AR SOLUTION. User Guide. Version 1.1 9/24/2015

Transcription

1 AR SOLUTION User Guide Version 1.1 9/24/2015 TABLE OF CONTENTS ABOUT THIS DOCUMENT... 2 REPORT CODE DEFINITIONS...3 AR SOLUTION OVERVIEW... 3 ROCK-POND REPORTS DIVE IN... 3 HOW OLD IS MY A/R BY KEY CATEGORY?...3 WHAT IS MY DSO (DAYS SALES OUTSTANDING) BY KEY CATEGORY?...4 DO WE HAVE A PROBLEM WITH CREDIT BALANCE INVOICES?...4 WHAT A/R IS NOT BEING WORKED?...5 HOW CAN I CREATE SPREADSHEETS FOR PAYER PROJECTS?...5 AM I COLLECTING OLD A/R OR CURRENT A/R?...5 WHY ARE WE WRITING OFF A/R AND ARE WE DOING IT IN A TIMELY MANNER?...6 ADDITIONAL REPORT GROUPS...6 CPR+ ANALYTICS DASHBOARDS MANAGE... 6 CPR+ ANALYTICS COMPANY SETUP...6 DASHBOARD AR MANAGEMENT...7 Gauge DSO vs. Target...7 Scorecard Current AR...8 Scorecard Bad Debt Reserve...8 Scorecard Low Balance AR...8 Scorecard Low Balance Invoices...8 Scorecard High Balance AR...8 Scorecard High Balance Invoices...8 Scorecard Old AR...8 Scorecard Old AR Invoices...8 Scorecard Patient AR...9 Scorecard Patient AR (# Pts.)...9 Scorecard Credit AR...9 Scorecard Credit AR Invoices...9 Trending Graph 6 Month AR Trending...9 Pie Chart Patient AR Aging...9 Table Adjustments by Adjustment Type...9 Table DSO by Payer...9 DASHBOARD CASH MANAGEMENT...10 Gauge Cash Posted vs. Goal...10 Scorecard MTD Cash...10 Scorecard Cash vs. Revenue...11 Scorecard Cash vs. Goal (T)...11 AR_Solution-User_Guide.docx Page 1 of 17

2 Scorecard Cash Projection...11 Scorecard Unapplied...11 Scorecard Patient Cash vs. 3 Month Average...11 Pie Chart Cash for Top 10 Payor Types...11 Pie Chart MTD Cash Aging...11 Table Average Days to Pay by Payor...11 Table Checks Posted Last Business Day Through Today...12 DASHBOARD OLD AR...12 Scorecard Total Outstanding AR...12 Scorecard AR over Threshold...12 Scorecard AR under Threshold...12 Graph Top 10 Payor Type by Balance over Threshold...13 Pie Chart Top 5 Payor by Balance over Threshold...13 Pie Chart Top 5 Services by Balance over Threshold...13 Table Notes for Invoices over Threshold MTD...13 Table Top 20 Invoices by Balance over Threshold...13 CPR+ ANALYTICS CUBES ANALYZE CUBE AR CUBE...13 Global Layout AR Aging by Payor Type...14 Global Layout AR Credit Balances...14 Global Layout Current AR by Payor Type...14 CUBE CASH CUBE...14 Global Layout Cash Posting Productivity...14 Global Layout Cash Trending by Invoice Therapy...15 Global Layout Cash Waterfall...15 CUBE ADJUSTMENT CUBE...15 Global Layout Adjustment by Payer Type...15 Global Layout Adjustment Trending by Adjustment Type...16 Global Layout Adjustment Posted by Line of Business and Core Service...16 CUBE DENIAL CUBE...16 Global Layout Denial by Payor Type...16 Global Layout Denial Trending...16 ABOUT THIS DOCUMENT This User Guide will get you started with the reports, dashboards and cubes that are a part of the Accounts Receivable Solution. Rock-Pond groups all of its business intelligence content (reports, dashboards and cubes) into one of 8 solutions. We recommend a 3 step approach, DIVE IN, MANAGE AND ANALYZE to understand what is available and begin using Rock-Pond products effectively. 1. DIVE IN to the reports there are many reports in the billing solution, grouped into report groups and a catch all report group called other. This document will go through the most commonly used reports in the business solution. Once you understand and master these you will be able to go through the other report groups to find what you need. AR_Solution-User_Guide.docx Page 2 of 17

3 2. Review the dashboards to understand how they will help you MANAGE your business. Dashboards provide a high level view of metrics that give you access to critical information at a glance. This document will provide an overview of each metric on the dashboard, why it is there and how you can use it. 3. Review the data groups and global views available in the cubes to help you ANALYZE information at a deeper level. 4. Finally, Appendix A and B to have an understanding of all Solutions and how Rock-Pond can assist you further. REPORT CODE DEFINITIONS All reports have the same code but depending on what version of CPR+ you are on (Line Item Financials or Legacy) will depend on the prefix. Legacy will start with!c2_ and Line Item Financials will start with!c3_. Please make note of the system you are on to find the correct report. AR SOLUTION OVERVIEW The primary responsibility of the accounts receivable department is to collect the A/R that is due the company. If every bill was paid when it was received by the payer or patient, there would not be a need for A/R management. Unfortunately this does not happen. The A/R solution gives you the ability to categorize your accounts receivable in many different ways so you can see where the problems are, reduce risk and prioritize your collection resources. ROCK-POND REPORTS DIVE IN HOW OLD IS MY A/R BY KEY CATEGORY? 1234Z - A/R AGING ANALYZER Our powerful A/R Analyzer reveals not only your AR as of a date, the age of your A/R, but also allows you dive in further by showing you A/R grouped by up to three different key business indicators. The analyzer also shows the A/R in descending balance order so you can see the highest dollar totals first. To answer the question above, dive into this report by running it using these guidelines: Run the report with the default selections except adding Payor Type as the primary group with no secondary or tertiary grouping. This provides a nice one page view of your A/R grouped by payer type in descending balance order. Notice the number of patients and invoices out to the right of each payer type. Now change the parameters to experiment with the other primary group options to see your A/R by categories such as: Billed payer to see the specific payers Therapy to see what services they received Invoice Due Collector to see by the collector responsible for collecting the A/R. Note that this due collector is the person who was assigned to the invoice as the collector, not necessary the person that collects the AR. Patient Status to see how your A/R is divided between active and inactive patients Add SECONDARY and TERTIARY GROUPINGS to get a more detailed view of your A/R by key categories such as: AR_Solution-User_Guide.docx Page 3 of 17

4 Payer type and then Payer Payer type and then therapy Collector and then payer Claim type (NCPDP / Major Medical) To see which patients and invoices make up the group totals simply change the Show Detail option to show the detail that is associated with each group. Notice the option on the right to display the billing notes for each invoice to understand the billing and collection status. This report can be validated using the AR Summary / Detailed reports in CPR+ or the [Rock-Pond] AR Aging by Payor Type global layout in the AR Cube. Make sure that the reports or layout are ran by the same type of date (Date Billed or DOS), ran for the same date, and the buckets are set up the same way. WHAT IS MY DSO (DAYS SALES OUTSTANDING) BY KEY CATEGORY? 1357 DSO ANALYZER Providers use DSO as one of the primary indicators of the effectiveness of A/R management. However, the amount of time it takes to collect an invoice can vary greatly by the method it was submitted (paper vs. electronic), the payer and therapy, whether it is being paid by the drug benefit (NCPDP) or major medical and other factors. Follow these steps to see how much time it takes to turn your revenue into cash: Run this report, providing a date to calculate through and start with only a primary grouping of payer type. Notice your total A/R DSO in the top line in addition to the calculated DSO for each payer type. Try running it by payor type and then therapy to see why it is taking longer tto get paid for specific therapies. Rerun this report, changing the groupings to see how the DSO changes and how it is different for different categories of your A/R. This report can be validated manually. DSO is calculated by dividing the amount of AR as of a date by the total amount of Revenue during a given period, and multiplying the result by the number of days in that period measured (DSO = (AR / Revenue) * days). The date to report AR and the number of days in the period just mentioned can be entered into the parameters of the To validate the AR and Revenue aspects, use the AR and Revenue reports in CPR+. DO WE HAVE A PROBLEM WITH CREDIT BALANCE INVOICES? 1234Z - A/R AGING ANALYZER In order to answer this question you must be able to see the credit balance invoices separate from the non-credit balance issues. Often a patient has a balance that is made up of invoices with credit balances. The A/R Analyzer has a selection parameter that will allow you to see only the credit balance invoices or the A/R excluding the credit balances. To discover if you have a problem with credit balance invoices, follow these steps: Run the report with any of the group selections above but change the invoice selection parameter at the top from Show all non-zero invoices to Show only credit balance invoices to see what credit balances you have. Now, change this parameter to Show only non-credit balance invoices to see the A/R excluding of credit balances. AR_Solution-User_Guide.docx Page 4 of 17

5 This report can be validated by using the [Rock-Pond] AR Credit Balance global layout in the AR Cube. WHAT A/R IS NOT BEING WORKED? 1234Z - A/R AGING ANALYZER If you have a process where a billing note is recorded each time an invoice is worked by a collector, the A/R Analyzer can be used to see how old the A/R is based on the last user billing note. This will enable you to quickly see invoices that are not being worked. Try looking at your INFORMATION like this: Run the A/R Aging Analyzer using the grouping options selected earlier, but change the date to calculate the A/R by to The last user billing note date. Once you ve looked at it by last billing note date, see how it is aging by the other types of dates: Last date billed, Date of Service and Last transaction date Use the Note manager in CPR+ to validate invoice by invoice. Keep in mind that this report will work and be validated only if a billing note is recorded every time an invoice is worked. HOW CAN I CREATE SPREADSHEETS FOR PAYER PROJECTS? A/R EXPORT FOR PAYOR REPORT When working with a payer to resolve old A/R, you will often be asked to provide a spreadsheet of all of the old claims in question for their review. This can be a monumental task that takes days and ends up with a spreadsheet that does not reflect recent payments made. Our A/R Export for Payor report solves this problem by extracting all A/R for invoices within a date range using date billed or date or service and for specific payers. Since CPR+ often requires you to set up multiple payers for a single payer, the report allows you to use a wildcard to get all payers that start with the same letters such as BCBS, Aetna, etc. Once you get the report into Excel you can eliminate the invoices you do not want to send. Run this report for a date range and payer and select All claims with a balance. When it is completed, export the data to excel using the Export to Excel (Data Only) option. The spreadsheet produced will contain everything you need to send to the payer and MORE! There is a row for every line item on the claim, all of the cost and payments/adjustments to date as well as the balance. Simply remove the fields you do not want to send and you ll have the spreadsheet you need for your payer project in no time. Use the Excel filter capabilities to isolate the records you need. The report can be validated using the AR Detail report in CPR+, filtered on certain payor. You can also use the AR Cube in CPR+ Analytics to double check the validation process. AM I COLLECTING OLD A/R OR CURRENT A/R? 1245AZ - PAYMENT AGING ANALYZER The older your A/R gets, the harder it is to collect. Although the A/R aging report shows the A/R that is old, it is helpful to view the payments for the month based on the age of the invoice paid. Our Payment Aging Analyzer allows you to see what type of payments you are collecting. Run this powerful analyzer like this as a quick-start: Keep the defaults and enter the payment date range to see the age of the payments received during this date range. AR_Solution-User_Guide.docx Page 5 of 17

6 Rerun this report by changing the primary and secondary groupings as you did with the A/R aging report. With this you can quickly see the effectiveness of specific payer projects, collectors and other A/R collection objectives. The report can be validated using the Cash Aging report in CPR+. Make sure that the date range, the date type to age cash against, and the aging buckets are the same as the Rock-Pond report. WHY ARE WE WRITING OFF A/R AND ARE WE DOING IT IN A TIMELY MANNER? 1245BZ - ADJUSTMENTS AGING ANALYZER It is important to have a clear view of why A/R is being written off, who is responsible for the accounts that are written off and see at a high level whether they were written off in a timely manner. The Adjustment Aging Analyzer gives you a detailed view of the A/R that is being written off. We suggest analyzing your adjustments by running the report like this: Run this report for the date range and keep the defaults to see the adjustments for the period by payer within adjustment code. Now, rerun this report by changing the primary and secondary groupings as you did with the A/R and cash aging reports. With this you can spot adjustments that need to be reviewed or adjustment processes, such as writing off A/R too soon or waiting too long, that need to be corrected. The report can be validated using the Adjustment report in CPR+. Make sure that the date range, the date type to age cash against, and the aging buckets are the same as the Rock-Pond report. ADDITIONAL REPORT GROUPS The AR Solution contains the following report groups. To see the reports in each of these groups, view all reports in the Rock-Pond Information Center grouped by Solution + Report Group Cash Posting The reports within this reporting group provides information relating to the organization s cash such as cash posting, unapplied cash, and productivity of the posting clerks. Patient Pay The reports within this reporting group provides information relating to the patient s payment such as aging and patient statement. CPR+ ANALYTICS DASHBOARDS MANAGE CPR+ Analytics enables you to see your business at the big-picture level using dashboards and analyze at the deepest level using cubes. The following is an overview of the dashboards and cubes provided with the billing solution. CPR+ ANALYTICS COMPANY SETUP The following settings are required for the dashboard and cube in this solution to function accurately: Monthly Targets Revenue Target for current month Cash Target for current month DSO Target for current month Settings How many days of revenue do you use to calculate DSO? Invoices that have a greater than or equal to what value is HIGH BALANCE? Invoices that have a balance less than or equal to what value are LOW BALANCE? AR_Solution-User_Guide.docx Page 6 of 17

7 What date do you age AR against? Based on age, how many days old is OLD AR? Business Rules Bad Debt Reserves set Non-Business Days set Data Extensions Therapy Types Adjustment Types set DASHBOARD AR MANAGEMENT The A/R Management Big Picture Dashboard allows you to quickly see A/R metrics for specific segments like high balances, low balance and patient pay. See 6 month trending A/R metrics and monitor adjustments by type and amount. Identify your DSO by payer and potential problems through 3 and 6 month DSO. GAUGE DSO VS. TARGET Identify the DSO target values for each CPR+ site and enter it into the monthly target for the current month at minimum. Then use this element to monitor if DSO goals are being met throughout the month. Our DSO formula is a simple calculation of your A/R balance divided by the average revenue per day for a period. The number of days of revenue used to calculate DSO is specific to each organization and can be entered into the Setting option in the company setup that says: How many days of revenue do you use to calculate DSO? To validate this, run 1357 DSO Analyzer as of today s date. Enter the same number of days in the Average Daily Sales parameter option if the report as the amount entered in the Settings option of your Company Setup. Combine selected sites to see your DSO for the entire organization, then separate by site to validate numbers of each site. The compare it with the goal set up in Monthly Targets. AR_Solution-User_Guide.docx Page 7 of 17

8 SCORECARD CURRENT AR This element allows users to quickly see the total amount of AR for the organization. Run 1234z AR Aging Analyzer and combine sites initially to see your AR for all CPR+ sites. The default parameters can be used. SCORECARD BAD DEBT RESERVE It is calculated in Analytics by reserving a percentage of the overall A/R balance from each aging bucket identified. The Bad Debt Reserve aging buckets and percentages are added in the Business Rules of the Company Setup. Note the date value that A/R is aged by where asked: What date do you age AR against? The bad debt aging buckets are based on the same value. This scorecard can be validated using the 1389 Bad Debt Reserve report or the [Rock-Pond] Current AR by Payor Type global layout. Note that the aging buckets and the % for all three products need to match. SCORECARD LOW BALANCE AR Based on the balance threshold entered in your Company Setup, the Low Balance A/R element shows the total amount of A/R for invoices that have a balance less than or equal to your definition of LOW BALANCE claims. To validate this, run the 1234xz AR Aging Extract and filter on the low balance value. SCORECARD LOW BALANCE INVOICES Based on the balance threshold entered in your Company Setup, the Low Balance Invoices element identifies how many claims are currently considered as LOW BALANCE claims. To validate this, run the 1234xz AR Aging Extract and filter on the low balance value. SCORECARD HIGH BALANCE AR Based on the balance threshold entered in your Company Setup, the High Balance A/R element shows the total amount of A/R for invoices that have a balance greater than or equal to your definition of HIGH BALANCE claims. To validate this, run the 1234xz AR Aging Extract and filter on the high balance value. SCORECARD HIGH BALANCE INVOICES Based on the balance threshold entered in your Company Setup, the High Balance Invoices element identifies how many claims are currently considered as HIGH BALANCE claims. To validate this, run the 1234xz AR Aging Extract and filter on the high balance value. SCORECARD OLD AR Based on the age threshold entered in your Company Setup, the Old A/R element shows the total amount of A/R for invoices that are considered OLD A/R. Run the 1234z AR Aging Analyzer to validate this. Note the number of day you have entered for the settings of Company Setup. For example, if you put 90 days are old AR then AR balance of 90 and over aging bucket in the report should validate this scorecard. SCORECARD OLD AR INVOICES Based on the age threshold entered in your Company Setup, the Old A/R Invoices element shows the total number of invoices in A/R considered as OLD. Run the 1234z AR Aging Analyzer to validate this. Note the number of day you have entered for the settings of Company Setup. For example, if you put 90 days are old AR then number of invoices of 90 and over aging bucket in the report should validate this scorecard. AR_Solution-User_Guide.docx Page 8 of 17

9 SCORECARD PATIENT AR At any point in the reimbursement process, all or a portion of the account balance can be transferred to the patient. The Patient A/R element provides the total amount of A/R for patient pay accounts. Run 1234cz Patient Aging Analyzer to validate this. SCORECARD PATIENT AR (# PTS.) The Patient A/R (#Pts.) element identifies the total number of patients who have outstanding A/R due from the patient. Run 1234cz Patient Aging Analyzer to validate this. SCORECARD CREDIT AR It is very difficult to see credit balances in CPR+ because so often patients who have credit balance invoices also have invoices with a positive balance and a net balance. Managing your credit balances will help keep your A/R accurate and reduce liability from owing patients and payers money. This element shows the total balance for invoices less than zero. Run 1234z AR Aging Analyzer and show Credit Balances to validate this. You can also use the global layout [Rock-Pond] AR Credit Balances to make sure the number matched up. SCORECARD CREDIT AR INVOICES In correlation with the element mentioned above, the Credit A/R Invoices element shows the total number of invoices with a balance less than zero. Run the 1234z AR Aging Analyzer and show Credit Balances to validate this. TRENDING GRAPH 6 MONTH AR TRENDING This element is used to see your current A/R by aging bucket and the previous six months of aging in the same way. As with other aging elements, the date is based on the setup options and the buckets correlate with the aging buckets created in the bad debt setup. To validate this, run the 1234z AR Aging for this month and the last 6 months separately. PIE CHART PATIENT AR AGING The Patient A/R Aging element is a pie chart with a breakdown of your patient A/R by age. As with other aging elements, the date is based on your setup options and the buckets correlate with the aging buckets created in your bad debt setup. To validate this element, run the 1234cz Patient Aging Analyzer as of today. Keep the default parameters and make sure the aging buckets are based on the same date type as identified in Analytics and the aging bucket correlate with the buckets set up in Analytics., TABLE ADJUSTMENTS BY ADJUSTMENT TYPE This element shows why A/R is being written off. It provides a month-to-date breakdown of adjustments made based on the Adjustment Type. Use the company setup to create Adjustment Categories and to identify if the adjustment types impact revenue. This element can be validated using the 1245bz Adjustment Aging Analyzer report by making the Adjustment Type the primary grouping option TABLE DSO BY PAYER Our DSO formula is a simple calculation of your A/R balance divided by the average revenue per day for a period. Users determine the total number of days used to capture revenue in the company setup. This element shows your current DSO for each payor and whether it has increased or decreased versus three and six months ago. AR_Solution-User_Guide.docx Page 9 of 17

10 To validate this, run 1357 DSO Analyzer as of today s date. Enter the same number of days in the Average Daily Sales parameter option if the report as the amount entered in the Settings option of your Company Setup. Select PAYOR as your primary grouping option and rerun the report and enter the date for three and six months prior to today s date to see your DSO for that time and compare it to the DSO by Payer element. DASHBOARD CASH MANAGEMENT The Cash Management big picture dashboard is a great tool for monitoring cash collected for the current month against cash goals set up for each company. Users can see if they are meeting their overall monthly and daily cash goals, project if they are on track to meet these goals throughout the month, and even zero in on the patient pay cash collections. This dashboard is also used to determine the top 10 payer types for collections, to see if old or current A/R is being collected, and to determine how timely the current cash is collected compared to prior months. GAUGE CASH POSTED VS. GOAL Identify the Cash target values for each CPR+ site and enter it into the monthly target for the current month at minimum. Then use this element to monitor if cash goals are being met throughout the month. The arrow on the gauge points to where the cash goal is set and the needle shows where the company stands for the month as compared to the goal. The MTD percentage below the gauge is calculated based on cash posted divided by the monthly target for select sites plus cash that is posted on site not assigned. Run the 1245az Payment Aging or 1072z Cash Posting Journal and pick MTD as date range to validate this element. SCORECARD MTD CASH The MTD Cash scorecard is the total amount of cash that has been posted month to date. Run the 1245az Payment Aging or 1072z Cash Posting Journal and pick MTD as date range to validate this element AR_Solution-User_Guide.docx Page 10 of 17

11 SCORECARD CASH VS. REVENUE This scorecard is used to monitor the amount of cash posted this month versus the amount of revenue billed including revenue adjustments. Run the 1245az Payment Aging or 1072z Cash Posting Journal and 1243 Revenue Analyzer and enter MTD as date range to validate this element. SCORECARD CASH VS. GOAL (T) The Cash versus Goal for Today scorecard is calculated by taking the monthly cash target set up in the Monthly Targets of the company setup and dividing it by the number of business days in the month. The first number is the daily cash goal, followed by percentage of the daily goal that has been met, and finally the amount left to post today in order to meet the goal. Run 1072z Cash Posting Journal for today to validate this. SCORECARD CASH PROJECTION This scorecard looks at the percentage of cash versus monthly goal collected and compares to the time passed in the month. If 80% of cash is collected and 50% of the month has passed then the projection is good that you will beat your goal if all things stay the same. If 50% of cash collected and 80% of the month has passed then chances are the goal will not be met. SCORECARD UNAPPLIED Monitor the cash that has been posted but not applied to an invoice to eliminate collection efforts on paid claims and to maintain accurate A/R. This element shows the current amount of unapplied cash in the CPR+ system. To validate this, run 1245cz Unapplied Cash Analyzer and pick today as the date range. SCORECARD PATIENT CASH VS. 3 MONTH AVERAGE The patient cash versus 3 month average scorecard shows the total patient cash collected month to date versus the previous 3 months cash collection average for patient accounts. To validate the Patient Cash vs. 3 Month Average, try running the 1234cz Patient A/R Aging analyzer for the current month to date to see what has been collected for the current month. Then run the same report for the three months prior to this month and calculate the average per month to validate the target set. PIE CHART CASH FOR TOP 10 PAYOR TYPES The Cash pie chart breaks down the posted cash for the current month to date by the top ten Payer types. All additional Payer types are grouped as other. Hover over the piece to see the amount posted for that Payer type. Run 1245az Payment Aging and group by Payor Type to validate this element. PIE CHART MTD CASH AGING The Cash Aging pie chart gives a high level view of whether old or current A/R is being collected by breaking down cash collected this month into different aging buckets. Aging buckets correspond with those set up for bad debt reserves in the Business Rules of the Company Setup. Also, the cash is aged based on the Settings option that allows you to specify how to age A/R (Date of Service, Billed Date, etc.). Run the 1245az Payment Aging analyzer for the current month to date to validate the MTD Cash Aging element. Make sure the aging buckets and date choice correspond to those set up in the Company Setup of Analytics. TABLE AVERAGE DAYS TO PAY BY PAYOR The Average Days to Pay by Payer list is a breakdown to see how much faster or slower on average a payer is paying as compared to the previous 3 month average and 6 month average. AR_Solution-User_Guide.docx Page 11 of 17

12 TABLE CHECKS POSTED LAST BUSINESS DAY THROUGH TODAY This element shows cash posted for today and the previous business day with the total, payer, check number and number of days to post based on the deposited date versus the posted date. The Business Days company option is used to determine checks associated with the last business day. Run 1072z Cash Posting Journal and make CHECK NUMBER the primary grouping option to validate this. DASHBOARD OLD AR The Old A/R dashboard is designed to help collecting AR and allows a quick look to see collection problems and what invoices carry the most reward for the effort in collecting. By utilizing this dashboard, you will be able to strategize an approach to handle your late payment collection and prevent your current AR from falling into the old category. SCORECARD TOTAL OUTSTANDING AR This scorecard is the total amount of your AR. To validate this, run the 1234z AR Aging Analyzer and note the total. SCORECARD AR OVER THRESHOLD It indicates the amount of AR over the threshold set up within the Company Settings. Run the 1234z AR Aging Analyzer to validate this. For determining the AR over Threshold, enter the threshold in the last aging bucket within the parameter options. The report will then show the total AR over that age. SCORECARD AR UNDER THRESHOLD It indicates the amount of AR under the threshold set up within the Company Settings. Run the 1234z AR Aging Analyzer to validate this. For determining AR under Threshold, follow the same process of AR over Threshold scorecard validation and subtract that amount from the total balance. AR_Solution-User_Guide.docx Page 12 of 17

13 GRAPH TOP 10 PAYOR TYPE BY BALANCE OVER THRESHOLD This bar chart displays the top 10 payer types by balance over threshold, from the least to the most amount. Having an idea of how these payer types affect your business fiscally, you can then concentrate your efforts to seek out to them and reconcile the payments. This element also has the ability to drill down to certain payer type and adjust other elements accordingly. Use the same process of determining AR Aging over threshold in 1234z AR Aging Analyzer mentioned above and group it by Payor Type to validate this. The report is in descending order for easier auditing purposes. PIE CHART TOP 5 PAYOR BY BALANCE OVER THRESHOLD This pie chart gives you the visibility to monitor the top 5 payers by balance over threshold. That way, similar to the Top 10 Payer Types by Balance over Threshold, you can have an idea of how these payers affect your business fiscally, concentrate your efforts to seek out to them and reconcile the payments. This element also has the ability to drill down to certain payer and adjust other elements accordingly. Use the same process of determining AR Aging over threshold in 1234z AR Aging Analyzer mentioned above and group it by Payor to validate this. The report is in descending order for easier auditing purposes. PIE CHART TOP 5 SERVICES BY BALANCE OVER THRESHOLD This element allows you to see the top 5 services by balance over threshold. The obvious reason why you would want to look at this pie chart is so that you can collect your money for the services you provided and write off in a timely manner as needed. More than that, if any of the top 5 services is your core therapy, you may want to concentrate your effort on that first. Or, you can also prioritize on the service with the most amount of old AR and allocate resources on that first. Like other elements of this drill down dashboard, Top 5 Services by Balance over Threshold has the ability drill down on certain service and adjust other elements accordingly. Use the same process of determining AR Aging over threshold in 1234z AR Aging Analyzer mentioned above and group it by Therapy to validate this. The report is in descending order for easier auditing purposes. TABLE NOTES FOR INVOICES OVER THRESHOLD MTD This element shows the personnel who enter notes for invoices over threshold and how long ago they entered the notes. By looking at this, you can then keep track of the users who are creating notes and working on the accounts, monitor their progress, and address accountable employees as needed. Use the 1334x Billing Note Extract report to validate this element. Filter it on the AR threshold and count the number of notes. TABLE TOP 20 INVOICES BY BALANCE OVER THRESHOLD This element lists out the top 20 invoices by balance over the threshold. Having visibility to the invoice level of old AR helps you concentrate your efforts on separate invoices and allocate resources to collect money or write it off as needed. You can prioritize this list by age or balance to affect the old AR average exponentially. To validate this, run the 1234xz AR Aging Extract. Filter it on the threshold and sort by descending AR balance. CPR+ ANALYTICS CUBES ANALYZE CUBE AR CUBE The primary responsibility of the accounts receivable department is to collect the A/R that is due in the company. If every bill was paid when it was received by the payer or patient, there would not be a need for A/R management. Unfortunately this does not happen. The A/R Cube gives you the ability to categorize your accounts AR_Solution-User_Guide.docx Page 13 of 17

14 receivable in many different ways so you can see where the problems are, reduce risk and prioritize your collection resources. GLOBAL LAYOUT AR AGING BY PAYOR TYPE The layout [Rock-Pond] AR Aging by Payor Type was made global for all users. This layout gives you a summary of your account receivables in different aging bucket that you set up in Settings of Company Setup. Discover the layout in the drop down menu and use it as a starting point to analyze your AR aging. In order to build this report, the following are the steps you need to take: Row Area: Due Payor Type, Due Payor Column Area: Aging Bucket Date Billed Data Area: Balance GLOBAL LAYOUT AR CREDIT BALANCES The layout [Rock-Pond] AR Credit Balances was made global for all users. This layout gives you an overview of your credit balances by Invoice Number within Payor Type within Site. Discover this layout in the drop down list and use it as a starting point to analyze your credit balances. In order to build this report, the following are the steps you need to take: Row Area: Patient Site Number, Patient Site Name, Due Payor Type, Due Payor, Invoice Number Data Area: Balance (filter to show values from [blank] to $0.00 GLOBAL LAYOUT CURRENT AR BY PAYOR TYPE The layout [Rock-Pond] Current AR by Payor Type was made global for all users. This layout gives you an overview of your current AR and you Bad Debt Reserve by Payor Type. Discover this layout in the drop down list and use it as a starting point to analyze your AR and Bad Debt Reserve. For example, you can pull in Invoice Therapy or Invoice Core Service instead of Due Payor Type. In order to build this report, the following are the steps you need to take: Row Area: Due Payor Type and Due Payor Data Area: Balance and Bad Debt Analytics. CUBE CASH CUBE For any business, cash is the ultimate tangible asset that determines success. Thus, collecting and managing cash is the main goal of any accounts receivable project. The Cash Cube gives you a clear view of the payments, transaction details and their age, as well as provides you with the ability to analyze your cash using a variety of business indicators such as payer type, payer, or therapy. Please note the cash cube only includes cash that has been applied to an invoice and posted. Unapplied cash is not included in the cash cube. Many of the fields in the cash cube are determined by the invoice the cash is posted to and these would all be blank for unapplied cash. If you need to work on unapplied cash, please refer to the 1245cz Unapplied Cash analyzer report. AR_Solution-User_Guide.docx Page 14 of 17

15 GLOBAL LAYOUT CASH POSTING PRODUCTIVITY The [Rock-Pond] Cash Posting Productivity was made global for all users. This layout provides you an overview of your posting clerk s productivity. Keep in mind the layout pulls in the transaction creator, not necessarily the user who processes the transaction. Discover this layout in the drop down list and use it as a starting point to keep track of your productivity. In order to build this layout, these are the steps you need to take: Filter Area: Posted Date (Year) and Posted Date (Month) Row Area: Transaction Creator Full Name Data Area: Payment Amount and Transaction Count GLOBAL LAYOUT CASH TRENDING BY INVOICE THERAPY The [Rock-Pond] Cash Trending by Invoice Therapy was made global for all users. This layout gives you an overview of your cash trending over a period of time, grouped by the Invoice Therapy. Discover this layout in the drop down list and use it as a starting point to analyze your trending and take actions if the pattern is unexpected. In order to build this layout, these are the steps you need to take: Row Area: Invoice Therapy and Posted Date (Year) Column Area: Posted Date (Month) Data Area: Payment Amount GLOBAL LAYOUT CASH WATERFALL The [Rock-Pond] Cash Waterfall was made global for all users. This layout helps you determine how long it take from billing the invoice for the payment to be posted. Discover this layout in the drop down list and use it as a starting point to analyze your cash waterfall. In order to build this layout, these are the steps you need to take: Filter Area: Posted Date (Year) Row Area: Invoice Date Billed (Year) and Invoice Date Billed (Month) Column Area: Posted Date (Month) Data Area: Payment Amount CUBE ADJUSTMENT CUBE It is important to have a clear view of how many adjustments occurs during a certain period of time, how much the adjustment amount is, why A/R and revenue are being written off, who is responsible for the accounts that are written off, and whether they are written off in a timely manner. The Adjustment Cube gives you the ability to analyze just that! GLOBAL LAYOUT ADJUSTMENT BY PAYER TYPE The [Rock-Pond] Adjustment by Payer Type was made global for all users. It provides you with an overview of your adjustment amount and count based on payer type. Discover the layout in the drop down list and use it as a starting point to start analyze your adjustment. AR_Solution-User_Guide.docx Page 15 of 17

16 In order to build this layout, you need to pull these fields: Row Area: Claim Payer Type and Claim Payer Data Area: Adjustment Amount and Adjustment Count. GLOBAL LAYOUT ADJUSTMENT TRENDING BY ADJUSTMENT TYPE The [Rock-Pond] Adjustment Trending by Adjustment Type was made global for all users. It gives you a big picture of how your adjustment trends during a period of time. Discover the layout in the drop down list and use it as starting point to start analyze your adjustment trending. In order to build this layout you need to do the following: Row Area: Adjustment Type Code, Adjustment Type Description, and Adjustment Posted (Year) Column Area: Adjustment Posted (Month) Data Area: Adjustment Amount GLOBAL LAYOUT ADJUSTMENT POSTED BY LINE OF BUSINESS AND CORE SERVICE The [Rock-Pond] Adjustment Posted by Line of Business and Core Service was made global to users. This layout breaks down your adjustment into Revenue vs. AR Adjustment and groups it by Core Service and Line of Business. Discover the layout in the drop down list and use it as starting point to analyze your adjustments. Note your Company Setup for the data extensions for Therapy Type and Adjustment Type in order to utilize this layout. To build this layout, you need to pull: Row Area: Invoice Line of Business, Invoice Core Service, and Invoice Therapy Column Area: Revenue Adjustment Type Data Area: Adjustment Amount. CUBE DENIAL CUBE Nothing is worse than billing payers for invoices and get denied. The Denial Cube provides you with a tool to dive deeper into the denials, analyze them, and take preventative actions as needed. GLOBAL LAYOUT DENIAL BY PAYOR TYPE The [Rock-Pond] Denial by Payor Type was made global for all users. This gives you an overview of your denial count based on the payor type. Discover this layout in the drop down list and use it as a starting point to analyze your denial. In order to build this, you need to pull: Filter Area: Denial Expected (Y/N) Row Area: Denial Payor Type, Denial Code, and Denial Description Data Area: Denial Count GLOBAL LAYOUT DENIAL TRENDING The [Rock-Pond] Denial Trending was made global for all users. This gives you a trending picture of denial over a period of time. Discover the layout in the drop down list and use it as a starting point to keep track of your trending. AR_Solution-User_Guide.docx Page 16 of 17

17 In order to build this, you need to pull: Filter Area: Denial Expected (Y/N) Row Area: Denial Code, Denial Description, Denial Posted Date (Year) Column Area: Denial Posted Date (Month) Data Area: Denial Count AR_Solution-User_Guide.docx Page 17 of 17