AR Reimbursement Analysis

AR Reimbursement Analysis

Global Health provides an AR Reimbursement Analysis, a benchmark analysis that identifies how your practice AR compares to similar specialties and locations.

  • Are you collecting the correct payments towards your contracted fee schedules?
  • Know the payers with whom you need to re-negotiate payer allowances in order to adhere to regional and national benchmarks for your specialty.

Clinicians provide clinical services to patients that evolve into business office tasks which generate insurance claims, patient statements and multiple goals. Two of the most important goals are to recover revenue for the practice and to encourage continued support of patients by the clinician within the healthcare sector. A third goal gaining in popularity is superior quality of care provided by healthcare practitioners. Each goal requires separate identifiers to meet payer and government requirements demonstrating quality, reimbursement for services and maintenance of the highest level of reimbursement.

Specific key indicators to watch in practice style executive dashboards:

  • Days in A/R by site, by payer
  • Visit counts
  • Payer mix
  • Revenue per case
  • Revenue per payer per case
  • Revenue per procedure type
  • Charge lag times
  • Denial rates and types
  • Bad debt trending
  • Expected remaining payments
  • Quality identifiers such as PQRS achievements
  • Cancelled cases

There are many more KPIs to report against and each KPI should have a benchmark, either based on historical data or projection targets.

Global Health Management Services has developed customized Executive Dashboard services available to any size healthcare organization or provider(s). Due to the approach and experience GHMS has with analytics in the healthcare sector, we are able to develop the dashboards you need at the lowest expense possible. In most cases, our dashboards pay for themselves within 30 days, by reducing ongoing expenses and highlighting opportunities for enhanced revenue and operational workflow.

AR Reimbursement Analysis

Is your A/R outside of benchmarks?

To confirm your practice is in accordance with benchmarks for your practice specialty, contact Global Health today to receive a complimentary specialty benchmark measure.