Accounts Receivables that are way overdue should be followed up on promptly, along with effective denial management that contributes to the health of a healthcare providers financial strength. The primary purpose of accounts receivable management in healthcare is to increase cash flow in a practice by shortening the collection duration and lowering the associated costs. Is your practice looking for ways to get paid for pending claims, or reopen rejected claims? A dedicated A/R follow-up team can help you with the same.
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Importance Of A/R Follow-Up And Denial
Management
Accounts Receivables that are way overdue should be followed up on promptly,
along with effective denial management that contributes to the health of
a healthcare providers financial strength. The primary purpose of accounts
receivable management in healthcare is to increase cash flow in a practice by
shortening the collection duration and lowering the associated costs. Is your
practice looking for ways to get paid for pending claims, or reopen rejected
claims? A dedicated A/R follow-up team can help you with the same.
3. What is Accounts Receivable?
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Money that is due to physician businesses for medical care delivered to patients
is referred to as Accounts Receivable (AR). Any payments pending from
insurance companies, patients, or other guarantors are included in the accounts
receivable process. AR management includes re-filing rectified claims,
detecting denied/unpaid claims, minimizing AR days, and removing old
account receivables.
4. Accounts Receivable and Denial Management
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Physicians, hospitals, and nursing homes provide an ever-increasing number
of services. Patients owe a certain sum to the physicians or hospitals every time
they receive treatment and care. A good insurance model aids healthcare
organisations in quickly and easily recovering overdue payments from
insurance companies. Accounts receivable (A/R) and denial management are
necessary in this situation. It enables healthcare service providers to conduct
their businesses smoothly and successfully while also ensuring that money is
reimbursed sooner.
5. Understanding the Importance of A/R Follow
Up
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A medical organization’s accounts receivable follow-up team is in charge of
investigating rejected claims and reviewing them in order to collect maximum
compensation from health insurers. Medical billing, accounts receivable, and
revenue cycle management are handled by billing experts with certain skill
sets. A medical billing professional determines the exact procedure code and
diagnostic code depending on the treatment plan during other processes in
medical billing. In case of errors in adhering to guidelines, claims may be
refused; therefore, it is critical to have a dedicated A/R team that can follow up
with the insurance providers to address disputed claims.
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Quick Payment of Outstanding Amounts – The primary goal of A/R management is to reduce
the amount of time that accounts are permitted to be overdue. The team keeps track of accounts
that haven’t been paid, determines the best course of action for securing payment, and executes
payments.
Maintaining the Financial Health – Ensuring a positive cash flow is critical to any healthcare
service provider’s financial viability. The A/R department takes care to see that the hospital
maintains a consistent flow of money in order to cover expenses and provide patient care services.
No Missing Claims – The most common cause of payment delays is the failure to receive a claim.
This typically occurs when paper claims are misplaced. It is preferable to send claims in electronic
format to avoid this. If you’ve followed up on the claim and know it hasn’t been received, it’ll be
much easier to send another request for the claim soon.
Recover Pending Claims – Due to additional information needed for the member, claims are
sometimes left pending for a period of time. By appropriately following up, the A/R team can tell
the member about the situation, and then take appropriate measures to expedite the process.
Recovery of Unpaid Payments – A/R follow-up assists all hospitals, physicians, nursing homes,
and other businesses in recovering past payments without difficulty. It is easier for healthcare
providers to obtain reimbursements on time when there is a team that is always involved in the
claims follow-up procedure.
Dedicated Follow Up on Denied Claims – You can send a fresh claim request with appropriate
modifications made, depending on the reason for denial. The A/R department may ensure that all
claims are followed through to the conclusion by calling the insurance providers and figuring out
the denial reason rather than waiting for it.
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Importance of Denial Management
One of the most critical tasks in account receivable management is identifying
claim denials at the appropriate time. Your billing team should be professional
and knowledgeable in order to determine the reason for claim rejection and re-
fill the claim as soon as possible. It’s also critical to look at denial patterns and
come up with specific remedies to lessen the number of denials in the future.
Info Hub, an offshore medical billing company, not only tracks and manages
each aspect, but also provides you with complete, real-time visibility into your
earnings. Info Hub has been providing medical A/R services with a highly
skilled staff of accounts receivable specialists who work with a variety of
insurance carriers and are familiar with all of their regulations. We make certain
that our customers face no encumbrance in receiving money for the services
rendered.
8. About Us
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Though there are several common benefits offered by offshore medical
billing companies, but choosing the right medical billing partner plays a
vital role. Info Hub is one of the leading offshore medical billing companies
in Coimbatore, India, with sophisticated infrastructure and skilled
manpower that is highly experienced in multiple aspects of medical billing
and coding, to support healthcare practices grow heights and develop
consistency in generating revenue.
If you are looking to outsource your medical billing and coding services to a
reliable outsourcing partner, Info Hub is your ideal choice. With more than a
decade experience in providing excellent medical billing and coding
services, Info Hub has earned high client value by building trust with its top-
notch services. For a quick appointment, make a call to +1-888-694-8634 /
+91-0422-4212455.