Account Receivables
Our timely follow-up services help healthcare providers cut down on days in A/R. They ensure that you understand the causes of delays in accounts receivable, and follow up with patients and insurance companies promptly.
Axiologic employs a team consisting of experienced specialists in accounts receivable follow up. They work in the following areas:
- Follow up with insurance companies. To get a complete understanding of claims status, we work with insurance companies via multiple channels – phone, fax, IVR and fax. We work closely with end-provider clients to increase the use of websites as a contact channel.
- Create policies and procedures to ensure A/R follow-up. We keep an eye on the A/R’s aging bucket and know the date by which the payers will have the file. We make follow-up calls within the appropriate number of days after the claim is submitted. This allows us to avoid wasting time following up with payers prior to the date.
- Automation. Our tools allow you to log in to the payer website, create queries and retrieve information about the claim’s status.
- An effective action plan. We go one step further and initiate the actions such as refiling these claims and appeals to receive reimbursements. We take the action of refiling these claims and appealing to receive reimbursements. Additionally, we perform analytics with a focus on reducing days in A/R
Clearance projects for accounts receivables
Many hospitals, doctors, and medical practices find themselves in difficult situations due to old A/R. This includes inefficient write-off policies, ineffective closures and lack of staff. The result is a pile-up of insurance claims that can reach into the millions
A/R backlog clearing is a one-time project that we undertake using a robust process that includes:
- Assessment. We do a claim quality assessment by grouping claims based on variables like aging, payer groups, timely filing issues, as well as different types of payers. This analysis allows us to understand the quality and collectibility of A/R.
- Create Guidelines. Many times, messy A/R situations are caused by a lack of clear policy on writing-offs and negotiations. This is due to changes in leadership at the healthcare provider’s office and a lack of established procedures and policies. We help the healthcare provider and the billing company customers with A/R backlog clearing projects to establish collection goals, determine the negotiation process, and count the number of attempts necessary before we declare a claim noncollectible.
- Retrieve Associated Clinical Document. Many times, A/R backlog clearances are due to changes in the underlying systems. If there is no process to effectively recover clinical documentation, the collection process could be ineffective.
Clearance projects for accounts receivables
We offer a full range of denial management and A/R services to our clients:
- We are focused on getting claims resolved. Instead of merely obtaining status, we focus on fixing the claims.
- Reducing work effort. We take advantage of opportunities to decrease the time and effort required to manually check claims status by using web portals.
- Workflow automation. To resolve a claim efficiently, each claim status code must be answered by the insurance companies. Our claims follow-up work queues have been created using web-based workflow systems to improve documentation quality.
- Dashboards and metrics. Multi-variate reports are generated to give a clear picture of the A/R so that we can focus our efforts on solving it.
- Better collections and a reduction in days in the A/R. We have seen a 20% decrease in days and a 5-7% improvement in collections