Managing Billers and Collectors

December 15, 2009 by PeteTanguay
Filed under CPR+ Customers

CPR+ Collector Reports

One of the features of the CPR+ system is you can assign a default biller and collector to each insurance company. The flexibility allows you to override this at the patient, delivery ticket and invoice level. This can be a very powerful feature if you need to override the collector responsible for a specific patient or invoice. However, if you are not careful, you can end up with an unmanageable mess if your biller / collector assignments don’t easily fit into the CPR+ rules, you have significant turnover in your reimbursement department or your payer mix requires that you adjust collectors for workload balancing.

Rock-Pond recognizes this and provides powerful reports you can use to manage collectors based on the default insurance collector or the collector currently assigned to the invoice. In addition, audit reports are available to alert you when the default collector is not the same as the collector assigned to the invoice. This is critical because you have to manually reassign the collector when you transfer the balance to another payer or to the patient if the collectore who will rework the remainging balance is different than the one for the payer the invoice was transferred from.

Bottom line, in order to effectively use the biller and collector fields in CPR+, you’ll likely need some additional reporting to manage your data quality based on your current collector assignments and you may need additional reporting to produce reports for your collection manager and collector to effectively do their job. If you have cases where you have payers that are divided based on the first letter of the last name of the patient, you’ll need some custom reporting unless you are going to have a process to manually assign these at intake.

If there is one thing an infusion company must do it is manage their A/R and determine how to get the most productivity out of the billing and collection staff. It’s not always easy, but the effort is worth it.

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