{"id":3092,"date":"2019-09-04T13:20:15","date_gmt":"2019-09-04T13:20:15","guid":{"rendered":"http:\/\/www.ltccs.com\/?p=3092"},"modified":"2022-04-18T23:19:17","modified_gmt":"2022-04-18T23:19:17","slug":"3-must-haves-in-an-ar-specialist","status":"publish","type":"post","link":"https:\/\/ltcally.com\/articles\/3-must-haves-in-an-ar-specialist\/","title":{"rendered":"3 Must-Haves in an AR Specialist"},"content":{"rendered":"<h1><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-3096 \" style=\"font-size: 16px;\" src=\"http:\/\/www.ltccs.com\/wp-content\/uploads\/2019\/09\/paperwork-3154814_1920-1024x624.jpg\" alt=\"LTC Collections\" width=\"499\" height=\"304\" srcset=\"https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2019\/09\/paperwork-3154814_1920-1024x624.jpg 1024w, https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2019\/09\/paperwork-3154814_1920-300x183.jpg 300w, https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2019\/09\/paperwork-3154814_1920.jpg 1920w\" sizes=\"auto, (max-width: 499px) 100vw, 499px\" \/><\/h1>\n<p>&nbsp;<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ltcally.com\/articles\/3-must-haves-in-an-ar-specialist\/#3_Must-Haves_in_an_AR_Specialist\" >3 Must-Haves in an AR Specialist<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ltcally.com\/articles\/3-must-haves-in-an-ar-specialist\/#1_Expert_Knowledge_of_your_particular_states_CMS_MedicaidMedicare_and_MCO_rules\" >1. Expert Knowledge of your particular state\u2019s CMS, Medicaid\/Medicare and MCO rules<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ltcally.com\/articles\/3-must-haves-in-an-ar-specialist\/#2_Strong_Relationships_with_HMOs_and_MCOs\" >2. Strong Relationships with HMOs and MCOs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ltcally.com\/articles\/3-must-haves-in-an-ar-specialist\/#3_An_Emphasis_on_Technology_Software_and_Support\" >3. An Emphasis on Technology; Software and Support<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<h1 style=\"text-align: center;\"><span class=\"ez-toc-section\" id=\"3_Must-Haves_in_an_AR_Specialist\"><\/span>3 Must-Haves in an AR Specialist<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>&nbsp;<\/p>\n<p>Your staff is working hard to ensure smooth admissions and proper care for each patient. The billing department is continuously receiving new claims and is finding it difficult to process them with the constant onslaught of looming deadlines. You have come to terms with the fact that it\u2019s time to hand off some of the workload to a competent new hire or third-party so your receivables team can focus on the current; making sure each patient is receiving the care they need.<\/p>\n<p>However, while you understand that this is an essential step in enabling your facility\u2019s success, how does one go about finding an individual or company qualified enough to handle one of the most integral aspects of your business? After all, the wrong hire can disrupt your entire cash-flow!<\/p>\n<p>As a company that has been working with hundreds of SNFs over the last decade, here at LTC we\u2019ve seen it all. We\u2019ve put together this list of the top three must-haves facility operators should check for when considering handing off a facility\u2019s AR to specialists.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"1_Expert_Knowledge_of_your_particular_states_CMS_MedicaidMedicare_and_MCO_rules\"><\/span>1. Expert Knowledge of your particular state\u2019s CMS, Medicaid\/Medicare and MCO rules<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>&nbsp;<\/p>\n<p>Look for an individual\/ company that is familiar with your state and its various regulations\/laws. Being that Medicaid rules vary, sometimes very subtly, per state, specialists that are familiar with the nuances and requirements are per region, will not only help things get processed, but may allow for a lower margin of denied claims.<\/p>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"2_Strong_Relationships_with_HMOs_and_MCOs\"><\/span>2. Strong Relationships with HMOs and MCOs<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>&nbsp;<\/p>\n<p>As in every industry, positive and well-rooted relationships are important. An individual or company that has strong relationships with the various insurance companies can help you get better contracts, better timely filing \u2013 time allowances for filling a claim and are key when issues arise.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"3_An_Emphasis_on_Technology_Software_and_Support\"><\/span>3. An Emphasis on Technology; Software and Support<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>&nbsp;<\/p>\n<p>A technologically advanced company that can integrate with your billing software (most billing software doesn\u2019t have the capabilities to track follow-ups properly) and that can properly track day to day workflow will ensure that nothing falls through the cracks and all claims are followed up. And when cleaning up aging AR, proper technology can provide analytics and help pinpoint what caused these claims to fall behind.<\/p>\n<p>&nbsp;<\/p>\n<p>Keep this checklist in mind when considering a receivables specialist for your skilled nursing facility to ensure a smooth transition.<\/p>\n<p><em>\u00a0<\/em><\/p>\n<p><strong><em>LTC Consulting Services<\/em><\/strong><em> is the long term care industry\u2019s premier medical billing service and off-site central business office. LTC\u2019s custom business management packages for health care facilities offers peace of mind while substantially increasing and maximizing their revenues.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; 3 Must-Haves in an AR Specialist &nbsp; Your staff is working hard to ensure smooth admissions and proper care for each patient. The billing department is continuously receiving new claims and is finding it difficult to process them with the constant onslaught of looming deadlines. You have come to terms with the fact that <a href=\"https:\/\/ltcally.com\/articles\/3-must-haves-in-an-ar-specialist\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  3 Must-Haves in an AR Specialist<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[22],"tags":[5,7],"class_list":["post-3092","post","type-post","status-publish","format-standard","hentry","category-articles","tag-accounts-receivable","tag-collections"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>3 Must-Haves in an AR Specialist | Articles | LTC Ally<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ltcally.com\/articles\/3-must-haves-in-an-ar-specialist\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"3 Must-Haves in an AR Specialist | Articles | LTC Ally\" \/>\n<meta property=\"og:description\" content=\"&nbsp; 3 Must-Haves in an AR Specialist &nbsp; Your staff is working hard to ensure smooth admissions and proper care for each patient. 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