AR Follow-up Team Strategy - Best Practice

It's critical to have a systemized and strategic reporting technique in place to follow the status of each and every claim from the time the patient registers to the time the claim is closed with full payment. To avoid refusal claims taking a back seat and ending up in older AR buckets, contact a billing professional for help with an efficient Medical Claims tracking Reporting system.

You must first determine the Scope and Out of Scope of your inventory before you can begin working on it. Example: You may not work on Liability Insurance which is out of Scope for you

Once you identified the scope of the inventory you need to Prioritize the inventory. Below give the sample for prioritization

Prioritize Claims:

First Priority: Higher aging and High dollar value

Second Priority: Denied Claims

Third Priority: Second Higher aging and Dollar value 

Fourth Priority: TFL

Experienced AR Follow up and Denial Management Team

A skilled AR Followup, Rejection, and Denial Management staff are required to process denied claims productively without reducing the reimbursement percentage. Expertise addressing denials with diverse payors necessitates analyzing claim denial reasons and resolving them, as well as actively following up with insurance carriers until payment is achieved.

Focus on Pre Billing

When you have a strong pre-billing team, such as coding, demo charges, rejection, credentialing, and eligibility verification. You'll have fewer work opportunities on AR and Denial Follow-up. To avoid revenue leakage, make sure you have a solid front-end pre-billing staff.

Regular Audits Reduce Claim Denials

Of course, having a regular Quality Control face is the most crucial facet of the entire RCM Cycle.