charge entry, insurance verification and payment posting are to be completed accurately prior to AR follow up.
  • Revenue cycle management companies pay keen attention during the medical billing procedures that decides accurate medical coding for the diagnosis based on the service rendered by healthcare professionals.
  • If revenue cycle management companies fail to adhere to the rules of insurance companies, there is a chance where the payers deny the submitted claims which causes huge loss.
  • So, it’s crucial to concentrate on AR follow up for a perfect denial management process and preventing revenue loss.

Stages of AR follow up in Revenue Cycle Management Companies

  • Usually most of the revenue cycle management companies maintain a systematic process especially for AR follow up. It consists of three stages.
  • Initial evaluation
  • Analyze and prioritize
  • Payment Collection
  1. Initial Evaluation:

  • It involves analyzing and identification of submitted claims that’s listed on AR aging reports.
  • This allows the team to review or check the healthcare provider’s policies and recognize the claims to be concentrated and cleared.
  1. Analyze and prioritize:

  • This stage includes the unpaid claims those are opposed to pay by the insurance companies and marked as the uncollected claims are analyzed and prioritized for better revenue payments.
  1. Payment Collection:

  • The identified claims are resubmitted to the insurance companies within the timely filing limits with the accurate and required information abiding the policies.
  • After resubmission of claims, the payments are posted and followed up after patient bills are generated according to the providers’ guidelines for revenue payments and growth.

Account Receivable responsibilities:

  • Determining the post work of the medical billing work involved by the revenue cycle management companies, the major tasks of Account Receivable is divided into two areas or departments.
  • AR analytics
  • AR follow up
  • AR analytics holds the responsibility of checking the claim thoroughly and resubmits those claims with necessary corrections within timely filing limits.
  • It also checks and identifies medical coding errors or verification errors to re-correct and submit those claims for revenue payments.
  • AR follow up takes the control on communicating with the healthcare professionals, payers, patients as well as hospitals if essential to act according to the responses or feedback from their clients.
  • The quality service delivered by the account receivable team actually aids in stimulating revenue growth.

Important reasons for AR follow up requirements:

  • Financial stability of healthcare organizations
  • Helps to recover overdue payments
  • Minimizes time for outstanding accounts
  • No claims will go missing
  • Follow up on denied claims
  • Claim Recovery
  1. Financial stability of Healthcare Organizations:

  • The financial stability of healthcare organizations and healthcare professionals depends on the positive enhancement in revenue generation or cash flow.
  • The healthcare organizations or the hospitals will have to maintain a constant revenue flow and provide better patient responsibility in which AR follow up team assists and ensures revenue profits or growth.
  1. Helps to recover overdue payments:

  • AR follow up team ensures hospitals, healthcare organizations and healthcare professionals to overcome the denials and recover payments within limited time span.
  • It becomes easy for the healthcare professionals to receive payments on time when AR follow up does the duties without hassle and passes post payments for the delivered services.
  1. Minimizes time for outstanding accounts:

  • The main motive of account receivable management is to minimize the time for the outstanding accounts.
  • The expert team does a regular tracking on the unpaid claims, evaluates a suitable action for a secure payment and to establish a secure procedure to continue secure payments.
  1. No Claims will go missing:

  • The predominant reason for claim denials is that the claim is either missed or not processed.
  • When the claims are missed, it’s because of the claim papers being lost or missed in the provider’s office or payer’s office.
  • It’s safe and secure to use electronic forms to send the claims as it becomes much easier to follow up on the claims and will know if the claims are not being submitted or received.
  1. Follow up on denied claims:

  • Every claim denial holds a reason. If not there is a chance for the third party to process the payments when revenue cycle management companies appeals for invalid reasons of not posting payments.
  • After finding the reason for claim denials, it’s possible to resend the claim with accurate information within payer’s time limit.
  • Call the insurance companies for the denial reason and follow up on the denied claim regularly to ensure all the payments are posted after perfect claim follow up.
  1. Claim Recovery:

  • At times claims are kept separately waiting for further information from the patient or member.
  • AR team follows up with the patient to gather the required additional information and takes certain actions those will ensure better revenue reimbursement.
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