If your receivables have increased due to staff turnover, lack of knowledge, or a recent acquisition, HPS can provide collection services on your aged claims on an interim basis. Outsource all or part of your aged receivables to HPS.
Claims follow-up and rebilling as necessary.
Weekly progress reports provided.
Identification and correction of cash posting and adjustment errors.
Our efforts in AR clean up often reveal operational challenges that if corrected, will be beneficial long after we are done. Problems with payer set up and claim formatting, denial management weaknesses, vulnerabilities in eligibility verification and the insurance authorization process are common.
Billing & Collection Staff Training
From time to time Agencies have a need for training of business office staff due to turnover, employees new to the industry or just in need of a refresher.
How to resolve Returned to Provider (RTP) claims in the Medicare system
Educating on how to research and resolve claim denials
Educating on how to read Medicare remittance advices
How to resolve complex claim processing problems
How to Process Notice of Elections (NOE) in the Medicare system
How to check eligibility and certification periods
Tour of intermediary websites to locate manuals and billing guidelines
Presentation and training for a billing audit to maintain compliance
Billing & Collection Process Reviews
HPS will evaluate all revenue cycle processes from the management of unbilled claims through and including posting of cash receipts. These reviews typically identify internal control weaknesses, inefficiencies in processes and missing compliance procedures. Recommendations will be made regarding staffing levels, job descriptions, current duties, documentation flow, tracking mechanisms, etc.
These billing and collection process reviews are often performed in conjunction with an operational review. Since the front office staff is critical to the success of the back office we typically review intake, case management, eligibility, authorization, quality & education, performance improvement, clinical supervision, OASIS processing, orders processing, medical records and documentation auditing as a part of this process.
Month End Revenue Cycle Accounting Reviews
Accounting for episodic receivables can be challenging for Agencies. Software vendors can handle the accounting for revenues and receivables very differently. HPS has experience with multiple home care and hospice systems and can provide guidance on the most efficient methods of recording your revenue cycle activity.
Accounting for Unbilled Claims
Episodic Revenue and Deferred Revenue Calculations
Reconciliation of Cash Received per the Bank to Cash Posting in the Receivables System