Question

FILL-IN-THE-BLANK 6. Two factors that are considered in determining what accounts require follow-up are , and the amount of the outstanding claims. 7. Two formulas used to assess the efficiency of A/R management activity includeand 8. Common reasons why accounts may be in aninclude: insurance verification is pending, chargemaster data are inaccurate, and coding from the medical record is delayed because of incomplete documentation. 9. The and department is responsible for monitoring and follow-up on outstanding accounts. 10. The first thing hospital personnel should do to address a claim that has beenis to investigate to determine if the payer's action is appropriate.

Answer 1

6. Age and dollar amount of the outstanding accounts  

7. The hospitals utilize the A/R ratio and the days in A/R formula to assess the efficiency of A/R management activity

8.Denials Management

9.Financial class and Managed care

10.Financial class