To monitor timely claims processing in a hospital, a summary report of "patient receivables" is generated frequently. Aged receivables can negatively affect a facility's cash flow; therefore, to maintain the facility's fiscal integrity, the HIM manager must routinely analyze this report.

Question

To monitor timely claims processing in a hospital, a summary report of "patient receivables" is generated frequently. Aged receivables can negatively affect  a facility's cash flow; therefore, to maintain the facility's fiscal integrity, the HIM manager must routinely analyze this report.

Quizplus · Accepted Answer

Aged receivables refer to outstanding balances on patient accounts that have not been paid for a significant amount of time. The DNFB (discharged, no final bill) report identifies patients who have been discharged but do not have a final bill, which can contribute to aged receivables. Therefore, monitoring the DNFB report can help identify and address potential issues with timely claims processing, which can ultimately impact a hospital's cash flow. Remittance advice refers to a document sent by an insurance company to a healthcare provider that explains how a patient's claim was processed and paid. Periodic interim payments refer to payments made by an insurance company to a healthcare provider before a final determination of coverage is made. A chargemaster is a comprehensive list of prices for all items, goods, and services provided by a hospital. While the chargemaster can impact a hospital's revenue cycle, it is not directly related to monitoring timely claims processing.

To Monitor Timely Claims Processing in a Hospital, a Summary