Collections Manager Workflow 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 stay 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 […]
Category: Collections
Work Queue
The Work Queue Home Screen 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 various functions. The workflow management in the Work Queue can be either manual or automated. In manual mode, claims […]
Rank Based KPIs in WorkQueue
Rank Based KPI Rank KPI Work Queue 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 […]
Collection Manager
About Collection Manager Collection Manager is an interface provided by our Practice Management software to enable easy and consistent follow-up on accounts receivable. It helps the Accounts Receivable follow up on a claim at regular intervals until the claim is closed. Thus, the Provider Collection increases while reducing provider expenditure on claim processing. Key Points […]
Denials
Denied Claims 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 […]