Right from charge capturing to payment processing, there are a lot of changes in the lifecycle of healthcare claims. If the medical billing claims processing is handled in a well-planned and efficient way, then there is no doubt that the Providers will receive the right reimbursements. Else, there may be multiple claim denials leading to AR pile-up, if not followed up properly. Thus, healthcare claims management determine the reimbursement patterns of a Practice. Prioritizing AR management can help the Practice have a positive turnover. It does not mean that other medical billing claims processing services are any less important. They have their own importance; however AR follow-up in medical billing should be given additional care. Here is how a Provider should prioritize AR management:
Routine Follow-up: As mentioned earlier, in the lifecycle of healthcare claims, a claim can get denied, lost, or pended. Timely AR follow-up in medical billing is required to learn the status of the claims and proceed accordingly. If the claims are paid, then it is well and good. However, if the claims get denied or lost, then the AR management staff must take prudent follow-up actions until the claims are re-submitted.
Timely Filing Limit: Providers must make sure that they submit the claims before the TFL (Timely Filing Limit). The chances of claims getting denied are higher when they are filed after the TFL. The same applies to re-submitting of claims too. Experienced revenue cycle management companies can help with these services.
Payment Posting: If a claim is paid, then it must be immediately posted on to the medical billing system. This way, one can avoid "false" or inflated AR showing up in the payment system. Re-submitting paid claims is one big mistake that most Providers do and it reflects on a bad opinion among the Payers. Therefore, timely payment posting should be done. For physician billing solutions like AR management, Providers can get help from medical billing outsourcing companies.
Aged AR Clean-up: While keeping AR under check from getting piled up is a priority, it is also important to clean-up the old ones- Old or aged AR that are older than 180 days. It is highly essential that the AR management team work efficiently to clean-up the old AR on time for better cash flow.
Approaching ICD-10 Implementation: If the number of claim denials is high in ICD-9 coding format, then it will obviously shoot up if ICD-10 is implemented. Therefore, it is high time that Providers start building a strong AR timely follow-up and management team to sustain the upcoming challenges. They can also get help from experienced revenue cycle management companies that provide great physician billing solutions.
About MGSI:
If you are looking for one such experienced medical billing company, then consider MGSI. Based in Florida, this highly-renowned national medical billing outsourcing company prioritizes AR follow-up in medical billing as the number one priority. It also provides other physician billing solutions for better cash flow and growth of the Providers" business. To learn more details, log on to http://www.mgsionline.com
Routine Follow-up: As mentioned earlier, in the lifecycle of healthcare claims, a claim can get denied, lost, or pended. Timely AR follow-up in medical billing is required to learn the status of the claims and proceed accordingly. If the claims are paid, then it is well and good. However, if the claims get denied or lost, then the AR management staff must take prudent follow-up actions until the claims are re-submitted.
Timely Filing Limit: Providers must make sure that they submit the claims before the TFL (Timely Filing Limit). The chances of claims getting denied are higher when they are filed after the TFL. The same applies to re-submitting of claims too. Experienced revenue cycle management companies can help with these services.
Payment Posting: If a claim is paid, then it must be immediately posted on to the medical billing system. This way, one can avoid "false" or inflated AR showing up in the payment system. Re-submitting paid claims is one big mistake that most Providers do and it reflects on a bad opinion among the Payers. Therefore, timely payment posting should be done. For physician billing solutions like AR management, Providers can get help from medical billing outsourcing companies.
Aged AR Clean-up: While keeping AR under check from getting piled up is a priority, it is also important to clean-up the old ones- Old or aged AR that are older than 180 days. It is highly essential that the AR management team work efficiently to clean-up the old AR on time for better cash flow.
Approaching ICD-10 Implementation: If the number of claim denials is high in ICD-9 coding format, then it will obviously shoot up if ICD-10 is implemented. Therefore, it is high time that Providers start building a strong AR timely follow-up and management team to sustain the upcoming challenges. They can also get help from experienced revenue cycle management companies that provide great physician billing solutions.
About MGSI:
If you are looking for one such experienced medical billing company, then consider MGSI. Based in Florida, this highly-renowned national medical billing outsourcing company prioritizes AR follow-up in medical billing as the number one priority. It also provides other physician billing solutions for better cash flow and growth of the Providers" business. To learn more details, log on to http://www.mgsionline.com
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