Proactive Follow-Up FAQs Q: How do we search for missing, unpaid claims? A: The recommended and most efficient way to track unpaid and unprocessed claims is to generate an aging report through your practice management software. An aging report is a vital tool used to proactively follow up on outstanding claims. Q: After generating an…
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Recommended Procedures for Proactive Aging Report Phone Calls for Workers’ Compensation Workers’ Compensation cases are generally processed differently from other commercial insurance claims. The same is true regarding proactively following up on outstanding or missing workers’ compensation claims. Workers’ Compensation payers or Managed Care Organizations (MCOs) do not follow the same rules for claims processing…
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PI Follow Up An important part of accounts receivable and its follow up process revolves around Personal Injury cases. When a patient receiving care for a PI has no insurance of his/her own and asks you to wait until the settlement is paid, s/he is asking you to “hold a lien.” Unfortunately, some states have…
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Proactive Aging Calls Proactive aging calls are generated when you notice a balance on your aging report and have no idea why it is there. These generally require a call to the carrier to review outstanding bills or dates of service to determine where the payment is and why it hasn’t been received. Most practice…
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In a busy insurance department, it is very important to be a Pro at Proactive follow-up. Reviewing your aging reports and your unpaid claims report are two of the most important tools to be able to work the offices’ Accounts Receivable. It is important for the financial department to be proactive with claims that are…
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Reactive Follow-Up FAQs Q: HELP! Our billing person won the lottery and quit. Where do we start with all of these unpaid claims? A: Implement the KMC University Follow-Up system if you haven’t already. Sort all papers into appropriate folders labeled Reactive Call or Reactive Action. Reactive call items include payments with incorrect information, skipped…
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