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Accounts Receivable (AR)
- Used to understand currently outstanding money expected to be received on outstanding claims.
- AR reports are usually inflated due to fee schedules being higher than the amount paid by payers.
- Four types of AR Report are available:
- Practice AR - Accounts Receivable for the all claims within the system.
- AR by Patient - Listing Patients that have money outstanding.
- AR by Payer - Listing Payers that have money outstanding.
- AR by Aging (Aged AR) - Listing AR based on how long it has been on file.
- AR is calculated by subtracting payments and adjustments from total charges.
- There are two core modes in which the report runs:
- By Entry Date - the report will collect total charges entered from services with the date range and subtract payments entered withing the date range.
- By Service Date - the report will collect all payments on charges that have a service data matching the date range.
- Batch Date mode available (similar to Entry Date using Batch Date instead)
- Can be filtered by Provider, Location, Facility and Place of Service
- Data formatted in PDF or Excel.
- Monitoring your practice AR allows you to verify if your practice is successfully collecting money due.
- An goal for best practice to always work towards achieving zero AR. This is done by:
- Collecting money from patients.
- Collecting money from Insurance Companies.
- Using Collection Agencies for bad dept.
- Writing Off noncollectable money correctly. (Contractual or Bad Debt).
- Generates Statements and lists of Patients receiving statements
- Based on current claim balance, claim filing order and bill code.
- Used to review the record of statement generation.
- The one stop shop report for outstanding receivables.
- Formatted to provide working lists for Billers - including Patient and Insurance contact information.
- Can generate summaries.
- Can be filtered by Claim Age, Providers, Locations, Bill Code, Patient Name, Payers, Payer Type and Balance Amount.
- This report should be reviewed regularly and worked actively.
- Provides Service and Payment information for a 'day' (can be run for date ranges too).
- Can be printed for insertion into 'Day Packs'
- Provides totals for reconciliation with deposits,credit card systems. and EoBs.
- Can additionally provide audit information.
- Usually run by Entry Date (Service and Payment)
- Can be filtered by Provider, Location, Facility, Place of Service and User.
- Can create summary reports including Year and Month to Date.
- Report creates a new 'Page' for each Provider and Location combination.
- Summary is always the last page.
- What's the difference between Daysheet and Reconciliation Daysheet?
- Daysheet is designed to be printed into a Day Pack and summaries shown to Providers.
- Reconciliation Daysheet is designed for Reconciling Billing Posting Sessions and Front Desk End of Day.
- Provides Service and Payment information in the order it was entered.
- Used to reconcile day packs, batch EoB entry, Point of Sale, Superbills.
- Designed to be Printed, Exported to Excel and worked on-screen with drill down to claims.
- Shows Pre-payment transfers.
- Includes Summary of Payment and Adjustment Code usage.
- Can be filtered by Provider, Location, Facility, User and Check Number.
- Lists Superbills that have been linked to claims.
- Can additionally lists printed Superbills that have not yet been linked to a claim (Outstanding Superbills).
- Only used with Printed Superbills.
- Usage ensures claims are entered for all visits in a day.
Claims Filing Status Report
- Primary Use of this report is to ensure that claims entered for a given day were Printed or Filing Electronically to their respective Payers.
- Run by Claim Sequencing to make sure claims entered for the day have been filied.
- Run by Mailing Date to review what was sent for a given date.
- Run by Service Date to review practice efficiency of claim filing for a given date. (Compare Date of Service to Claim Creation Date to Mailed Date)
- Entered Column is Date Filing Status was Created.
- Mailed is the date of Filing (Filing History Entry Date)
- Exists to report on Filing Status and Filing History
- Filing History Mail Date is the date a Filing History was created.
- Filing Status Date is the either the date a claim was created or the date the claim was transferred.
- Does not show Patient Filings (Transfer to Patient)