Preview

Understanding the Collection Process

Good Essays
Open Document
Open Document
520 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Understanding the Collection Process
Understanding the Collection Process
May 15, 2011
HCR/230

Collection Calls
Collection Calls
Collection Letters
Collection Letters
Collection Call Strategies
Collection Call Strategies

Understanding the Collection Process
Collection Letters For the largest part, the collection 's correspondence in our practice is the primary notice that their bill is overdue. Collection correspondences are ordinarily professional, respectful, concise, and to the matter, this jog one 's memory that a payment is owed. Our medical office has payment options for the patients if he or she cannot pay the complete balance. This is still the obligation of the patient to pay off the bill. The medical office staff determines what kind of correspondences should be sent to accounts in the various past-due phases. The accounts, which are past-due longer will experience more disputable correspondences (Valerius, J., Bayes, N., Newby, C., & Seggern, J. 2008).

Collection Calls Once the account is past due our collection specialists start calling the patient for payment arrangements. The initial call is used to confirm the patient has gotten a bill, and collections are resolved without difficulty at this point. Nevertheless, some clients are incapable or reluctant to settle. Each patient’s circumstance is different, and collection counselors deal with each client cautiously. The collection company policy is to be proficient and courteous, but collection counselors are calling to gather funds owed to the medical office (Valerius, J., Bayes, N., Newby, C., & Seggern, J. 2008).

Collection Call Strategies Our collection specialists cannot go with specific wording when placing telephone calls. They must respond to circumstances and utilities productive approaches to conduct payment arrangements. The following is the overall policies that collection specialists exercise when communicating to patients on the telephone: 1. Be straightforward and honest, and inform



References: Valerius, J., Bayes, N., Newby, C., & Seggern, J. (2008). Medical insurance: An integrated claims process approach (3rd ed.). Boston: McGraw-Hill.

You May Also Find These Documents Helpful

  • Satisfactory Essays

    The ten steps to the medical billing process can be categorized into three main groups. These three groups are the visit, claims, and post-claims processes. When it comes to the visit category, this category has a great deal to do with the patients personal information getting the patient established, such as pre-registering the patient. This is the process when we use the HIPPA privacy act to help gain the trust and confidence of the new patients and returning patients to our office. Also, we have the step that we take to inform the patient of his or her obligations to pay this is another form of the HIPPA act that we must follow when it comes to the patient’s personal information such as finances. The claim category uses the help of the ICD, CPT, and the HCPCS billing strategies to help ensure that we are doing all that we can to fully utilize the patients insurance and to better suit the patient. When using these forms we are reviewing the coding compliances. We are also checking billing compliances, when we are made responsible for billing the correct information and codes to the insurances that are involved. In the claim category we are also made aware that we must follow any rules that the proper billing and coding standards set for us. Preparing and submitting the claim is the key to success in any office this is why this process is so important to follow. The last category of the steps that we come to is post- claims where monitoring payer adjustments, generate patient statements, and follow up with patients payments along with any collections. This step brings us back to following any HIPPA regulations when it comes to collecting payment and gathering information for collections. This privacy act must be acknowledged at all times and followed to ensure that you get paid and the patients can not complain. Looking back over these steps it is important to follow each and every one of them so that every party involved gets the outcome that he or she…

    • 348 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    I chose MTBC PracticePro and ClaimCare as my two different medical collections agencies. The website for ClaimCare is http://www.claimcare.net/healthcare-billing-services. The website for MTBC PracticePro is http://www.mtbc.com/. MTBC PracticePro can complete a claim anytime in the day because they are open 24 hours a day. The company has an overall rating of 9.25 out of 10; ranking it the 7th best medical billing services. The company offers an electronic service that lets you track billings. ClaimCare can promise to get your claims done quickly and reports errors. Offers software that can help you secure and do your billings. Every week it sends you a statement of all your documents. Has an edit on website where you it reports errors. The…

    • 154 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    A: Some patients may be experiencing a financial difficulty and cannot pay a balance in its entirety. By offering other payment options like setting up a payment plan where the patient agrees to pay a portion of their balance by a certain date each month or week, allows them to pay their bill but not add further financial strain or stress on the patient. The patient is still meeting their obligation, the office still gets paid and it allows for a good relationship to continue between the patient and…

    • 602 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    At a children’s clinic there are pediatrics that are dedicated to the health, safety, and well-being of all infants, children and adolescents. Co-pays are a fee that is due usually before the time and date of service being provided. Most practices require co-pay prior to service but some allow it to be billed or payed by the next visit. The co-pay amount varies depending on the type of insurance a patient has. Deductibles are the amount of expenses that must be paid out of pocket by the patient before an insurer will pay any expenses. Past due balances occur when payment in full has not been received for charges assessed in accordance with the payment due date. The clinic asks that all co-pays, deductibles and past due balances be paid at the time of service as per your insurance contract. All other balances are due within 30 days of the time of service. As a courtesy, the clinic bills most insurance’s, but charges and fees are the responsibility of the custodial parent. For balances with no payment in 30 days, a late fee of $5.00 will be added to your account. If there is still an outstanding balance due, at 60 days you will receive a past due letter in addition to a second late fee of $5.00 added to your account. The clinic routinely begins collection proceedings on those accounts that have not been paid after 90 days and when this occurs an additional $10.00 pre-collection fee is charged to your account. If you are unable to meet your obligations to the clinic in the expected time frame, please see the billing office as soon as possible to make arrangements for a monthly payment account. This program will allow you to pay larger account balances off over an additional three month period. Unpaid balances allow you to set up a payment plan with the facility to fit your budget. There are income based and also monthly payment plans available for patients who cannot afford to…

    • 1362 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Payment Entry Process

    • 1356 Words
    • 6 Pages

    Depending on the type of coverage, the patient will have to pay $500 or $1000 for his medical treatment before his insurance company starts paying on his behalf. Some insurance companies have a yearly deductible, which means that every calendar year the patient would be responsible for a certain amount of money before their insurance starts paying their medical bills for that year. Other insurances have a lifetime deductible, which means that the patient will have to pay for his treatment until a certain limit (like $5000) and then the insurance would start paying till his coverage is valid.Co-insurance/co-payment: A primary insurance company makes a payment on a claim to a participating physician. They instruct the physician’s office to collect a specified amount from the secondary insurance or the patient. This specified amount is called a co-insurance or co-payment.Balance bill: When a non-participating primary insurance co. pays a part of a claim, the balance on the claim can be billed to the patient or secondary ins. Regardless of the non-participating ins. Allowed amount.Out of pocket Expenses: A medical bill or part of medical bill paid by patient out of his pocket because of non payment of his insurance company is called Out of pocket expenses. Deductible, co-pay, co-insurance and balance bills are “Out of pocket…

    • 1356 Words
    • 6 Pages
    Good Essays
  • Good Essays

    • Persistently tracking balances due is then a charge not compensated, and the individuals is reassigned to an organization that collects debt. A clarification is to make available a reimbursement plan comfortable for the individual at very small gain.…

    • 559 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    References: Bayes, N., Newby, C., Seggern, J., & Valerius, J. (2008). Medical Insurance: An Integrated Claims Process Approach (3rd ed.). Retrieved from http://www.axialibrary/phoenix.edu…

    • 311 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    April 19

    • 556 Words
    • 2 Pages

    I am sending this letter to you in response to a notice I received from you on (10/29/14). Be advised, this is not a refusal to pay, but a notice sent pursuant to the Fair Debt Collection Practices Act, 15 USC 1692g Sec. 809 (b) that your claim is disputed and validation is requested.…

    • 556 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    References: Valerius, J., Bayes, N., Newby, C., & Blochowiak, A. (2014). Medical insurance: An integrated claims process approach (6th ed.). Boston, MA: McGraw-Hill.…

    • 308 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    I have a question about all the patient credit refund request. I have so many patient forms ready to FWD to Noreen but I have a lot patients that I need to confirm they address but I don't have the luck that those patients answer their phone. My concer is that I don't want to keep holding all this forms anymore. What do you think that I should to do.…

    • 70 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Transformation of the Irs

    • 2100 Words
    • 9 Pages

    Murray, Teresa D. (February 2010) As e-filing turns 20, IRS trying to win over remaining third…

    • 2100 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    Collection Development

    • 2332 Words
    • 10 Pages

    This selection policy serves as the blueprint from which the staff makes decisions. It is also intended to provide guidance for the librarians, to achieve consistency in the election of materials for the collection, to define for staff, users, administrators and the public, the scope of the existing collections, and to inform the public of the principles upon which the decisions are made.…

    • 2332 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Credit Policy

    • 3529 Words
    • 19 Pages

    A Credit & Collections Policy should be an organized, repeatable practice or philosophy that a…

    • 3529 Words
    • 19 Pages
    Good Essays
  • Good Essays

    The long process of inquiry of Billing Statement are inconvenient, tiresome and at some instances are time consuming and costly.…

    • 648 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Balance Sheet and Inventory

    • 6751 Words
    • 28 Pages

    |4-2. |Explain how the collections and purchases schedules are related to the borrowing needs of the corporation. |…

    • 6751 Words
    • 28 Pages
    Powerful Essays