AR Follow-up Management

An important process in RCM where majority of the US medical billing companies face challenge with overseas companies is effective AR follow up management. Our AR follow up staff understand the importance of effective follow up. As a company, we develop the skill set of the follow-up staff to take each encounter to the next step of resolution to get it paid.

Below three tabs contain Accounts Receivable Model

 

  • Fist Level
  • Mid Level
  • Last Level
Lead Analysis Team
  • There will be a Lead Analyst to drive the team
  • Lead Analyst will have one or more AR Analysts
  • Lead Analyst will be responsible for finding and reporting trends
  • Each Analyst will be responsible for reviewing the encounter/patient account as a whole and provide brief history of the account for the AR caller to place a phone call
  • Analyst will also perform any actions to resolve the account that does not require a phone call
  • These are the experienced staff with very good RCM AR knowledge those who are groomed from the internal talent
  • With the Analyst/AR model below can happen,
    • a) Unnecessary payer phone calls will be reduced
    • b) Chances of an account/encounter getting paid during the 1st or 2nd touch is very high resulting in fast cash, reducing AR days, 120+ aging, and reducing a lot of manual intervention.

AR Caller
  • There will be follow up Team Lead to drive the team
  • Team Lead will have one or more follow up staff
  • Team Lead will be responsible to ensure productivity requirement is met for the team
  • Each follow up staff will have work orders from their Analyst which would reduce the AR caller analysis time and increase productivity
  • With this AR Follow up/ Analyst model, chances of incorrect or inappropriate follow up will be very minimal
  • Possibility in addressing a good chunk of AR in a month is very high

Quality Analyst
  • There will be Quality Team Lead to drive the team
  • QA Lead will have one or more Quality Analyst
  • Team lead will be responsible in sharing the error trends
  • Team lead will be doing the Pareto Analysis and CAPA will be shared for further training activity
  • Each Quality Analyst will ensure the encounter or the account was reviewed (AR Analyst work) and addressed (AR Caller) to take the account to the next step of resolution
  • Any encounter of account that does not meet the above said statement will be addressed again