Experienced medical billing companies utilize proven strategies to help physicians avoid the problem of too many unpaid claims.

1. www.outsourcestrategies.com Phone: 1-800-670-2809
Ensure Effective AR Management
with Medical Billing and Coding
Experienced medical billing companies utilize proven strategies to
help physicians avoid the problem of too many unpaid claims.
Outsource Strategies International
8596 E. 101st Street, Suite H
Tulsa, OK 74133

2. www.outsourcestrategies.com Phone: 1-800-670-2809
The Accounts Receivable (A/R) summary, which provides an account of uncollected claims,
is one of the most heavily utilized in medical practice financial management. Medical
billing and coding outsourcing helps reduce the average number of days that it takes a
practice to collect payments that are due. Experienced companies use proven methods to
help physicians avoid the problem of too many unpaid claims. They help maintain the
financial health of your business by keeping the number of days in A/R as low as possible.
Factors that Increase Days in A/R
A/R is a key indicator of a practice’s ability to collect timely payments. The key factors that
can increase days in A/R include:
- Delays in submitting charges for medical billing
- Delayed charge entry
- Not filing claims with insurers or patients promptly
- Delayed payments by insurer or patients
- Claim denial due to not following billing rules or meeting medical necessity
requirements as specified by payers
A reliable medical billing company will consistently measure and track a practice’s days in
A/R to ensure efficacy in revenue cycle management. The billing team will manage the
entire medical billing AR process efficiently, from submission of error-free claims to
appropriate analysis of denied claims and efficient follow-up to maximize reimbursements.
Strategies Utilized to Ensure Prompt Payment
 Comprehensive insurance verification: Medical billing companies carry out
insurance verification services to ascertain plan-specific benefits information
before services are rendered. This starts at the front desk, even before the office
visit. They are experts in validating coverage with Medicare, Medicaid and private
payers. Information verified includes type of plan and coverage details; Patient policy
status, effective date, plan exclusions, payable benefits, co-pays and deductibles,
referrals and pre-authorizations, claims mailing address, and so on. Verifying this
information at the outset will ensure quick and smooth claims processes.
While medical billing service providers can manage the benefits verification process,
one best practice is to have patients sign a comprehensive financial agreement. The
agreement should give them a good idea of their financial responsibilities.

3. www.outsourcestrategies.com Phone: 1-800-670-2809
 Accurate charge entry: Outsourcing ensures accurate charge entry, which is a key
step in medical billing. The charge entry process involves assigning the appropriate
dollar value in patient accounts based on the coding and fee schedule. As this will
determine the physician’s reimbursements for the services rendered, the billing team
will collaborate with the coding department to check entries and avoid errors that
could lead claim denial.
 Smooth claim submission processes: Established medical billing service
providers manage the entire billing and claim submission process using advanced
software. It helps them track copays and deductibles, collect and post copays during
the check-out process, and bill for missed copays. Quality software helps manage
financial information, reduces errors, and streamlines AR management with efficient
reporting.
 Efficient insurance follow-up: Following up with payers on unpaid claims is a
crucial step in A/R management. Medical billing outsourcing companies improve A/R
days by following up on the status of practice claims. Such follow-up helps detect
issues such as non-receipt of claims by the payer, claim denial, and claims that are
pending due to lack of information about the patient. They will appeal claims that are
unpaid. By sorting out claims-related issues, medical billing specialists help
physicians get paid promptly.
Free A/R analysis
Medical billing and coding outsourcing companies help with both insurance and patient
collections. They research claims denied by carriers, rejections from the clearing house, and
low payments by the carriers and prepare reconciliation reports of billing data and payments
from various payers. They provide free A/R analysis for physicians’ offices, indentify areas
for improvement, and suggest and implement strategies to collect the outstanding AR.