Time to Vote for the August Medical Billing Tip of the Month!

July 31st, 2012 by Kathy McCoy

Vote on these 3 candidates for Medical Billing Tip of the Month!You be the judge for our monthly Medical Billing Tip of the Month contest! Listed below are the three top tips submitted this month (out of the many great ideas we received!). Just read them over and then post on our Facebook page which number is your choice for Medical Billing Tip of the Month. You can also post your choice in the Comments box here on our blog. Either way, be sure to vote before the deadline of Wednesday, August 7! The winner will receive a $250 American Express Gift Card and the acclaim of their peers. Here are the candidates:

1. Using Insurance Collection Summary Report to Increase Provider Cash Flow Effectively

We are using the Kareo insurance collection summary report to work on the High Dollar claims, Old Aging claims, Top 10 payers aging, etc. Here is the report customization for your reference.

Go to Reports -> Accounts Receivable -> Insurance collection summary -> use “Customize” tab to obtain the reports per your Priority. Please customize the option as described below:

Age:             30+

Status:          All

Grp By:          Patient

Sub Grp By:   Patient

Sort by:  Balance

 Using the Insurance Collections Summary is one of the candidates for Medical Billing Tip of the Month

Report Format:

Use the Insurance Collection Summary Report to Increase Provider Cash Flow Effectively is One of the Medical Billing Tip of the Month Candidates

First report: You will get a report based on the Patient total value by Descending to Ascending order. Once the report is generated, we can start attacking the High dollar claims to get the best reimbursement for the provider. The provider will be very concerned about his High dollar value claims which have been submitted to the carrier. By generating and working on this report, we can increase the payment flow of the provider drastically. The output of the report will be generated as mentioned above format. The Top 100 patient claims will cover most of your insurance aging. By working on these claims effectively, you can see a drastic change in the payment flow.

Second report: Use the same report, by changing the “Group By” status to “Insurance Plan.”  The report gets sorted based on the Total outstanding aging for a payer by Descending to Ascending value of claims for a particular payer. By using this report, we can work on the Top 10 payers’ aging and reduce the aging of particular payers effectively.

Third reportUse the same report, by changing the “Subgroup by” status to “Insurance Plan.”  The report generates the patient claims which have High Dollar value, including the payer name.

Note: By using the collection summary report effectively, cash flow for the provider will increase effectively and we can concentrate on high billed claims. We can reduce the high value claims moving to 60+ aging. Please make use of this report to improve your cash flow.

 

2. Billing Miscellaneous Codes on a Separate Encounter

My billing tip is to bill any miscellaneous codes on a separate encounter.  That way the office visit or other services that have specific codes can go through effortlessly while the miscellaneous code gets stopped for review.  This method has reduced my claim processing by approximately half for claims that would have included a miscellaneous code. 

 

3. Calculating Total Rejected Claims by Numbers and Amount for a Month & Reducing Them

To run a rejected claims report with # of claims and by value, we need to manually check all the clearinghouse reports for the month received to find the total rejected claims.  However there is a possible way to find only the rejections count and total in clearinghouse report. Here’s how:

Go to Clearinghouse report -> select Claim processing section – > Type R: in the look for tab -> Find now.

Now you see list of claims submitted in Claims column and Rejected claims in the second column (Only Rejected claims clearing house reports – 20 line items in a page).

For example: The claims submitted are 22 and rejected 4, the total value of the rejected is mentioned as R:4 / $2914.00. The number and value mentioned in the same line. Please see the highlighted. ( P 18 – accepted claims & R: 4 – Rejected claim).

Calculating total rejected claims is one of the candidates for Medical Billing Tip of the Month

Conclusion: You can use this simple exercise to calculate the total rejected claims for a month and take necessary action to avoid such rejections in future months. We are using this to control repeated rejections and educating the team effectively to avoid the same error in future. This also helps us to improve the “First pass ratio” percentage. Avoid the Duplicate rejection count showing the report while calculating.

Which tip is your top choice? Vote now on our Facebook page or in the Comments box on this blog. You have until Wednesday, August 7, to vote! We’ll announce the winner in our August newsletter.

160 Comments | Filed in Events, Features

160 Comments »

    Franklin said:

    The Third tips is very effective to track the rejctions. I will make use of it. Thanks – Frank.

    Tuesday, July 31, 2012 - 7:04 am

    Narasimhan said:

    My choice for No1. This is the Great tip

    Tuesday, July 31, 2012 - 7:09 am

    Kokila said:

    My choice for No1. This is the Great tip

    Tuesday, July 31, 2012 - 7:09 am

    Karthik said:

    I like the suggestion# 1, because it deals with the betterment of Provider’s cash inflow.

    Tuesday, July 31, 2012 - 7:14 am

    Arvind said:

    The First is best. – Thanks Arvind

    Tuesday, July 31, 2012 - 7:17 am

    Vijay Anand said:

    My choice for No.1 This is valid tip

    Tuesday, July 31, 2012 - 7:17 am

    Sam Ronson said:

    I like the billing tip# 1 which is increase the cash flow of provider since it is very detailed prescribed to follow.. Good Luck.. Thanks Sam

    Tuesday, July 31, 2012 - 7:17 am

    Gokul said:

    The tip “Using Insurance Collection Summary Report to Increase Provider Cash Flow Effectively” is really amazing. My vote is for number 1 – Thanks – Gokul

    Tuesday, July 31, 2012 - 7:17 am

    Charles said:

    My choice is for No.1 Billing Tips. It is really a worthy billing tip

    Tuesday, July 31, 2012 - 7:19 am

    David Beckett said:

    First Tip is Awesome. We have taken action by $ value to increase our collection & reduce the AR in easy steps. Hence my vote go for Tip # 1…

    Tuesday, July 31, 2012 - 7:19 am

    Albert Bentley said:

    This is great tip for No.1

    Tuesday, July 31, 2012 - 7:19 am

    Elnore said:

    Tip no.1 is great, any tips on increasing cash flow is good for me.

    Tuesday, July 31, 2012 - 7:20 am

    yuvarani said:

    I like the first tip which increase cash flow for the provider – Thanks – Yuva

    Tuesday, July 31, 2012 - 7:20 am

    Dhanalaxmi said:

    The Tip 1 is best tip for me. – Thanks – Laxmi

    Tuesday, July 31, 2012 - 7:20 am

    Magesh said:

    The Tip which given for Insurance collection summary is Perfect and will be a useful report for all.- Thanks – MAgesh

    Tuesday, July 31, 2012 - 7:21 am

    Stevens Jose said:

    I suggest tip#1 is the best one to increase the cash flow.

    Tuesday, July 31, 2012 - 7:24 am

    Christopher said:

    NO1 is best tip.

    Tuesday, July 31, 2012 - 7:40 am

    Thamizhselvi said:

    As per tip-1 we need to followup with high value patients balance in timely manner.

    Tuesday, July 31, 2012 - 8:02 am

    VIGNESH said:

    The tip 1 is best for me, able to generate high value insurance plans and patients and reduce the AR quickly.

    Thanks
    Vignesh.B

    Tuesday, July 31, 2012 - 8:25 am

    Denver said:

    I like the first tip. it is very useful for all the Kareo users to track the claims in a different angle.

    Tuesday, July 31, 2012 - 10:26 am

    Denver said:

    with one report

    Tuesday, July 31, 2012 - 10:27 am

    VENKATESH said:

    I like the first tip

    Tuesday, July 31, 2012 - 11:16 am

    Scott Benjamin said:

    First tip is best tip. It will helpful for tracking out the claims by aging wise.

    Tuesday, July 31, 2012 - 9:19 pm

    Frank Martin said:

    I suggests tip 1. It is very useful to increase the cash flow for the provider. Thanks – Frank Martin.

    Tuesday, July 31, 2012 - 9:31 pm

    Chokkalingam said:

    The First tip is amazing and will follow this – Thanks – Chokka

    Tuesday, July 31, 2012 - 9:32 pm

    Chokkalingam said:

    The tip “Using Insurance Collection Summary Report to Increase Provider Cash Flow Effectively” is good one – Thanks- Choks

    Tuesday, July 31, 2012 - 9:33 pm

    Bala said:

    Wow! The first tip really worthy tip to improve the cash flow – Thanks – Bala

    Tuesday, July 31, 2012 - 9:34 pm

    Michael said:

    First tip is a great tip. It is very useful.

    Tuesday, July 31, 2012 - 9:41 pm

    Ruthmala R. said:

    First tip is Best. It will guide for split out the claims by aging wise.

    Tuesday, July 31, 2012 - 9:47 pm

    WILSON said:

    No.1 is my choice, it is the best way of action.

    Tuesday, July 31, 2012 - 10:09 pm

    Dhanasekar said:

    The Tip 1 is absolutely very using and iam voting for this – Thanks – Dhana

    Tuesday, July 31, 2012 - 10:53 pm

    Dhanalakshmi said:

    First tip is the best tip. It will help us by tracking out the claim by aging wise.

    Tuesday, July 31, 2012 - 11:00 pm

    K. Arumugam said:

    My choice is for No.1. Its very usefull tip.

    Tuesday, July 31, 2012 - 11:39 pm

    SHASHIKUMAR said:

    I like tip #1, because it deals with the betterment of Provider’s cash inflow.

    Wednesday, August 1, 2012 - 12:13 am

    Balamurali said:

    I lke tip #1, because it was help for style of work in the outstanding claims and we can easily identified & resoloved before the claim reach in TFL.

    Wednesday, August 1, 2012 - 12:59 am

    Sobiya said:

    I vote for tip 1. Very useful.

    Wednesday, August 1, 2012 - 2:10 am

    Vipin said:

    First tip is a great tip. It is very useful.

    Wednesday, August 1, 2012 - 2:15 am

    Vipin k v said:

    First tip is a great tip. It is very useful.

    Wednesday, August 1, 2012 - 2:16 am

    Sasikumar. K said:

    I vote for Tip #1–this may increase provider’s cash flow

    Wednesday, August 1, 2012 - 5:00 am

    Steve said:

    First tip is a great tip. It is very useful.

    Wednesday, August 1, 2012 - 10:03 am

    Garry said:

    I vote for tip 1. Very useful

    Wednesday, August 1, 2012 - 10:04 am

    Basheer said:

    I think, the first tip is the best – Basheer

    Wednesday, August 1, 2012 - 11:07 pm

    Ganesh said:

    East or west, the first one is really best – Ganesh

    Wednesday, August 1, 2012 - 11:08 pm

    Gopi said:

    The first tip will improve the provider cashflow – Gopi

    Wednesday, August 1, 2012 - 11:08 pm

    Kumaran said:

    Yeah! I vote for no 1 tip – Kumaran

    Wednesday, August 1, 2012 - 11:08 pm

    Arul said:

    My vote is for the first tip – Arun

    Wednesday, August 1, 2012 - 11:09 pm

    Srini said:

    Wow! using the tip 1 makes some difference in provider cash flow – Srini

    Wednesday, August 1, 2012 - 11:09 pm

    Venkat said:

    Tip 1 is worthy and everyone has to make use of it – Venkat

    Wednesday, August 1, 2012 - 11:09 pm

    Muthu said:

    It’s nice to share to the first tip to all my team members – Muthu

    Wednesday, August 1, 2012 - 11:09 pm

    Gokul said:

    Tip 1 is the best – Gokul

    Wednesday, August 1, 2012 - 11:10 pm

    VENNILA said:

    First tip is very useful.

    Thursday, August 2, 2012 - 12:44 am

    Sunitha said:

    Tip 1 is very useful to increase the insurance cash flow also for tracking the claims

    Thursday, August 2, 2012 - 12:46 am

    Jayalakshmi.J said:

    my vote for 1st tip it is a great tip.

    Thursday, August 2, 2012 - 12:47 am

    Navaneetham said:

    First tip is a great tip. It is very useful.

    Thursday, August 2, 2012 - 12:48 am

    Renuka.C said:

    My choice for No.1 This is valid tip

    Thursday, August 2, 2012 - 12:48 am

    Jeevitha said:

    My choice for No.1 This is Useful tip

    Thursday, August 2, 2012 - 12:51 am

    Fredrick said:

    I like 1st tip–it’s perfect and also a useful report for all.

    Thursday, August 2, 2012 - 12:58 am

    RAJESWARI said:

    TIP 1 IS VERY USEFUL FOR US.

    Thursday, August 2, 2012 - 1:05 am

    subha said:

    THE FIRST TIP IS BEST..

    Thursday, August 2, 2012 - 1:05 am

    IDHAYA said:

    First tip is very useful

    Thursday, August 2, 2012 - 1:06 am

    Kavitha.S said:

    First tip is very useful.

    Thursday, August 2, 2012 - 1:06 am

    Ruby.M said:

    I like first tips.

    Thursday, August 2, 2012 - 1:07 am

    Divya said:

    I like first tip. Very useful

    Thursday, August 2, 2012 - 1:08 am

    Walter Legrand said:

    The first tip is very useful to work on the outstanding AR.

    Thursday, August 2, 2012 - 1:09 am

    Edward Walter said:

    I like the first tip.

    Thursday, August 2, 2012 - 1:13 am

    Gomathi said:

    I vote for first tip. Very useful

    Thursday, August 2, 2012 - 1:16 am

    Julia said:

    First tip is very useful

    Thursday, August 2, 2012 - 1:18 am

    S Ganes said:

    I like the billing tip# 1..Thanks S Ganesh

    Thursday, August 2, 2012 - 1:28 am

    Julia.A said:

    I vote for first tip. Very useful

    Thursday, August 2, 2012 - 1:43 am

    Daisy said:

    I like first tip. Very useful

    Thursday, August 2, 2012 - 1:47 am

    GIRIJA said:

    First tip is very useful

    Thursday, August 2, 2012 - 2:16 am

    Suresh Kannan said:

    I would like to suggest the first tip. It is very effectual for outstanding claims.

    Thursday, August 2, 2012 - 3:23 am

    Bala said:

    First 1 is good – Bala

    Thursday, August 2, 2012 - 5:47 am

    Basheer said:

    The first tip is GOOD!

    Thursday, August 2, 2012 - 5:56 am

    Max Anderson said:

    I prefer the first one !!!!

    Thursday, August 2, 2012 - 6:17 am

    George said:

    I vote for tip 1.

    Thursday, August 2, 2012 - 7:28 am

    Jim said:

    Tip number 1. Outstanding.

    Thursday, August 2, 2012 - 9:02 am

    Lakshmi Narasimhan said:

    First Tip is Awesome!!!

    Thursday, August 2, 2012 - 11:46 pm

    vijay said:

    My vote for 1 tip

    Friday, August 3, 2012 - 2:43 am

    Jack said:

    First tip is best tip.

    Friday, August 3, 2012 - 2:45 am

    Amith said:

    First tip is good

    Sunday, August 5, 2012 - 10:15 am

    Prabhu said:

    My vote for first tip

    Sunday, August 5, 2012 - 10:16 am

    Anand said:

    I vote for first tip Very useful

    Sunday, August 5, 2012 - 10:21 am

    Aravind said:

    The first tip is best

    Sunday, August 5, 2012 - 10:23 am

    Anbarasan said:

    I like tip #1

    Sunday, August 5, 2012 - 10:24 am

    Ameer said:

    I like the billing tip# 1

    Sunday, August 5, 2012 - 10:25 am

    Aravind said:

    First tip is very useful

    Sunday, August 5, 2012 - 10:26 am

    Rafiq said:

    I think, the first tip is the best

    Sunday, August 5, 2012 - 10:27 am

    Arun said:

    My choice for No.1 This is valid tip

    Sunday, August 5, 2012 - 10:28 am

    Arun kumar said:

    Tip 1 is very useful and everyone has to make use of it

    Sunday, August 5, 2012 - 10:29 am

    Rajesh said:

    The first Tip is the best tip

    Sunday, August 5, 2012 - 10:30 am

    Arun Kumar said:

    I like the first tip

    Sunday, August 5, 2012 - 10:43 am

    Aravind kumar said:

    First is the #1 tip

    Sunday, August 5, 2012 - 10:45 am

    Ashok said:

    First is very useful

    Sunday, August 5, 2012 - 10:46 am

    Bharath said:

    Tip first is the best tip

    Sunday, August 5, 2012 - 10:47 am

    Ashok Kumar said:

    First tip is awesome

    Sunday, August 5, 2012 - 10:48 am

    Thiyagarajan said:

    My choice for No.1 This is Useful tip

    Sunday, August 5, 2012 - 10:49 am

    Bala said:

    I vote for Tip #1–this may increase provider’s cash flow

    Sunday, August 5, 2012 - 10:50 am

    Gokul said:

    First one is good!

    Sunday, August 5, 2012 - 9:42 pm

    saranya said:

    First tip is best

    Sunday, August 5, 2012 - 11:51 pm

    saran said:

    First tip is very useful

    Sunday, August 5, 2012 - 11:52 pm

    venkat said:

    The tip 1 is amazing and useful

    Sunday, August 5, 2012 - 11:52 pm

    Laxmi said:

    I like the first tip.

    Sunday, August 5, 2012 - 11:52 pm

    Eswari said:

    My choice for No.1 This is valid tip

    Sunday, August 5, 2012 - 11:53 pm

    Prabhu said:

    I prefer the first tip

    Sunday, August 5, 2012 - 11:53 pm

    Jack said:

    I like 1st tip–it’s perfect and also a useful report for all.

    Sunday, August 5, 2012 - 11:54 pm

    Prabha said:

    Tip 1 is the best – Gokul

    Sunday, August 5, 2012 - 11:54 pm

    Prabhakar said:

    The Tip 1 is best

    Sunday, August 5, 2012 - 11:55 pm

    Prabhakaran said:

    I like the billing tip# 1 which is increase the cash flow of provider since it is very detailed prescribed to follow.. Good Luck.. Thanks Sam

    Sunday, August 5, 2012 - 11:55 pm

    Roby said:

    First one is good to reduce the AR

    Sunday, August 5, 2012 - 11:55 pm

    Gowthami said:

    AR can be reduced by using the first tip.

    Sunday, August 5, 2012 - 11:56 pm

    Joshua said:

    High dollar claims can be attacked using the first tip.

    Sunday, August 5, 2012 - 11:56 pm

    Mohan said:

    The tip 1 is great and will make use of it

    Sunday, August 5, 2012 - 11:56 pm

    sathish said:

    No 1 is the best

    Sunday, August 5, 2012 - 11:57 pm

    Ami said:

    The tip 1 is good for AR.

    Sunday, August 5, 2012 - 11:57 pm

    Anand said:

    No 1 tip is very useful to work on AR.

    Sunday, August 5, 2012 - 11:58 pm

    Anand said:

    First 1 is cool to work

    Sunday, August 5, 2012 - 11:58 pm

    arasan said:

    The first tip is good and useful

    Sunday, August 5, 2012 - 11:58 pm

    aman said:

    The no 1 tip is great

    Sunday, August 5, 2012 - 11:59 pm

    Karavind said:

    The best tip is no 1.

    Sunday, August 5, 2012 - 11:59 pm

    Arun said:

    Tip 1 is perfect

    Monday, August 6, 2012 - 12:00 am

    arif said:

    Good to chose the first tip

    Monday, August 6, 2012 - 12:01 am

    Arun said:

    Good tip is first one.

    Monday, August 6, 2012 - 12:02 am

    Arun said:

    My choice is no. 1

    Monday, August 6, 2012 - 12:02 am

    singa said:

    The tip no 1 is good to work

    Monday, August 6, 2012 - 12:03 am

    Balaji said:

    We can reduce the OLD AR by using the first tip

    Monday, August 6, 2012 - 12:03 am

    kumar said:

    The tip one is perfect to report to reduce the 90+AR.

    Monday, August 6, 2012 - 12:04 am

    Arun said:

    I prefer the first one, because we can work on the old age claims

    Monday, August 6, 2012 - 12:04 am

    Ashok said:

    The tip 1 is good to handle Ar.

    Monday, August 6, 2012 - 12:05 am

    Fernand said:

    The good one is the first tip

    Monday, August 6, 2012 - 12:05 am

    Bharath said:

    The tip 1 is good to reduce the old claims

    Monday, August 6, 2012 - 12:05 am

    Tasmi said:

    The no 1 is tip great.

    Monday, August 6, 2012 - 12:06 am

    bala said:

    The tip to reduce AR is first one.

    Monday, August 6, 2012 - 12:06 am

    bhuvan said:

    Wow! The Tip one is great one.

    Monday, August 6, 2012 - 12:07 am

    Boopalan said:

    The tip first can used in many ways to attack the claims

    Monday, August 6, 2012 - 12:07 am

    Fash said:

    The great one is first.

    Monday, August 6, 2012 - 12:07 am

    Kumaran said:

    Yes. The first one is the best to handle the AR.

    Monday, August 6, 2012 - 12:08 am

    cheenu said:

    Amazing tip is No 1

    Monday, August 6, 2012 - 12:08 am

    Dinesh said:

    The tip 1 is very useful

    Monday, August 6, 2012 - 2:51 am

    Babu said:

    No 1 tip is awesome

    Monday, August 6, 2012 - 2:52 am

    deepak said:

    The no 1 is tip can be used in many ways.

    Monday, August 6, 2012 - 3:07 am

    Chris said:

    The tip 1 is the best.

    Monday, August 6, 2012 - 3:46 am

    Laura said:

    I really like all the ideas, however billing tip#1 is my top vote. I think reducing AR needs to be priority on all our accounts.

    Monday, August 6, 2012 - 10:38 am

    Dorothy said:

    I vote for #1 Good tip :)

    Tuesday, August 7, 2012 - 12:34 pm

    Rajkumar said:

    Tip 1 is helpful to work on the outstanding AR.

    Wednesday, August 8, 2012 - 12:40 am

    Chris said:

    First one is good

    Friday, August 10, 2012 - 10:19 pm

    SHASHIKUMAR.N said:

    The tip 3 is very useful

    Thursday, August 30, 2012 - 11:10 pm

    SUMATHI.S said:

    The tip 3 is very useful

    Thursday, August 30, 2012 - 11:12 pm

    GOVINDAMMA said:

    The tip 3 is great

    Thursday, August 30, 2012 - 11:13 pm

    jasbin sunitha said:

    The tip 3 is awesome.

    Thursday, August 30, 2012 - 11:14 pm

    muthulakshmi said:

    I vote for no 3

    Thursday, August 30, 2012 - 11:15 pm

    sangeetha said:

    The tip 3 is very useful

    Thursday, August 30, 2012 - 11:16 pm

    prabin said:

    The tip 3 is the one which we need more.

    Thursday, August 30, 2012 - 11:18 pm

    KUMARI said:

    The tip 3 is very useful

    Thursday, August 30, 2012 - 11:20 pm

    Albert Bentley said:

    I vote for #1 is great tip

    Friday, August 31, 2012 - 10:29 pm

    Vijay Anand said:

    I vote for # 1 is wonderful tip for this month

    Friday, August 31, 2012 - 10:31 pm

    OM NOANJHON KANDHASAAME YUVARAJ said:

    I prefer the third one, because it help’s more for AR

    Tuesday, September 4, 2012 - 10:42 pm

    Jayalakshmi.J said:

    First tip is the best tip for me. Thanks – Jaya

    Tuesday, September 4, 2012 - 11:13 pm

    Vennila.N said:

    First tip is very useful..

    Tuesday, September 4, 2012 - 11:15 pm

    Elnore said:

    The 1st tip is spot on!

    Tuesday, September 25, 2012 - 6:08 am

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