AR Mangement

AR Mangement


A/R Reports 

A/R Management : Run for a variety of criteria and breakdowns, shows the details of the A/R changes, with Aging breakdown, or can be run ONLY for the aging breakdown, which gives a display much like the Interactive Aging. 

  • Totals by Primary Diagnosis, Procedure,  
  • Escrow checkbox calculation is 'as of the date you ran the report', what was in escrow' - Last Posted Date:  

 

  • A/R Analysis 

 

Gives a Day by Day, Wk by Wk, Month by Month, or Year by Year tracking of changes in the A/R. For the reporting criteria you see what the beginning A/R was, all the changes and the ending A/R. A/R Analysis separates the adjustment and transfers 

  • Net =Charges - Payments - Adjustments + Refunds +/- Transfers = the NET effect on the accounts receivables 
  • Days in A/R= based on Admin REPORT setting - 
  • ARDAYS -NUMBER OF DAYS/MONTH - AVERAGE DAILY BILLING CALCULATION  
  • ARMONTHS -NUMBER OF MONTHS (LOOKBACK) - AVERAGE DAILY BILLING CALCULATION  
  • Practice Analysis 
  • This is one of our most popular reports, due to the output it provides, and the ability to create multiple  Group By levels 
  • Can be used to report RVUs 
  • This report shows % of charges; per Insurance/Provider/Facility/etc....driven by what 'Group by' are used 

 

  

 

 

Transfers: The money moved (transferred) from/to the next responsible party  

IE Medicare pays 80%, 20% is transferred OUT (negative amount - reduces the A/R out to Medicare) to a secondary (positive amount - increases the A/R out to secondary).  If the report is grouped by insurance, we would expect Medicare to have a large negative number and AARP to have a positive #.  A Payer that is typically a Medicare secondary is going to get most of its A/R through transfers as opposed to Charges.  

 

Prof% = Profile % 

This is a calculated field: Payments divided by (Payments + Adjustments) 

Examples: If you bill $100 and are paid $100 then it is ($100 / ($100 + $0)) = 1 or 100% (for every dollar billed I am receiving a dollar (or 100% of my money))If you bill $100 and are paid $50 (with a $50 CO45) then it is ($50 / ($50 + $50)) = .5 or 50% (for every dollar billed I am receiving 50 cents (or 50% of my money)) 

 

RVU - is calculated by the number of CPT units billed times the RVU amount associated with the CPT record. 

If run by post date: all charges and payments within the chosen time frame are reported 

 

YTD totals are driven by the dates that are flagged when closing the periods. If someone wants to compare another report to the YTD #s in Practice Analysis they need to verify what the start day is of the YTD numbers. It may be January 1, and it may not be Jan 1. View the Closed Period Summary (Reports > Period Analysis & Closing > click the 'Summary' link) and check when the New Year was started. Ex: If the Start date is 11.28.14 and End date 1.2.15 the correct start date for YTD totals would begin 1.3.2015. This would mean that the first Post Date of the year is 1.3.2015 and that date should be used as the start date for a comparative postdate range. 

 

Patient:  If you add up each item in the column, it may not equal the total - this is by design.  For example, if patient 100 saw both Dr. Smith and Dr. Jones the patient count for each doctor would be 1, but the total would also be 1 because we don't want to count the same patient twice.  All counts are unique. 

 

Encounter:  If you add up each item in the column, it may not equal the total - this is by design.  For example, if the report is ran using Procedure Code Reporting Groups, a single Encounter could have CPTs in two different Reporting Groups.  Each CPT will count as 1 within the Group, BUT it only represents ONE Encounter in the Total - therefore the sum will not = the total.