System and Method For Managing Account Receivables
A system for managing account receivables is provided. The system comprises a rules module or engine for receiving at least one encounter from a first party and for assessing the at least one encounter based on rules associated with a payer; and a transactions module or engine for outputting at least one claim to the payer based on the rule module's assessment of the at least one encounter.
1 - 33 . (canceled)
34 . A method for aging an account receivable, comprising:
receiving a receivable at an aging engine;
determining the payer associated with the receivable;
determining past payment patterns of the payer; and
aging the account receivable on a periodic basis.
35 . The method of claim 34 , where the aging occurs according to the past payment patterns of the payer.
36 . The method of claim 34 , where the aging occurs according to predetermined parameters.
37 . The method of claim 36 , where the predetermined parameters comprise a number of days past due.
38 . The method of claim 34 , further comprising:
classifying the receivable as either payment, denial, or no-response.
39 . The method of claim 38 , where the no-response classification is determined based on patient receivables that age beyond a certain point.
40 . The method of claim 38 , further comprising:
generating an incident report for receivables designated as denial or no-response.
41 . The method of claim 38 , further comprising:
contacting an insurance company, contacting a patient, or billing a patient based on the incident report.
42 . The method of claim 38 , were the contacting occurs automatically.
43 . The method of claim 38 , further comprising:
writing off the receivable or sending the receivable to appeal.
44 . A system for aging an account receivable, comprising:
an aging engine for receiving an account receivable; and
an aging module for (1) determining the payer associated with the receivable and the past payment patterns of the payer and (2) aging the account receivable on a periodic basis.
45 . The system of claim 44 where the aging module is configured to age the account receivable according to the past payment patterns of the payer.
46 . The system of claim 44 where the aging module is configured to age the account receivable according to pre-determined parameters.
47 . The system of claim 46 , where the pre-determined parameters comprise a number of days past due.
48 . The system of claim 44 , where the aging module classifies the receivable as either payment, denial, or no-response.
49 . The system of claim 48 where the classification module or engine is configured to determine the no-response classification based on the age of the receivable.
50 . The method of claim 44 , further comprising:
a management module or engine for contacting an insurance company, contacting a patient, or billing a patient.
51 . The method of claim 50 where the management module is configured to contact automatically.