Bill Sample / December 8, 2018 / Rosalie Cain
This lag time roughly averages across all payers making DAR an effective comparison metric between payers for individual provider but invalidating it across multiple providers. One obvious advantage of DAR metric is its independence of charges. The averaging feature of this metric eliminates sensitivity to specific day or CPT but also hides the behavior shape of the accounts receivable curve. First-Pass Pay (FPP Rate) and Denial Rate FPP is the percentage of claims paid in full the first time upon submission (subject to federal or state timely payment regulations: 15 days for electronic submission and 30 days - for paper). Denial rate is the complementary metric to FPP rate. It counts the percent of claims that require followup and therefore cost more to process.
If you dont include the responsibilities of each party in the contract how does it protect either of you when the relationship starts to fall apart? And if neither party knows their responsibilities how can you expect that the relationship will work? Here is an example. You specify in the contract that it is the obligation of the providers office representative to supply you with all the payment remittances but you are not getting them which is causing you to do a lot of extra work in contacting the insurance carriers to check status on claims that were already paid. It is upsetting to spend three or four hours calling insurance companies to find that the claims were paid but the doctors office missed sending you the eobs.
Medical billing is a leading business related to the health care industry. Medical billing business plans help you achieve your goals in the new business sector of medical billing. Like any other businesses proper planning leads to a winning situation. To start a medical billing service either in a small office or a cooperative business with other medical services you should do a plenty of research to create a detailed business plan. Medical billing business plans guide you throughout the billing business to evaluate the medical practices that fall within your target market segment. The demand for health services is on the increase these days. Medical billing business plans describe all the objectives and the nature of services.