Maximize Insurance Coverage: Patient Eligibility Tips

Image
  Introduction Maximizing insurance coverage refers to using strategies and proactive steps to optimize coverage and benefits provided in your health insurance plan. The trigger is to reduce expenses, make the most of your insurance policy, and ensure you receive the most affordable and comprehensive healthcare services. When maximizing insurance coverage and patient eligibility, several tips should be kept in mind. However, dependent on the insurance provider, specific details may vary. The article will discuss the tips that help patients to navigate the eligibility process.  Develop An Empty About Your Insurance Policy Always dig deep into the details of your insurance policy. You should know about the deductibles, policy limitations, co-payments, insurance coverage limits, and policy exclusions. It will help you get a deep insight into what treatments and services are covered under the policy. In Network Provider Opt for the healthcare facilities and providers linked through an insu

IMPORTANCE OF ACCOUNTS RECEIVABLE RECOVERY IN MEDICAL BILLING

 

IMPORTANCE OF ACCOUNTS RECEIVABLE RECOVERY IN MEDICAL BILLING

Introduction

Medical billing is a process that requires a team of professionals having proficient in billing, coding, denial management, and ACCOUNTS RECEIVABLE handling. The financial stability of the medical center depends on maintaining positive cash flow and accurate payments over time. Despite following the guidelines, some claims might still need to be accepted or denied. This is where the AR recovery (accounts receivable) becomes crucial.

The team involved in AR recovery work on reopening denied claims to ensure the fulfillment of reimbursement from the third party, i.e., insurance providers. It has also been observed that a significant number of ‘denied claims’ are never reworked, which leads to unclaimed revenue for healthcare units.

This article highlights the importance of ACCOUNTS RECEIVABLE recovery in medical billing. Efficient account receivable practices rectify simple errors and lead to the recovery of lost revenue.

All healthcare units aim to improve their medical billing and coding efficiency. They need help increasing fast claims and reducing issues like claim delay or denial. But healthcare service providers are constantly facing problems like claim rejections and underpayments. Hospitals need to pay more attention to revenue collection due to neglecting denials and unpaid claims.  However, with the help of ACCOUNTS RECEIVABLE recovery, these revenues can be recovered by removing loopholes in the billing procedures.

This process is known as AR Recovery. It involves practices like; persistent follow-up on denials until insurance companies fully reimburse. An influential ACCOUNTS RECEIVABLE Recovery technique helps in recovering payments for aging claims. The accounts receivable ‘Aging report’ is sometimes used as an efficient tool to categorize denied or delayed medical claims based on how long payment has been outstanding. This report helps healthcare-providing units prioritize and manage unpaid claims by identifying the pendency period of each claim.

The significance of the ACCOUNTS RECEIVABLE recovery process in medical practices lies in its role of tracking and managing all these outstanding claims. Generally, the longer period of unpaid claims leads to lower chances of successful reimbursement. This is because of the changes in insurance policies and disputes over time.

Read More...

Ready to optimize your revenue cycle? Partner with Secure MSO for seamless medical billing solutions. Maximize reimbursements and minimize denials today. Contact us for a free consultation!

This Blog was initially posted at Secure MSO On August 9, 2023.

Popular posts from this blog

Telehealth Billing Best Practices: How To Maximize Reimbursement For Healthcare Providers

A Comprehensive Guide For Pulmonology Medical Billing And Coding

A Comprehensive Guide For Nursing Medical Billing And Coding