Collections Manager Workflow

1. Claims first arrive at the Collections Manager when they are put to BILLED_TO_PR status. Thereafter, they remain in the Collections Manager till 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 […]

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Rank Based KPIs in WorkQueue

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 […]

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Work Queue

Introduction The work queue is primarily used as a workflow management tool to follow up on claims and charges. The claims are categorized and assigned to user teams. This assignment can either be manual or automated through RCM workflow configuration (to learn more on RCM Workflow configuration and its benefits, click here) A. When Work […]

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Collection 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 * RCM workflow configuration is […]

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Denials

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. […]

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