Payments from carriers are posted to line items and CPT
as directed on an EOB
Personal payments can be posted to a CPT
If an insurance payment results in a credit balance on that CPT the personal payment “jumps” to the oldest available open balance
The personal payment will continue “jumping” until all claims
are paid
IHBS has several aging options
Example: Medical records from 27 days ago are delivered. It is not an honest representation of how old the claim is if DOS is used as the claim’s age since the medical record didn’t become a claim until 27 days after the DOS. Operationally date entered is used
Aging by the date data was entered is the most often used
This option most honestly represents the true age of a claim
Clients receive outstanding AR and production reports based on the DOS
No re-aging takes place. Claims are aged by charge date
IBS provides payer mix data according to client’s needs
Medicare, Medicaid, Self Pay, Work Comp, and Managed Care contracts
Payer mix is presented by charge data and by revenue data
Every month payer mix charts are provided
Charts illustrate the payer mix charged and payer mix of payments
