BC Advantage - 2022 Issue 5
Improving Accounts Receivable for Effective Revenue Cycle Management
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Article Overview
This article covers the role of accounts receivable management within healthcare revenue cycle management. It explains common performance metrics, aging analysis, operational factors that affect collection performance, and general process improvements used by practices, hospitals, and related organizations. The content is aimed at billing, coding, and revenue cycle staff who want to understand how receivables tracking fits into broader financial operations.
Why This Topic Matters
Accounts receivable is a key indicator of how effectively a healthcare organization is getting paid for services already rendered. Understanding the article helps readers evaluate collection performance, recognize factors that can slow reimbursement, and identify broad areas where revenue cycle processes may be strengthened.
Article Sections
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Accounts receivable and revenue cycle management
Introduces the relationship between receivables, billing workflows, and revenue cycle management in healthcare settings. Summarizes the operational areas that affect payment and collection performance.
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Measuring days in AR - a key performance indicator
Explains how receivables aging is used as a performance measure and discusses the role of benchmarks. Describes the general structure of aging buckets and the importance of tracking days in AR.
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What causes increase in A/R days?
Reviews broad factors that can contribute to slower receivables performance for both payer and patient balances. Covers common operational and administrative issues discussed in the article.
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Strategies to improve A/R and RCM
Outlines general process improvement areas across the revenue cycle, including front-end, mid-cycle, and post-adjudication activities. Summarizes recommended management practices and reporting approaches.
What You Will Learn
- How accounts receivable fits into healthcare revenue cycle management
- How days in AR and aging analysis are used to monitor collection performance
- What broad operational issues can affect receivables performance
- What general process areas are commonly targeted to improve collections and revenue cycle workflow
Who Should Read This
- Medical billers
- Coders
- Revenue cycle managers
- Practice administrators
- Healthcare finance teams
- Billing department staff
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