Avisena Accounts Receivable Methodology
Traditionally, receivables management systems have aged receivables once per month, at the time when the month is closed. This provides for a distorted accounts receivable picture because individual accounts (or component parts) are moved between current, 30, 60, 90 and >180 buckets only at that time. In reality, these items move between these categories at times during the month and may require immediate attention.
Avisena ages all receivables on a daily basis. Since we post all responses from third-party payers, any insurance receivable that does not have either a payment or a denial posted against it after a 
pre-defined amount of time (which varies by third-party payer), is a “No-Response” receivable. Upon identification, the system automatically creates a “No-Response Incident” in the Reimbursement Management System for Avisena collections staff to begin working immediately.
Each of the aforementioned scenarios are preempted with automatic actions that are defined in the system. For instance, when a claim is deemed “No-Response,” the system automatically generates an electronic claim status request that if successful, will resolve the claim issue automatically without involving a human being. Other automatic actions include rebilling the claim, sending a letter to the insurance company / patient or billing the patient.
- Identifies potential problem receivables (lost in mail, ignored by insurance company, pending, etc.) at the earliest possible opportunity so that Avisena collectors may begin working.
- Allows the Avisena system to create automated responses to certain events (i.e. automatic letter generation, resubmission of claim, electronic claim status) rather than human responses, which are more time consuming and costly.
Daily aging of receivables provides the following benefits:
