How to Make Health IT Accounts Receivables Easy Suck Less?
Start writing a post
Life Stages

How to Make Health IT Accounts Receivables Easy Suck Less?

How to Make Health IT Accounts Receivables Easy Suck Less?

As medical professionals, accounts receivable (A/R) management holds significance in the value-based era when the focus is on patients rather than increasing the rates of reimbursements. The reasons behind these changes are to cut-down healthcare costs and raise the status of patients' health. Accounts receivables in medical billing services in the USA are a significant part of the overall billing process. It deals with the pending claims and those that face denials to maximize collections.

Accounts receivable services are like a backbone of a healthcare setup. They help in maintaining a steady RCM process. Most of the medical billing companies have dedicated A/R specialists to do the job. Their job is to realize a working relationship between insurance companies, providers or hospitals, and the patients. As a result, providers can go through a seamless financial cycle with higher reimbursements on the average.

As ICD-10 medical billing and coding system is very much in effect, the role of A/R specialists is truly valuable. Even little coding errors lead to denials and only the best health IT agents can come up with contingency plans. Revenue against the services rendered comes flawlessly if skilled HIT agents are working for you remotely. Moreover, they should know clearinghouse operations like the back of their hand.

Make a Habit of Following Up

The process of following up puts life into a lifeless claim that has just been submitted with the insurance company. That's right. When we send a text, email or call (as allowed by the law) after filing the claim, it means we're striking out chances of a denial comprehensively.

Send out no more than two patient statements and follow up with a call to know if they have arrived at their destination or not.

There may be a possibility the invoice gets stuck in the spam or promotion spaces of the mailbox. By not being passive, but active we can shine for the company as well as the clients.

The A/R specialists, as part of the medical billing services in the USA, must work with the payers so that nothing is missed on account of busy schedules. By walking past common inefficiencies, they can convince the insurance companies to pay up. The payers must understand the charges and the codes thoroughly for the claim to sail through the clearinghouse.

Strategic Timing is a Vital Attribute of the Medical Billing Process

Ideally, a claim must be submitted within 72 hours of rending services to the patient.

You are following up, but if it is not on time, the usefulness is lost. Before sending out a second invoice, set up a reminder for the day bill is to return payments. We may call it a planned or strategic timing as it has a more significant impact on the payers. We may have a shot at generating a response.

Furthermore, it sends a message of urgency to the payers to speed up the payment process. A phone call to the payer at this point doubles the chances of a favorable outcome.

Talking to the Payers with the Highest Number of Accounts Receivables

Today medical billing software plays a crucial role in times of digital claims instead of paper-based submissions. Usually, the software gives you access to several reports as a provider and as a medical billing and coding outsourcing company. Old-age collection ledger is one of those reports which has a history accounts receivables. By examining the time a claim is supposed to be paid, you can reduce accounts receivable outstanding, considerably, and further the idea of old-age billing.

Get in touch with those payers with the highest number of accounts receivables and verify if your claims have been received. You stand a fair chance at retrieving payments and speeding up the revenue cycle.

Ask these questions to help negotiate with the payers

• Did you assign a claim number to my bill? If so, what is it?

• What's the status of my bill?

• When can we expect a check?

• Do you think the claim has any issues? If yes, what are they?

• Do you need additional information? (If so, get their fax number and send the required information; then call back and confirm if it has been received)

These questions will make you look good as health IT A/R specialist with a greater chance of improving the financial state of aged accounts.

Outsource the Follow-ups to Neat Medical Billing Services in the US

It doesn't take a genius to know medical billing outsourcing is better than running an in-house setup. When we talk about skilled people, it is essential for these services to have a couple of years experience working with the pending claims and collecting payments from Medicare, Medicaid, and other commercial organizations.

Moreover, a higher first-time acceptance rate of those claims, a touch above 95% makes the company worth spending. Select only from those health IT consultants who have a separate team of A/R specialists. It makes your bills land in a safe zone.

Accounts Receivable (A/R) Management is a subcategory of the medical billing process, and, if done correctly, providers can easily stay away from the burden of pending payments.

Clinicians deserve to be paid for the services they perform on patients on time. The longer an account goes unattended, the less likely it is it will ever resolve.

Make Reminder Calls to the Patients

Running an insurance eligibility check against the patient is essential, but what is crucial here is to arrange reminder calls to inform them how much they are supposed to pay at the time of service.


All the above methods help streamline payment cycles for providers. In the wake of a transition from volume-based to value-based care, clinicians deserve every right to be paid for their services. A/R management holds greater importance since the government pledges to reduce healthcare costs.

The cost of healthcare must come down. However, it should not be at the expense of pending deductibles, copayments, and delayed insurance payments.

Report this Content
This article has not been reviewed by Odyssey HQ and solely reflects the ideas and opinions of the creator.

I just recently got engaged and planning a wedding during a pandemic is actually kind of a nightmare.

A lot of venues are taken for 2021 because of corona brides and grooms who have had to reschedule their weddings and the same goes for other vendors and literally everything else.

Keep Reading... Show less

While promoting her most recent movie, "Work It," Sabrina Carpenter has divulged some of her favorite beauty products to interviewers.

Keep Reading... Show less

When I say we can't stop thinking about the relationship advice Miley Cyrus dropped on "Call Her Daddy" today, I mean it literally.

Her truth bombs hit me (and most who listened) like a wrecking ball and coupled with the release of her new song "Midnight Sky," we're going to need some time to process the greatness. In case you haven't listened yet (what are you waiting for?), here are 10 relationship tips Miley shared that we should all live by for the rest of time.

Keep Reading... Show less

Founders Of Color: Rec Room's Dre Taylor On What Blackness Can Look Like And Not Working For Free

"It mattered to me that when we were depicting racial diversity for Rec Room, we showed the broad spectrum of what Blackness can look like."

Rec Room

The world of sustainable fashion is inundated with marketing gimmicks, false advertising, and large corporations cutting corners — Rec Room is the pure antithesis of that.

Keep Reading... Show less

"New Girl" is one of the best sitcoms of all time. Honestly, it is so much fun to watch, so much fun to relate to, just all around a great show.

Not only is a great show, it has so many different great settings, obviously including the loft. If you live by Nick Miller quotes and desperately tried to learn how to play "True American," you need to buy these things because you are a true "New Girl" fan.

Keep Reading... Show less

You know those items you've been pinning to your Home board on Pinterest for [insert amount of time]? Well, it's officially the moment to turn that wishlist into a married life reality, and it's going to be SO fun.

But, before you get to shopping and adding things to your upgraded bridal wishlist (sorry, Pinterest, it was lovely while it lasted), you'll first want to decide where you want to open your registry (or registries, if you want options). Here are 17 of the best websites and stores to consider saying "I do" to for your wedding registry, to have and to hold for as long as people are buying you wedding gifts.

Keep Reading... Show less

If you've ever been in the dating game, or currently are, chances are you've had a date gone wrong. These are often times super embarrassing, but they are always funny to look back on.

Keep Reading... Show less
Health and Wellness

5 At-Home Therapy Tips You Need, No Matter What Your Therapy Routine Is

Whether you're in a Zoom session or live-chatting, make sure your home therapy space is good to go.

No matter what stigmas you held about therapy before this year, I'm sure 2020 has affirmed that we could ALL use a nice long therapy session. Between wildfires that took over an entire continent, a global health crisis, and what's sure to be one giant circus of an election in the United States, we need help and we need it now.

The fact of the matter is, therapy has been a helpful, valid resource long before the world decided to become one giant dumpster fire. Having a safe space to discuss what's going on in your life, worries you have, and struggles you're facing has become a very normal thing for individuals' mental health.

Keep Reading... Show less

Dunkin' just announced that they'll be releasing their fall menu earlier than ever — set to debut on August 19 — and that it'll include new menu options this season, including a new signature pumpkin spice latte. Let me just say, Starbucks has some fall-menu competition now.

Keep Reading... Show less

When it comes to wedding planning, each and every detail is customized to the style of the couple. From venue and decorations to food and beverages, nothing gets overlooked — whether your wedding is big, small, or virtual.

The same thing goes for invites, which are getting more and more beautiful every wedding season. If you're looking to customize your wedding invitations, the options are endless... you can add pictures if you wish, opt for fancy artwork, or keep it simple with just text).

Keep Reading... Show less
Facebook Comments