Assessment Sample

Performance snapshot

Collection cycle taking 10 days more than the benchmark for the industry, with high proportion in
aged AR some of the likely issues:

Identify accounts with past due patient balances and move to collections
Identify accounts past filing limit and appeal limit and adjust off
Identify payer and procedures with lower net collections

90+ AR is 60.89% higher than the benchmark, lack of follow up and patient collections can be the
possible reasons for high AR in this bucket

Net collections close to target though crossed the benchmark only once in last 5 years.

Current charges have potential to collection close to $20k additional every month, an additional
collection of $240K annually.

0 - 60 AR is in control and close to the industry standard therefore indicates the billing and submission
process is performing well, however the AR is high in 30+ buckets indicating:

Issues with follow up, insufficient or timely follow up on claims

Denial handling; timely follow up and identification of root cause
Secondary Billing issues; paper claims vs electronic
Patient billing; effective follow up and collections on patient AR required

Year on year trend on 90+ AR

Year on year trend on Days in AR

Year on year trend on Net Collections