Understanding your accounts receivable granularly can be critical for managing your radiology business’s finances, but sorting claims by narrow criteria can be a complex task. To address this problem, Merge Financials™ v7.1 release includes two new features — a Divisional Layer feature that allows customers to bill for multiple tax IDs under a single SQL database and a new A/R follow-up system in the Work Queues feature.
The Divisional feature is a new system-wide layer that brings all patient data and support tables into one database for quicker follow up on patient balances — as well as A/R follow up. With it, there is no longer a need to manually switch between accounts and possibility missing a follow up in another database.
Meanwhile, the new Configurable Work Queues feature allows managers to drill down into receivable data to focus on a subset of the charges without having to rely on setting up a complex series of data filters or sort through claims data manually.
“Creating a targeted worklist speeds the end-users’ access to the exact claims and accounts they should focus on by excluding all of the unnecessary clutter and reducing their reliance upon the filters,” says Shannon Marshall
, Merge Solutions Manager.
Marshall helped create the Configurable Work Queues feature. She states that it is an ideal tool for situations where managers are working toward specific business goals against defined—and often tight—timelines. For example, Configurable Work Queues make it much easier to look at which payers are denying which claims and, when necessary, can gather all the examples of a specific claim denial by a specific payer for an appeal.
Configurable Work Queues is designed to supplement the three core Work Queues in the Merge Financials software package. All of the charges included in a Configurable Work Queues worklist will still be accessible from within the three core Work Queues. Setting up a worklist will not remove any data from the core Work Queues or potentially create “black holes” into which charge data might get lost.
There is no limit on the number of worklists in Configurable Work Queues, which makes it possible to get extremely detailed, even down to the level of the individual physician. One possible use, Marshall says, is to configure work queues to catch ICD-10 denials and break these down by referring doctor and/or radiologist in order to see exactly which doctors may need help in understanding clinical documentation requirements for coding, and then target outreach to those doctors.
“The beauty of the work queues is that they can be customized to meet each customer’s needs,” she says.
To use Configure Work Queues, a manager sets up a series of rules for the worklist. Some options include selecting claims for the list based on locations, doctors (staff or referring), insurance carriers, denial codes, and charge line specific options.
“Service and collaboration are two of Merge’s core values,” Marshall says. “Our success depends on the success of our customers, which is why we put so much effort into constantly improving both our existing products and introducing new ones. The addition of the Configurable Work Queues and Divisional Layer features to our Financials software is a great example of our business philosophy in action.”
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This blog post was originally published on the RBMA “Let’s Talk” blog. Read the original blog post.
Shannon Marshall is a Solutions Manager for Merge Healthcare