Question

In: Accounting

three ways a health care provider can reduce days in AR.

three ways a health care provider can reduce days in AR.

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Expert Solution

Three ways a health care provider can reduce days in AR are

1. Understand the rules of engagement

expect Medicare reimbursement within two weeks of claim receipt providing one file clean claims. If there is high volume of delays or denials then one should explore filing process and reason codes. To expedite faster claim reimbursement file claims on the day of service.Utilise a coding resource to discover common data entry errors and identify next steps.

Check billing software for posting errors. Whether it is reducing processing time for Medicare or another major third party payer, know the filing rules and iniciate procedures to meet those benchmark consistently. Aim for a first pass recovery rate over 90%. That will virtually eliminate large balances in the 60;90 and 120 day columns.

2. Engage provider relations representatives

Stop struggling to resolve problem by own.Establish relationship with each payer. Many have local representatives in larger market and they can help to resolve problem faster. When anticipate changes it will be good time to reach out to find out if filing procedures will change with the merger. Proactively managing challenges is far superior to tackling problems once they hit the AR stream.

3. Shorten review cycles

Complete a comprehensive AR review at least biannually. More frequently if one currently sees a high volume of accounts ageing out.


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