decisionhealth Newsletters, Part B News - 2003 Issue 4 (April)
See these proven tips to keep accounts receivable days down
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Article Overview
This article discusses practical revenue cycle and billing process improvements for medical practices aiming to reduce accounts receivable days and speed payment. It focuses on claim submission workflows, follow-up habits, denial tracking, demographic-data accuracy, payer timing expectations, and Medicare-related billing considerations. The content is geared toward coders, billers, and practice administrators who manage aging claims and payment delays.
Why This Topic Matters
Accounts receivable performance affects cash flow, staffing workload, and the ability of a practice to resolve unpaid claims efficiently. Understanding the operational themes covered here can help billing teams evaluate whether the full article offers useful ideas for claims tracking, denial reduction, and payer follow-up.
Article Sections
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Benchmark examples and payment performance
The article opens with examples of practices measuring payment speed and aging-account performance. It frames the revenue cycle goals discussed later in the article.
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Early claim follow-up and software reminders
This section addresses monitoring unpaid claims soon after submission and using billing system prompts to support timely follow-up. It also touches on how claim status tracking can help reduce delays.
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Front-end data accuracy and submission controls
The article describes ways to reduce preventable claim problems by checking demographic data, verifying insurance information, and using software safeguards before submission. It also references Medicare-related billing attention points.
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Denial management and aging accounts workflow
This section covers prioritizing difficult rejections, organizing outstanding claims, tracking denial trends, and working aging reports on a regular schedule. It emphasizes ongoing follow-up and resubmission processes.
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Daily claim submission and payer timing expectations
The article discusses sending claims daily when possible and paying attention to carrier and contract-based timeliness requirements. It also notes differing expectations for electronic and paper claims.
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Claim notes and documentation for follow-up
The final section explains using claim notes and supporting documentation to track conversations with payers and support later follow-up. It reinforces organized recordkeeping as part of accounts receivable management.
What You Will Learn
- Common strategies used to reduce aged accounts receivable in medical billing
- How practices organize claim follow-up and denial work
- Why demographic and front-end data checks matter for clean claims
- How billing teams track payer response times and claim status
- Ways documentation and notes support claim resolution efforts
Who Should Read This
- Medical billers
- Coders
- Practice administrators
- Revenue cycle staff
- Billing managers
Modifiers Discussed
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