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Avea Solutions Blog

3 Ways Electronic Claim Collections Protect You From Unexpected Shifts

Aug 8, 2017 10:06:08 AM / by Greg Goode

Greg Goode


 3 Ways Electronic Claim Collections Protect You From Unexpected Shifts


In our new weekly blog series, "Dashboard Driven Decisions," we'll be examining how addiction recovery, substance abuse and behavioral health organizations can greatly benefit from monitoring patient claims electronically, specifically via the use of a claims dashboard.  Electronic claims management is faster, more organized and less error-prone than traditional methods, allowing your back office to work more effectively and you, in turn, to focus on growing your business.

In our fifth installment, we examine how the implementation of electronic claim collections can help you both prepare for changes in reimbursement trends and identify issues faster.


Know Where Your Collections Are & Identify Issues Faster 

Verify that claims have been accepted and are processing via software. Alternately, if claims are rejected by the clearinghouse or the payer, find out immediately so you can adjust and resubmit as necessary. All of these functions are important for your back office collection teams to have accurate and timely awareness of issues, allowing you to mobilize resources faster and more effectively, which in turn lets you close your expanding days in A/R. 


Stay Ahead of Reimbursement Trends & Changes 

Through robust reporting, you can track payments for specific payers and policies and adjust accordingly when reimbursements dip or increase. If you're an out-of-network provider in a specific area, and you notice a major payer has dropped their usual and customary rate or maximum reimbursable charge for a specific level of care you provide, it may be time to reevaluate your marketing or admissions practices to vary your payer mix to account for these reimbursement dips. 

 Identifying underpaid claims will allow you to take swift and appropriate action. You should also be able to anticipate potential refund requests. Projecting revenue no longer has to be like reading tea leaves; electronic claim collections let you base your expectations on real data. 


Specialize Your Workforce   

Put the right people in the right places to monitor and ensure collections are coming in quickly and being allocated accurately. For example, if you have one person who's great at writing appeal letters, utilize that person's skill set to fight for maximizing your reimbursement. 


Check out our "7 Things Your Back Office Should Be Doing" webinar video and slide deck for greater insight into how dashboard-driven decisions can help you get the returns you deserve.




Further Reading:

- 3 Electronic Insurance Payment Facts For Revolutionizing Your Revenue 

3 Key Enrollment Facts To Help Free Your Trapped Revenue

- Aspen Ridge & Avea: Sharing A Vision

- Why AveaOffice?


Topics: Claims Management, Dashboard Driven Decisions

Greg Goode

Written by Greg Goode