AR Follow Up
Healthcare Accounts Receivable Management Services
“Our expert services help healthcare providers reduce A/R follow-up timelines by proactively identifying and addressing delays. We conduct thorough analyses to uncover the root causes of payment bottlenecks and ensure timely follow-up with both insurance companies and patients. This approach not only streamlines the A/R process but also promotes clear communication and transparency throughout the revenue cycle.”
Scope of Our Healthcare Accounts Receivable Follow-up Services
At MedRev, we deploy a skilled team of accounts receivable (A/R) follow-up specialists dedicated to improving revenue cycle performance for healthcare providers. Our services cover the following key areas:
- Follow-up with Insurance Companies
We leverage multiple communication channels—including payer websites, fax, IVR, and phone calls—to obtain accurate and timely claim status updates. We also collaborate with provider clients to encourage the use of payer websites as a primary contact method, ensuring faster and more efficient communication.
- Development of A/R Follow-up Policies and Procedures
Our team has implemented robust, proactive policies to manage A/R effectively. By monitoring the aging of receivables, we determine optimal follow-up times based on when payers are expected to have processed claims. This allows us to initiate timely follow-up calls and avoid delays in reimbursement.
- Action-Oriented Strategy
We go beyond basic follow-up by executing a comprehensive action plan—this includes re-filing claims, submitting appeals, and using data analytics to reduce days in A/R. Our approach ensures faster collections and a more efficient revenue cycle.
Claims Follow-Up Process
Track Status
We monitor claim status through direct communication with insurance companies.
Identify Denial Issues
We analyze denied claims, determine the root causes, follow up with payers for additional required information, and address issues to facilitate resolution.
Resubmit the Claim
Corrected claims are resubmitted with insurance companies, and follow-up plans are initiated. When necessary, we coordinate billing with secondary insurers.
Resolve the Claim
We continuously track and follow up on each claim until final resolution is achieved.
Accounts Receivable Clearance Projects
Healthcare providers often face significant A/R backlogs due to staff shortages, unclear write-off policies, and inefficient claim closure processes. MedRev specializes in clearing these backlogs through a structured and comprehensive approach:
Assessment
We begin by categorizing claims based on aging, payer type, timely filing constraints, and claim quality. This analysis helps us identify potentially collectible claims and determine which accounts require further review before considering collections.
Guideline Development
Disorganized A/R often stems from unclear or outdated policies. We work with providers to establish practical guidelines for collections, negotiations, and write-offs. Our goal is to streamline A/R operations by setting clear standards for claim follow-ups and determining when a claim should be written off as uncollectible.
Retrieval of Clinical Documentation
Effective A/R recovery depends on having the right documentation. We implement structured processes to retrieve all necessary clinical documentation, which significantly improves claim resolution success rates.
Key Benefits of Working with MedRev
Our comprehensive A/R and denial management solutions offer a range of benefits:
- Proactive Resolution: We focus on resolving claim issues—not just tracking statuses.
- Reduced Manual Effort: By maximizing use of web portals and automation tools, we minimize manual work and increase efficiency.
- Smart Workflow Automation: Our web-based workflows are designed around claim status codes, ensuring consistent and thorough follow-ups.
- Data-Driven Insights: We provide real-time dashboards and multi-dimensional reports to track performance and focus efforts where needed.
- Improved Cash Flow: Clients typically experience a 20% reduction in A/R days and 5–7% improvement in collections.
Scope of Our Healthcare Accounts Receivable Follow-up Services
At MedRev, we deploy a skilled team of accounts receivable (A/R) follow-up specialists dedicated to improving revenue cycle performance for healthcare providers. Our services cover the following key areas: