Accounts Receivables (A/R) in the context of health insurance claims refers to the process of tracking and managing the outstanding amounts owed to healthcare providers by patients and insurance companies. Follow-up and reporting within A/R are crucial components of this process. They involve continuous monitoring, communicating with payers, addressing denials, and ensuring timely reimbursement for services rendered. Effective A/R follow-up ensures that claims are processed efficiently, reducing the time and effort needed to recover payments.
One of the significant challenges faced by healthcare providers is the recovery of overdue payments. Without a dedicated team for A/R follow-up, these payments can be delayed indefinitely. Pure RCM’s services ensure consistent follow-up on pending claims, enabling timely recovery of overdue payments and maintaining a steady cash flow.
Long outstanding accounts can disrupt financial stability. Our A/R management aims to minimize the duration that accounts remain unpaid. By continuously tracking and assessing outstanding claims, we implement effective strategies to secure prompt payments, thereby reducing the financial strain on your organization.
Missing claims are a common reason for payment delays, often due to lost paper claims. With Pure RCM’s emphasis on electronic claim submission and rigorous follow-up, we ensure that claims are received and processed promptly, eliminating the risk of them getting lost.
Denied claims can significantly impact revenue. Pure RCM’s team follows up on denied claims, identifies the reasons for denial, and resubmits corrected claims promptly. This proactive approach ensures that all claims are addressed and followed through to resolution. Read our articles and services on Denials Management
Sometimes claims are held up due to missing information. Our A/R follow-up team ensures that necessary information is gathered and submitted, speeding up the resolution process and ensuring timely payments.
Benefits of Pure RCM’s Services
Why Choose Pure RCM?
Accounts Receivables follow-up and reporting are vital for the financial health of healthcare organizations. Pure RCM’s comprehensive A/R services ensure timely recovery of payments, minimize outstanding account durations, and address denied claims effectively. By partnering with Pure RCM, healthcare providers can enhance their financial stability, maintain positive cash flow, and focus on delivering exceptional patient care. Our expert team, advanced tools, and dedicated approach ensure that your organization’s A/R processes are streamlined and optimized for maximum efficiency and revenue recovery.