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What are the tools used by an AR Analyst in Claim Analysis Process?

Today I am going to explain you about the various tools used by an AR Analyst for calims analysing.
AR analysts uses the following tools, reports and documents to identify and investigate issues that are affecting cash flow and preventing timely and accurate reimbursement of claims by payers. One or more, and sometimes all, of the following tools, source documents and resources are required for complete and effective AR analysis:

• Patient Account Ledger
• Explanation of Benefits (EOB)
• Regular Mail or Correspondences
• AR calling
• System Reports like
1. AR Reports
2. Custom Reports
3. Financial Reports
4. Electronic Transmission Reports

The extent to which the above mentioned tools and resources are used will depend on the account receivables situation in the accounts. The AR analyst measures the success of collection efforts by computing the current and past AR and collection’s in the specialty and account he/she is handling, comparing it against industry standards, wherever available. The analyst investigates the reasons for any rise in AR or any fall in collections using the tools and documents mentioned above. The objective is to minimize AR and maximize the collection rate.


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