Category: Collections

1. Claims arrive at the Collections Manager when they are put to BILLED_TO_PR status. They remain in the Collections Manager until the balance amount in the line becomes zero. 2. Claims with the following six statuses are always found in Collections Manager. BILLED_TO_PR REBILLED_TO_PR BILLED_TO_SE REBILLED_TO_SE BILLED_TO_TR REBILLED_TO_TR 3. Apart from these, claims denied by […]

Rank Based KPI Rank KPI Workqueue assigns a rank automatically to open insurance claims based on defined payer thresholds and the time left factor for prioritizing claim follow-up.  Like Collection Manager, claims get pulled to the queue and assigned to the user’s worklist for follow-up and action. The ranking is driven by predefined payer thresholds […]

The Work Queue Home Screen Image 1 About Work Queue The work queue is primarily used as a workflow management tool to follow up on claims and charges. The work queue has charges and claims categorized according to different functions. The workflow management in the Work Queue can be either manual or automated. In manual […]

Collections Manager Collection Manager is an interface provided by PracticeSuite to enable easy and consistent follow-up on accounts receivable. It helps the Accounts Receivable to follow up on a claim at regular intervals until the claim closes. Thus, provider collection increases while reducing provider expenditure on claim processing. Key Points to Note * As part […]

Claims which have line sub status as ‘DENIED’ or a denial category code set while posting the claim are considered denied. Such claims are placed in collection manager in order to rectify them and rebill them to the payer. Select Collection manager from the main menu to open Collection Manager screen as in Image 1. […]