Tips for OBGYN to Improve Days in Accounts Receivable - PowerPoint PPT Presentation

About This Presentation
Title:

Tips for OBGYN to Improve Days in Accounts Receivable

Description:

Maximize OBGYN revenue! Learn to calculate Days in AR, implement billing best practices, and adopt a front-end-driven revenue cycle. – PowerPoint PPT presentation

Number of Views:0
Date added: 22 February 2024
Slides: 9
Provided by: Username withheld or not provided
Category: Other
Tags:

less

Transcript and Presenter's Notes

Title: Tips for OBGYN to Improve Days in Accounts Receivable


1
(No Transcript)
2
Tips for OBGYN to Improve Days in Accounts
Receivable
As healthcare costs rise, it is more important
than ever to ensure that specialists in
specialties such as obstetrics and gynecology
(OBGYN) get compensated for their services.
However, raising your accounts receivable may be
an issue due to patient and insurance company
late payments. The good news is that you may use
a variety of techniques to expand while keeping
the organization's finances intact. Discover our
top ideas for improving paid accounts receivable
in the healthcare business, particularly OBGYN,
ranging from payment schedules to accelerating
your billing procedure.  Accounts Receivable
(AR) for OBGYN Healthcare Calculation Accounts
Receivable (AR) in medical billing refers to how
long it typically takes an OBGYN healthcare
provider to receive payment for services
rendered. Here's how to determine it Calculate
the entire balance of accounts receivable
(AR) Determine the OBGYN hospital's total
outstanding debt first. This covers all unpaid
bills for performed services that have not yet
been paid for.
3
Tips for OBGYN to Improve Days in Accounts
Receivable
Determine the average daily income To compute
this, divide the total income earned during a
certain period (annually) by the total number of
days in that period. Calculate Days in AR The
daily average income is divided by the total
amount of AR balance. This will indicate the
average time it takes for the OBGYN hospital to
be compensated for the services you have
rendered. Average Daily Revenue / Total AR
Balance Days in AR For example, if the total
amount of accounts receivable (AR) at the OBGYN
medical facility is 200,000 and its daily
average revenue is 20,000, then  20,000
divided by 200,000 20 days in AR  This
implies that the OBGYN medical facility must wait
an average of 20 days before being reimbursed for
the services provided. The Calculate Days in AR
tool helps healthcare providers evaluate the
effectiveness of
4
Tips for OBGYN to Improve Days in Accounts
Receivable
  • their revenue cycle management in billing and
    collection operations.
  • Strategies for enhancing AR management in OBGYN
    practice
  • Implement Best Practices in Billing and Coding
    Management Here are some approaches to improve
    OBYN billing.
  • Preventive Therapy Avoid refusals, delays, and
    denials to reduce time to reimbursement and
    income possibilities.
  • 48-Hour Turnaround Time To ensure quicker
    reimbursement, submit claims within 48 hours of
    receiving the charge.
  • Set Clean Claim Goals Target a clean claim rate
    of 97 or higher to analyze front-end errors
    effectively.
  • Handle EDI Rejections Promptly Address EDI
    rejections on the same day and use data to refine
    claims processes.
  • Employ trained medical coders with OBGYN
    knowledge to ensure correct coding.
  • Use the appropriate modifiers For OBGYN
    services, add suitable modifiers like LT, RT, and
    50.

5
Tips for OBGYN to Improve Days in Accounts
Receivable
  • Follow the payer's guidelines Respect payer
    policies to prevent denials and rejections while
    coding.
  • Avoid Over- or Under-Coding To guarantee correct
    payment, code preciselyneither under- nor
    over-coding.
  • Implement a front-end-driven revenue cycle
    process
  • Implementing a front-end-driven revenue cycle
    process in Obstetrics and Gynecology (OBGYN)
    medical centers requires transferring back-end
    duties to the front end. This involves finding
    out whether the patient has insurance, getting
    pre-authorization if necessary, and calculating
    their financial obligations before starting
    treatment.
  • Doing so allows for pre-payment opportunities,
    reduces collection costs, and minimizes bad debt
    exposure. Obtaining pre-authorization upfront
    also prevents rejected claims and maintains
    control over days in accounts receivable (AR).
  • Understand and define your AR aging benchmarks.
    Clearly, to gain a comprehensive understanding of
    accounts receivable (AR), it's crucial to analyze
    aging beyond just the total days outstanding.

6
Tips for OBGYN to Improve Days in Accounts
Receivable
  • Analyze Payer Breakup Assess if all payers meet
    average payment timelines or if delays stem from
    specific payers in your mix.
  • Set Aging Thresholds Run detailed reports with
    payer breakdowns to establish clear thresholds
    for AR aging.
  • Compare with Industry Benchmarks Benchmark your
    thresholds against industry standards to ensure
    realistic targets.
  • Minimize Credit Balances Reduce credit balances
    in AR to maintain accurate calculations and avoid
    misleading insights.
  • Monitor Aging Closely Continuously track aging
    metrics to gauge progress towards goals and
    identify areas needing improvement.
  • Perform AR follow-up and maintain follow-up
    promises
  • Prioritize Payer Follow-up Organize the payer
    follow-up list by priority, focusing on the
    oldest claims and high-value amounts. Consider
    addressing trends affecting multiple claims.
  • Set No-Response Threshold Establish a threshold
    for no-response claims and promptly initiate
    follow-up beyond this limit.

7
Tips for OBGYN to Improve Days in Accounts
Receivable
  • Document All Follow-ups Maintain thorough
    documentation of all follow-up actions to track
    progress and ensure accountability.
  • Define Follow-up Actions Develop clear follow-up
    actions with designated next follow-up dates,
    ensuring consistency across processes.
  • Implement Follow-up Filters Utilize filters to
    identify follow-up commitments and diligently
    adhere to them, facilitating closure and
    resolution of claims for timely payment.
  • Conclusion
  • In the dynamic financial landscape of OBGYN
    medical centers, efficient management of
    healthcare accounts receivable (AR) stands as a
    pivotal factor in organizational success.
    Declining AR turnover rates and deteriorating
    aging schedules pose significant challenges for
    cash-strapped medical facilities and hospitals.
  • Addressing the complexities of a distressed
    revenue cycle demands a comprehensive approach.
    It necessitates identifying underlying issues
    within the revenue cycle framework and
    instituting workflow mechanisms to align with
    strategic objectives and enhance cash flow
    dynamics.

8
Tips for OBGYN to Improve Days in Accounts
Receivable
Through the adoption of industry best practices
across the revenue cycle, considerable reductions
in cycle time can be achieved. A mere reduction
of 5-7 days in the payment cycle can yield
substantial improvements in cash flow,
facilitating the sustainable operation of
healthcare practices. Medical Billers and Coders
(MBC) have a proven track record of assisting
numerous OBGYN Medical Centers in not only
pinpointing areas of improvement but also
implementing optimized workflows to enhance OBGYN
account receivable services and significantly
bolster cash flow. Explore our OBGYN account
receivable services for further
insights. Medical Billers and Coders implement
efficient strategies to reduce Days in Accounts
Receivable and enhance revenue flow for OBGYN
practices. Contact us today!
Write a Comment
User Comments (0)
About PowerShow.com