Legacy AR Recovery is the process of collecting unpaid or underpaid claims from insurance companies for palliative care and hospice care services.
Palliative care and hospice care are specialized forms of medical care that aim to improve the quality of life of patients with serious or life-limiting illnesses and their families.
Palliative care focuses on relieving symptoms, pain, and stress, while hospice care provides comfort and support for patients in the last stages of life.
However, many palliative care and hospice care providers face challenges in getting reimbursed for their services, due to various factors such as complex billing codes, lack of documentation, denials, appeals, and delays.
This can affect their cash flow, profitability, and sustainability, as well as their ability to provide quality care to their patients.
Therefore, Legacy Accounts Receivables Recovery is an essential strategy for palliative care and hospice care providers to optimize their revenue cycle and ensure financial stability.
How long does it take to Recover Legacy AR?
The time it takes to recover legacy AR for palliative care and hospice care providers may vary depending on several factors, such as
- The amount and age of the claims,
- The type and complexity of the services,
- The documentation and coding practices,
- The payer policies and contracts,
- The efficiency and expertise of the billing staff.
According to some sources, the average time to recover legacy AR for palliative care and hospice care providers ranges from 30 to 90 days.
However, some claims may take longer to resolve, especially if they involve appeals, disputes, or legal issues.
How can Palliative Care and Hospice Care Providers Prevent Claim Denials?
Claim denials are a common and costly problem for palliative care and hospice care providers, as they can delay or reduce their reimbursement and increase their administrative burden. According to some sources, the best practices to prevent or reduce claim denials for palliative care and hospice care providers are:
- Ensuring accurate and complete documentation of the patient’s eligibility, diagnosis, prognosis, plan of care, and services provided.
- Following the payer’s policies and contracts regarding billing codes, modifiers, authorization, and submission deadlines.
- Verifying the patient’s insurance coverage and benefits before providing services.
- Submitting clean and error-free claims electronically and promptly.
- Tracking and monitoring the status of the claims and resolving any issues or rejections as soon as possible.
- Educating and training the staff on the billing and coding requirements and best practices.
By following these steps, palliative care and hospice care providers can improve their Revenue Cycle Management, reduce their denial rate, and avoid audits or penalties.
How Medical Billers and Coders can help you Recover your Legacy AR?
Medical Billers and Coders have been doing this work for more than two decades. We have a lot of experience and knowledge in this field. We are experts in palliative care and hospice care. These are special types of medical care that help people who have serious or life-threatening illnesses and their families.
Palliative care and hospice care have different rules and codes for billing than other types of medical care. Medical Billers and Coders know these rules and codes very well. They can help you get paid for these services without any problems. They can also help you avoid any mistakes or delays that could affect your reputation or relationship with the insurance companies or patients.
Here is a list of Palliative Care Services HCPCS Codes within the range of G9988 to G9999:
- G9988: Palliative care symptom management intervention initiated
- G9989: Palliative care symptom management intervention discontinued
- G9990: Palliative care symptom management intervention increased
- G9991: Palliative care symptom management intervention decreased
- G9992: Palliative care symptom management intervention status change
- G9993: Palliative care assessment and management of dyspnea
- G9994: Palliative care assessment and management of delirium
- G9995: Palliative care assessment and management of pain
- G9996: Palliative care assessment and management of nausea
- G9997: Palliative care assessment and management of constipation
- G9998: Palliative care assessment and management of depression
- G9999: Palliative care assessment and management of anxiety
These codes are used to specifically identify and bill for various Palliative Care Services provided to patients. It’s important to use the appropriate code that accurately reflects the services rendered to ensure proper billing and reimbursement.
Here is a list of Common Hospice Care Procedure Codes:
- 081x: Hospice (non-Hospital based)
- 082x: Hospice (hospital-based)
- 0651: Hospice Service – Routine Home Care
- 0652: Hospice Service – Continuous Home Care
- 0655: Hospice Service – Inpatient Respite Care
- 0656: Hospice Service – General Inpatient Care Non-Respite
- 0657: Hospice Service – Physician Services
If you need help with recovering your legacy AR, you can contact a professional medical billing company like Medical Billers and Coders. We have a team of experts who can handle your billing and coding needs. We can also help you with other aspects of your medical business, such as Credentialing, contracting, and compliance. We have been serving the medical community for over 20 years and have a proven track record of success.
To learn more about our services, you can visit our website or call us at 888-357-3226. We offer a free consultation and a customized solution for your medical business. We can help you recover your Legacy AR and improve your cash flow and profitability.
FAQs:
Q: What is legacy Accounts Receivables recovery?
Legacy Accounts Receivables recovery is collecting money for medical services from insurance companies.
Q: Why is legacy AR recovery important for palliative care and hospice care providers?
Legacy Accounts Receivables recovery is important because it helps medical businesses get paid and provide quality care.
Q: How can legacy AR recovery be done effectively?
Legacy Accounts Receivables recovery can be done effectively by following best practices for documentation, billing, and tracking.
Q: How long does it take to recover legacy AR?
Legacy Accounts Receivables recovery can take from 30 to 90 days, depending on various factors.
Q: What are the benefits of outsourcing legacy AR recovery to a professional company?
Outsourcing legacy Accounts Receivables recovery to a professional company can save time, money, and hassle.