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A/R Terms
A/R Process
Cash
Miscellaneous
More Misc
100
Term used to denote money owed to a practice for services rendered and billed.
What is A/R or accounts receivables?
100
The name of our billing system where charges are entered from Edits.
What is GPMS/Groupcast
100
Clients will rarely complain about too much of this coming in.
What is cash?
100
Abbreviation for the advising paperwork that tells how the insurance company processed or adjudicated the claim- comes either by paper in the mail with a check or electronically through our clearinghouse
What is ERA or EOB?
100
The process by which an insurance company tells us they don't think they should pay us (or our clients) for the services that were billed as it was submitted.
What is a denial?
200
What is calculated by taking all of the outstanding balances due and dividing it by the average daily charge?
What is Days in A/R ; A/R days; DSO; DAR
200
The two elements needed to create a live charge - these are typically matched up in Edits+ before coming across to the live billing system.
What are coding (DX & CPT) and demographics?
200
Document/tool used to create cash projections and budgets for clients' cash -
What is the CRP?
200
Sometimes an insurance company won't pay the entire balance due, as they feel the patient hasn't contributed enough and must also pay this.
What is a co-pay or co-insurance or even deductible?
200
The place where self pay accounts go to either die or be collected with the threat of going to court or ruining a perfect credit score....
What is a collection agency?
300
A pretty chart that shows outstanding balances by the time periods of "0-30" "31-60" "60-90" to track the age of the A/R?
What is an aging report or aging?
300
This is how often claims go out to the payers electronically.
What is daily?
300
The process by which payments and adjustments are taken as per the instructions (EOBs/ERAs) from the payers.
What is cash posting? and/or auto posting
300
The number of offshore partners we have.
What is four?
300
The process used for submitting a revised claims to the payer if it was originally denied and we found a coding error (this must be extremely rare)
What is sending a corrected claim?
400
MedData's portal with both month end and close to live reports for clients and internal users that can be pulled into charts, spreadsheets and reports. Some items reported here are month end financials, scorecards, aging reports, to name a few.
What is IQ?
400
Term/process by which claims sent electronically are sent back to us from the payer without processing the claims.
What are EDI rejections or front end rejections?
400
Team responsible when cash is not meeting budget
What is all of us? (Not just A/R!) The reason is that not all cash problems stem from A/R or provider enrollment, high self pay, or low visits. Each issue must be researched to find the root cause of the problem for proper and prompt correction.
400
When a client has an agreement with an insurance company to take a lesser amount than normal billed charge, and accept is as payment in full.
What is a contract or contracted agreement?
400
Another process we can use to get denied claims paid. When we want someone at a higher level to review all the records and make another decision, we send all supporting documents to do this.
What is appeal?
500
3 letter abbreviation for the technology that allows us to send electronic claims quickly to the payers...
What is EDI
500
Average time it takes for Medicare to process and pay on a clean electronic claim
What is 2 weeks?
500
A document or list from an insurance company (AKA Payer) that tells us what they will pay us for each CPT code we bill to them.
What is a contractual fee schedule/allowance
500
Term used to denote how much on average we collect when we bill a particular payer for services
What is the gross collection rate?
500
I ran out of questions
What is I ran out of questions