AR in medical billing

Any payments due from payers, or other guarantors are considered AR in medical billing. It is crucial for healthcare providers and private practices to track the claims they submit to insurance companies to optimize revenue recovery and increase the revenue. The goal of AR in medical billing is to achieve the shortest collection period possible.

ABC follow-up on the claims in 30 working days from the claim submission date

  1. Claims never go missing
  2. Minimize time for outstanding accounts
  3. Shrink account receivables by 45 – 60 days
  4. Claim denials can be followed up
  5. Helps in recovering overdue payments
  6. Recovering claims kept pending for information
Best Medical Billing Company

AR Follow-up and analysis process

Account receivable team regularly follows-up with the insurance company to know the claim status on the 30th day from the claim submitted date

  1. Claim inquiries are done efficiently by live chat, secure email, Insurance calling and secure message on insurance portal
  2. Claims needed resubmission are checked for all necessary documents such as Medical records, referral, prior authorization etc
  3. Unpaid VA claims are followed up by submitting medical records and resubmission every 45 days
  4. ABC conducts frequent AR analysis to compile all claim details to initiate corrective actions for non-payments
  5. Insurance claims pending because of COB, Pre-existing conditions etc are followed up aggressively, every week
  6. Every week Account receivable aging reports are compared with previous weeks to identify:
  • Unpaid Claims
  • Low Paid Claims
  • Denied Claims
  • Rejected Claims
  • Claims not on file

AR Reports

The following reports are generated monthly and shared with the healthcare provider for transparency

  1. Account Receivable Aging Report by Primary Insurance
  2. Account Receivable Aging Report by Secondary Insurance
  3. Account Receivable Aging Report by Patient
  4. Collection or payment report
  5. Charges and payments comparison
  6. Denial summary
  7. Total visit comparison
  8. Coding analysis 
  9. CPT units production comparison
  10. Encounters comparison by service location
  11. Payor mix summary