AR in Medical Billing

Accounts Receivable (AR) Management

Any payments due from payers, or other guarantors are considered AR in medical billing. It is crucial for healthcare providers and private practices to track the claims they submit to insurance companies to optimize revenue recovery and increase the revenue. The goal of AR in medical billing is to achieve the shortest collection period possible.

ABC follow-up on the claims in 30 working days from the claim submission date

AR Follow-up and analysis process

Account receivable team regularly follows-up with the insurance company to know the claim status on the 30th day from the claim submitted date

1. Claim inquiries are done efficiently by live chat, secure email, Insurance calling and secure message on insurance portal

2. Claims needed resubmission are checked for all necessary documents such as Medical records, referral, prior authorization etc.

3. Unpaid VA claims are followed up by submitting medical records and resubmission every 45 days

4. ABC conducts frequent AR analysis to compile all claim details to initiate corrective actions for non-payments

5. Insurance claims pending because of COB, Pre-existing conditions etc are followed up aggressively, every week

6. Every week Account receivable aging reports are compared with previous weeks to identify: ● Unpaid Claims ● Low Paid Claims ● Denied Claims ● Rejected Claims ● Claims not on file

Raja Chandra

Founder and President

25 years of expertise in RCM and healthcare leadership. Guiding you through the complexities of healthcare operations for skyrocketing revenue!

Raja Chandra

Founder and President

25 years of expertise in RCM and healthcare leadership. Guiding you through the complexities of healthcare operations for skyrocketing revenue!