Collections Management

Our collections management process helps you improve cash flow by reducing the time your money spends in accounts receivables. Our system allows us to track and enforce insurance contracts, manage patient collections, and use advanced accounts receivable reporting to pinpoint revenue bottlenecks. By tightly managing your patient and insurance collections process, you'll get paid faster and improve your practice's cash flow.

Manage Insurance Contracts for Accurate and Timely Payment

We will also manage contracts between each physician and their government payers and commercial insurance companies. We take the time to import your standard fees along with the insurer's contractual allowed amount for each procedure code. This allows our staff to compare the expected reimbursement amount to the actual payment amount. When as underpayment has been identified, the corresponding claim is immediately flagged for appeal.

In addition, we input expected response times on a payer-by-payer basis in order to target your slow payers and take corrective action. Prompt payment is critical for maintaining healthy cash flow.

Intelligent Tracking of Unpaid Insurance Claims

We intelligently track insurance claims through the entire claim submission and reimbursement cycle. Our system reconciles the claim processing reports and automatically tracks rejected or denied claims that require correction and resubmission. Furthermore, your account processors will utilize advanced reporting and workflow tools to review your unpaid insurance claims by status and age, enabling us to prioritize collections follow-up to maximize your reimbursement.

Improve Patient Collections

Due to the increase in high deductible and high coinsurance policies, it is now more important than ever to effectively manage your patient collections process. Our system will allow you to improve patient collections at the time of visit through the use of various tools.

You can track patient copay and deductibles, collect and post patient copays during the check-out process, and bill for missed copays concurrently with the insurance billing process. Our process utilizes patient statement printing and mailing services to prepare a batch of patient bills for mailing on a weekly basis. Based on how we categorize patient collection status, we can apply different patient billing rules.

Transparency with Your Accounts Receivable

We will use our advanced reporting to track and work your accounts receivable. If you wish to monitor our progress, our accounts receivable reporting lets you drill-down from patient and insurance summary reports to detailed reports listing specific claims. You can run your accounts receivable aging by service date, post date, first billed date, and last billed date. In addition, you can run accounts receivable by balance range and sort your accounts by balance. Our system provides some of the most powerful and flexible accounts receivable reporting and gives you the satisfaction of knowing exactly where your billing stands.