Healthcare Accounts Receivable Tracking
Most hospital business office operations are made up of a cluster of systems linked by a layer of processes and procedures executed by the end users. This layer of manual process is often the source of reduced IT efficiency and accounts receivable backlogs.
RRS’s proprietary system HART was created to maximize claim resolution by improving collector efficiency. Utilizing HART allows RRS staff productivity volumes to vastly exceed industry standards. HART is platform independent and will accept any file feeds. We recommend our customers provide their Explanation of Benefit files (835s), Billing files (837I and 837P)s, and patient demographic files. Doing so empowers RRS to identify, report and correct denials to expedite cash collections. The flexibility of HART enhances the collection process. Work lists and reports can be updated and created in real time. Comments are batched to the legacy system, keeping the RRS and customer teams in sync. Real-time productivity within HART eliminates day-end processing, meaning no delays in seeing productivity numbers. This equips our supervisors to redirect staffing to accommodate changing volumes within the placed portfolio. Work lists can be created, changed and implemented daily if needed to target cash.
HART Key Advantages:
HART provides the ability to create custom work lists that our managers and supervisors utilize to focus collection efforts on that will generate cash. Our collection analysts are able to modify assigned work lists to work accounts or invoices by MRN, date of service or other key factors, thereby increasing productivity by updating and referencing multiple accounts within a single phone call to the payor. Real time processing equates to real time productivity numbers on our staff. The high productivity of our staff converts to increased cash for our customers. Supervisors utilize the productivity numbers to insure adequate staff has been assigned to each portfolio and to insure analysts are working to their fullest potential.
Reporting / Trends
HART accepts files from payer systems including 835 Explanation of Benefits, 837 Bill Forms, 271 Eligibility data as well as flat files from provider billing systems. Having access to this data allows RRS to provide custom real time reports within minutes. Internally the information is used by our collection analysts, supervisors and managers to quickly identify accounts that have been placed or notated with the same denial, or payor issue. The identified accounts are directed to a specific worklist eliminating the wait time before each account/ invoice would be touched by a collector on a standard worklist. The trending information is supplied to the customer where the feedback can help eliminate the root cause of the problem before the claim is produced. Externally the data is used to create reports that can target areas of concern within the portfolio. Customers can request status on their entire placed portfolio, or specific payors within the portfolio and will have a comprehensive report supplied within minutes. HART has the ability to report on every component that the hospital provides creating detailed targeted reports.
Integration – Flexible and Customizable
HART is integrated with provider billing systems ensuring that the two systems are always in sync. We can work with your facility or physician practice to match our billing tracking codes to your codes streamlining data exchange and reporting. Our goal is to tightly integrate our systems people and processes with our customer’s creating a true extension of your team.