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How Do You Track A/R

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billspecial:
I have a provider that wants me to work on his A/R only. How do I track what claims are mine when the payments come in? Do I ask for remote access to their system and work out of their system or just get a copy of the A/R report and work off of that? I remember someone asking this question before but I could not find it on the site. If someone wouldn't mind repeating themselves I would sure appreciate it. I don't know anyone who owns a billing company and is willing to give me advice, Please help, Thank you.

PMRNC:

--- Quote ---I have a provider that wants me to work on his A/R only. How do I track what claims are mine when the payments come in? Do I ask for remote access to their system and work out of their system or just get a copy of the A/R report and work off of that? I remember someone asking this question before but I could not find it on the site. If someone wouldn't mind repeating themselves I would sure appreciate it. I don't know anyone who owns a billing company and is willing to give me advice, Please help, Thank you.
--- End quote ---

This depends, you can do it any number of ways, has the provider already signed a contract? Have you submitted a proposal? Personally to begin I work off the reports and track in my software but if claims have to be sent I work off their system, but again it really depends on what you are comfortable with and what their needs are. After you both come to a general process of the work flow you will want to make sure your contract reflects the process so it's clear.

Michele:
Depending on the type of A/R you may want to consider a flat fee or an hourly rate.  You may spend a lot of time and the claim may not end up ever getting paid.  We have done this type of work and once we charged a flat monthly fee and others we've charged hourly.  A couple times we did a % but it was higher than our regular % and we were fairly sure the claims would be paid.

Michele

billspecial:
Thank you for the advice. No I have not signed a contract yet that's scheduled for Tuesday of this week. Michele you have a good point about charging a monthly rate versus a percent. Some of the claims may not get paid and if I charge a percent I may be selling myself short. But on the flip side if I charge a monthly fee and start to bring in a ton of money on the A/R I've sold myself short that way. This provider is an Orthopedic Surgeon he has four offices and the A/R is big, the claims are no older than a year (and they would like me to keep the new charges current). I know the cut off time for most insurance companies is a year. If I were to charge a monthly rate of $500.00 in your opinion, would that be too low?

Pay_My_Claims:

--- Quote from: billspecial on July 27, 2009, 01:50:06 PM ---Thank you for the advice. No I have not signed a contract yet that's scheduled for Tuesday of this week. Michele you have a good point about charging a monthly rate versus a percent. Some of the claims may not get paid and if I charge a percent I may be selling myself short. But on the flip side if I charge a monthly fee and start to bring in a ton of money on the A/R I've sold myself short that way. This provider is an Orthopedic Surgeon he has four offices and the A/R is big, the claims are no older than a year (and they would like me to keep the new charges current). I know the cut off time for most insurance companies is a year. If I were to charge a monthly rate of $500.00 in your opinion, would that be too low?

--- End quote ---

Are you tracking or "working" the AR??? If you are working the AR you should be charging a percentage of what you bring in. If you are just doing follow up...meaning checking the status and emailing the employee about this or that, I would do a flat fee. You are not bringing in money just by "tracking" . They are doing the claims submissions. What you can do is charge a flat based fee for tracking and tell him that you are going to charge a percentage if you have to actually work a denied claim etc. This way you can log all your cases and since they are posting and you are logging in the system you will know what was paid. Even if you don't youc an always call to check the status. Once you call the ins company and know that patient xxx was paid on xxx in the amount of xxx, log it and send an invoice for your money.

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