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A multi-front approach to payer AR management is crucial for maximizing revenue collections. Successful AR management entails understanding payer obligations in concrete alignment with your fee schedules, mitigating denials on the frontend, monitoring AR trends and statistics, and being vigilant about red flags that may come up when managing the AR process.
Understanding the payers’ obligations to pay your practice exactly what is owed to you is critical in managing your AR. Many practices fail to assess their payments received against their contractually agreed upon fee schedules, thereby accepting underpayments as a normative process, creating a massive buildup in AR, and failing to ever actualize on the necessary outreach process need to payer to capture what is owed. This is a daunting task that requires aggressively fighting for your monies, and providers today simply do not have the time to do this themselves. Avosina has battalions of billing experts that go to war with payers to capture every penny owed to your practice, so that you can rest assured that you are getting what you deserve.
The AR management process necessarily requires you to focus on denials, the rationale for denials, the resubmission of denials, and the prevention of future denials. With a concrete understanding of the rationale for denials from each and every payer, Avosina allows you to rectify internal processes that may be the root cause for denials in the first place, while simultaneously inputting systematic safe-guard to flag potential future denials. Avosina aggressive approach to following up with payers regarding denials ensures that you will get paid on everything that is legitimately owed to you.
Your AR is one critical number that reflect the health of your practice. An AR over 16% in the 120 day bucket indicates a red flag that there are process issues within your operational and billing workflow systems. Furthermore, in actually collecting on and following up with payers, your follow up process must be payer specific. Simply calling down a list is unacceptable as each payer has their own reimbursement schedule. Therefore, your practice requires a specialized knowledge on AR patterns for follow up in order to actually impact your collections in a noticeable manner efficiently and effectively. By harnessing your EHR’s automated flagging systems with respect to daily aging of receivables, Avosina will monitor you AR to enable the fastest collections possible as we contact payers throughout their due periods and aggressively follow up as soon as a payment is designated as past due. With this systematic approach in place, we accelerate your reimbursements from payers.
We’ve been in the billing industry for decades and we’ve seen many billers and billing companies use deceptive AR techniques to trick providers and medical practices into believing that all is well with their billing standing when nothing could be further from the truth. Two major red flags include:
At Avosina, we provide you with daily reporting and transparent analytical dashboards that enable you to know exactly what is going on with each and every dollar owed to you. Our transparency and robust communication with your practice establishes us as a trusted, highly-regarded, and dedicated partner in your quest for minimizing outstanding AR and maximizing your revenue collections from payers and patients alike.
Avosina Medical Technologies harnesses time-tested, experience-based, best practice revenue cycle management models to maximize the AR collections process and eliminate any detrimental AR backlogs that you may have. Prior to you spending money and time on mailing out physical patient statements, we will send your patients electronic statements multiple times on a scheduled and systematic manner. By viewing the electronic statement, patients can review their balances and are able to make secure, convenient, and rapid payments online, through their patient portal if available, or by any other means they choose so to optimize your patient AR management goals.
If payments aren’t made in a timely fashion, we will assess your EHR system and Clearinghouse linkage to implement manual-automated hybrid workflow processes for printing and mailing out physical paper statements based on specific SOPs created in conjunction with your practice. Along with electronic and mailed statements, if payments are not made promptly, we engage in an ongoing, systematic patient calling process with soft reminder calls and clear-cut notices, as per your practice’s specifications on the degree and level to which you’d like for us to establish soft-to-aggressive call sequencing and processes to send patients to collections should payments not be received. We can also create SOPs with your practice to establish patient payment processes that set-up recurring installments to pay down large balances should you wish to offer such provisions to your patients for AR management.
By taking a systematic, continuous approach with regular follow-ups and an unremitting dedication to collect every dollar for your practice, Avosina’s AR management process for patient statements and patient calling maximizes your revenue collections efficiency and effectiveness from patients. This patient AR management process has become increasingly important as the incentive for patients to pay their medical bills is diminishing: while a greater and greater proportion of financial responsibility for medical bills is falling on patients with high-deductible/low coverage plans, the legal ramifications and credit penalties are getting smaller and smaller for patients with respect to paying medical bills.
Avosina, on the other hand, only gets paid when you get paid, so with your practice’s and Avosina’s incentivizes aligned perfectly, and with our commitment and expertise to win your owed money from patients and payers alike for you, let us take the stress of timely AR management and revenue collections off of your plate so that you can focus on your expertise: the practice of medicine.
We’re on a mission to fully harness the robust internal infrastructure of our RCM and IT expertise coupled with our vast external professional healthcare management and leadership networks in order to continually maximize our clients profits and drive the development of prosperous, hassle-free private practice independence.
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