Bill Sample / December 9, 2018 / Ellen Tillman
Days in Accounts Receivable (DAR) A growing number of days in accounts receivable are symptomatic of a faulty billing process. One way to determine DAR is to count days from the date of service to the date of payment for every claim and then average across all claims. A simpler way to compute average number of days in accounts receivable by taking a ratio of accounts receivable to average daily charges or Number of days in accounts receivable = (Accounts Receivable / Average Charge) x 365 This metric too depends on medical specialty patient demographics payer mix and CPT sample. Another downside is that this metric is sensitive to provider as it counts the lag time of unsubmitted claims for services already delivered.
One simple idea is to bring in lab samples that you collect at home. Is your pet having a urinary problem? Try to collect a urine sample at home and then bring it in at appointment time. Your vet will have instructions on how to do this depending on whether you have a dog or cat. Its not that hard. Veterinarians love clients who bring in urine samples from their pet because it means less work for them! If urine must be collected by veterinary staff theres a chance youll have to pay for it especially if your pet wont "give it up" on his own and they have to obtain a sample using either a syringe or catheter. The price that you pay for groceries has skyrocketed lately. The cost of bread and milk has steadily been climbing over the last couple of years.
Net collection rate is defined as a ratio of Total Collections and Total Charges less Adjustments. Gross collection rate is defined as a ratio of Total Collections to Total Charges only.) According to Medical Group Management Association (MGMA) 1998 Cost Survey adjusted fee-for-service collections (net collections) for family practices in 1997 averaged 98.65 percent. A declining net collection ratio may be symptomatic of increased contractual write-offs or insufficient number of denial appeals. This metric is especially useful in the absence of modern computer technology when comparison of every payment to allowed amount is impossible or when appeal process of denials is too expensive. Otherwise the use of charges in defining gross and net collection metrics precludes them from productive discovery of process improvement opportunities.