Pulmonology Account Receivable Services

Streamlined AR Services for Pulmonology Specialty Groups

Is your pulmonology practice grappling with tardy reimbursements, especially those lingering past 60, 90, or 120 days? Tackle these persistent billing hurdles through our tailored strategy.

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Transforming Accounts Receivable: Premier Account Receivable for Pulmonology

Expertise in Pulmonology Account Receivable Management
With over eight years of dedicated experience, our team excels in managing accounts receivable specifically tailored to pulmonology practices.

Incorporation of Leading-Edge AI
We deploy the latest artificial intelligence technologies to enhance the efficiency of the accounts receivable process, significantly minimizing manual intervention.

Dynamic Alert System
Our sophisticated system promptly notifies you of any pulmonology account receivable that exceed predetermined performance benchmarks.

Enhanced Claim Settlement Efficiency
Our proficient experts maintain an exceptional 98% success rate in recovering pulmonology account receivables, often resolving these cases swiftly.



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Addressing Challenges in Pulmonology Account Receivable Operations

The intricate nature of managing pulmonology account receivable is marked by frequent miscommunications between insurers and medical practitioners. Predominant obstacles encountered in pulmonology AR encompass:

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Mistakes in billing, notably concerning the variety of pulmonology billing codes.

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Challenges in substantiating the medical necessity of certain procedures.

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Issues stemming from the credentialing processes of healthcare entities.

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Difficulties in the precise determination of service locales and facility types.

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A deficiency in staff possessing specialized knowledge in accounts receivable operations.

These factors often culminate in inefficient dealings with insurance firms and less-than-optimal outcomes, manifesting in protracted, unsettled accounts receivable claims, regularly exceeding 30 days.

Our offering includes bespoke solutions adept at effectively navigating and resolving these complex issues in Pulmonology AR management.

Enhance Your Clinic's Financial Performance with Expert Pulmonology Account Receivable Management

Neglected accounts receivable can drastically undermine the financial stability of Pulmonology clinics, potentially leading to average revenue shortfalls of around $10,000 monthly. Our skilled AR team excels in recovering these funds with outstanding effectiveness.

  • Utilize our experienced AR specialists to manage your clinic's pending receivables.
  • Receive comprehensive daily, weekly, and monthly reports from our top AR professionals.
  • Take advantage of our adaptable pulmonology account receivable solutions, tailored to meet your clinic's unique requirements.
  • Strive to reduce your aged accounts (60, 90, and 120+ days) and improve your collection process's efficiency.

Explore Tailored Support for Your Pulmonology AR Demands.

Dispelling a Common Misconception:Although Electronic Health Records (EHRs) appear cost-effective, charging only about 2% of collections, they might neglect critical AR tasks like eligibility verification and accurate coding. Understanding their full potential beyond just claim processing is crucial!

In Pursuit of Tangible Results? We are committed to transforming our commitments into measurable, tangible outcomes.

Implementing MGMA Benchmarks and Essential Indicators in Pulmonology Account Receivable Operations

Our approach integrates 7 Principal Performance Indicators (PPIs) from a comprehensive list of 15, meticulously assessing Revenue Cycle Management (RCM) with an emphasis on AR calling processes in Pulmonology.

Benchmark Criteria for A/R Days:

35 or fewer A/R days = Optimal or Superior performance

35-50 A/R days = Moderate Performance

Acknowledging the impact of filing delays is vital, as they can hinder the resolution of unsettled AR. Accounts remaining over 90 or 120+ days in AR significantly diminish the likelihood of successful claim recuperation.

Principal Metrics Include:

A/R Days:

Monitors the average time taken to clear Accounts Receivables. Averages above 50 days generally signify below-average performance.

Initial Claim Resolution Rate (ICRR):

Evaluate the effectiveness of settling claims at the first submission.

Total Collection Rate (TCR):

Measures the proportion of the total invoiced amount that is effectively collected.

Actual Collection Rate (ACR):

Concentrates on the portion of receivable revenue that is actually acquired.

Percentage of A/R Over 60 Days:

Assesses the proportion of Accounts Receivables overdue for more than 60 days.

Revenue per Visit:

Calculates the average income generated per patient appointment.

Contractual Discrepancy:

Assesses the variance between expected payment amounts as per contract and the actual receipts.

CleAR - Revolutionizing AR Operations with AI-Enhanced Automation

CleAR is reshaping the process of Accounts Receivable management, converting complex activities into streamlined, efficient workflows. Our AI-powered platform elevates your collection efforts and diminishes costs.

  • AI-Enabled AR Data Evaluation and Categorization: Utilizes AI to swiftly identify receivables needing immediate attention.
  • AI Conversational Assistant: Streamlines interactions with insurance/payer systems, accelerating the connection to human agents.
  • Comprehensive Reporting Suite: Provides detailed insights through reports like Aged Trial Balance (ATB), Open Balance Report (OBR), and Denial Analysis.
  • Robust Security Framework:Protects your AR management data with sophisticated, layered security protocols.
  • Enhanced Collaborative Dynamics: Boosts clarity and comprehension of data, promoting better cooperation across various teams
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Comprehensive training programs by Billing Paradise, equipping staff with the skills and knowledge for efficient healthcare billing

Enhancing Patient Care through AI-Integrated Pulmonology Account Receivable Solutions

Combine the personal touch of human interaction with the accuracy of AI by adopting our AI-powered pulmonology account receivable services. This fusion promotes patient involvement in their healthcare process and reduces the common delays linked to waiting periods.

  • Patient-Centric Services:Our AR team focuses on patient needs, improving both communication and collection initiatives.
  • AI-Enhanced Financial Engagement: AI-supported patient communication and assistance refine the financial aspect of patient care.
  • Efficient Patient Invoicing:Detailed billing statements with embedded collection functionalities.
  • Customized Payment Solutions: Provides patients with flexible payment arrangements suited to their financial situations.

Transforming Patient Payment Collections Through Advanced Automation

Revitalize your patient payment collection strategy with our state-of-the-art automated system, enhancing clarity and decision-making efficiency. Seamlessly integrated with Electronic Health Records (EHR), our system streamlines the collection process.

  • Boosted Operational Efficiency:Streamlines payment procedures, saving valuable time and resources.
  • Resource-Efficient Management:Automates routine activities, freeing up resources for more vital functions.
  • Robust Data Protection: Safeguards patient information with top-tier electronic security measures.
  • Timely Payment Encouragement:Issues personalized reminders to promote prompt payments.
  • Clearer Patient Communication: Provides precise payment details, minimizing patient confusion and redundant queries.

Our sophisticated Automated AI bots adeptly handle these regular tasks, interacting with patients in a user-friendly manner.

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Comprehensive training programs by Billing Paradise, equipping staff with the skills and knowledge for efficient healthcare billing

Boost Team Productivity with Sophisticated Voice AI Innovations

Our Voice AI solutions streamline phone interactions, freeing your team to focus on critical tasks. Eliminate extensive hold times and the hassle of dealing with various health plans and payer telephone systems.

AutoDial

AutoDial

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Phone IVR navigation

Record

Record

Transcribe

Transcribe

MultiCall

MultiCall

SmartHold

SmartHold

Connect

Agent Connect

Search

Search

Results that will make you woah!

51%

Reduction in Manual Work Hours

70%

Increase in Collections

98%

Decrease in AR

80%

Increase in Productivity

60%

Reduction in Bad Debts Write Off

Experienced Over 30+ EHRs, EMRs and PMS

We Adapt to your EHR as Migrating Data can be a Tedious Task

BillingParadise Credentials

Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.