Category: Collections

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 in the 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, […]

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

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

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. […]

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