All home infusion software systems have the ability to assign billers and collectors to payers, patients, invoices, at varying levels. However, the day to day process of managing your billing department to measure and increase productivity requires the ability to report the revenue based on who actually created the claim versus who is assigned in the system to bill for the patient. This will help you accurately measure who is creating revenue and measure the volume of claims and patients a billing clerk is working on.
The following are some areas that cause difficulty in accurately measuring productivity:
- Billing primary versus secondary claims
- Assigning specific billers to a therapy across all payers (such as IVIG) is usually not supported by software systems.
- The need to manually transfer the assigned payer when the invoice is transferred to the secondary payer or the patient is time consuming and often not done.
- The difficulty of billing based on therapy and payer is not always the same across therapies and payers, thereby making it difficult to compare productivity across billers.
- Employee changes and the need to temporarily or permanently adjust the billing workload makes the default assignments in the system ineffective.
The end result is that even though it appears that assigment and management of billing personnel is handled by existing software features, in other than the smallest home infusion providers, this is a very challenging area. The first measurement to answer the question, “What are my billers doing” requires the ability to produce a report like the one below, that is based on the biller who created the claim rather than who was assigned to the claim.
Find out what Rock-Pond Solutions can do for your organization. Click on the link below, or call 501-450-6446, and one of our representatives will follow up with you to schedule a demo of our reporting solutions.