Collections Workbench – Pursuing Revenue


The surest way to decrease collections and minimize A/R is by collecting as high a percentage of revenue upfront as possible by collecting patient-pay, and making sure the patient’s benefits were checked and authorizations were obtained prior to treatment to reduce claim rejections and deniles. Keeping open patient balances at a minimum and appealing deniles quickly and persistantly helps keep recievables low.

But when you have denials to appeal here’s what PracticeSuite can do:

Denial Management

• ERA auto-posts denials and under payments
• For manual EOB/payment, enter $0 payments with 5010 compliant denial codes
• Run Denial Reports
• Denials get posted to collectors in Collections/Follow-up workbench
• Complete end-to-end workflow to track follow-up and collections activities
• Run Reimbursement Analysis Report to compare under payments against contract schedule
• Small balances can be written-off or adjusted through Mass Adjustment Module with custom defined or pre-defined adjustment codes

Installments/Payment Plan Management

• Easily schedule patient payment plans
• Easy access to View/Print payment plan activities
• Easy access to print letters to patient on payment plan screen
• Patients on Payment Plan are excluded from statements cycle
• List / View all Patients added to the Payment Plan
• Print/View payment plan details

Statement Management

• Generate Statements using robust and flexible criteria
• Unique identifier for each statement
• Easy access to snapshots of each statement
• Complete Statement History with details
• Print patient friendly statements
• Customizable downloadable format for third-party printing
• Easy access to statement history
• Print statement from Scheduler & Patient Ledger
• Easy access to Last Statement Date and Last Payment date from Ledger
• Print Statement by Guarantor (Individual/Entity)
• Search and Post Patient Payments by Statement #number
• Complete audit trail of statements: View, Export and Print
• Multiple print formats to choose from

Pre-Collections Management

• Ability to transfer patients to Pre-Collection status
• Ability to generate Precollections Letters
• Pre-Collection patients are excluded from statements cycle
• Easy access to view and print patients in Pre-Collections status
• Downloadable format for third-party printing
• Configure alerts easily

Write Off Management

• Predefined and custom defined write-off types
• Standard contractual v/s other write offs are entered and tracked separately
• Write-offs at line level for granular tracking
• Write-off reporting (Detailed and Summary)
• Capitated HMO claims are written-off automatically after successful submission