AR SOLUTION – Current AR ... Graph – Top 10 Payor Type by Balance over Threshold ......

AR_Solution-User_Guide.docx Page 1 of 17

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


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 ................................................................................................................................... 13

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.


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:


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 1357. To validate the AR and Revenue aspects, use the AR

and Revenue reports in CPR+.

DO WE HAVE A PROBLEM WITH CREDIT BALANCE INVOICES?


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.


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?


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?

1282 - 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.


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?


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.


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.


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.


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


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.


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.


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


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.


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.


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.


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.


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.


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.


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.


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

Date post:	20-Apr-2018
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