Posts tagged ‘collections’

5 tips help you recover deserved pay.

Collecting money from patients, especially during a recession, can be challenging. If your front desk is responsible for collecting copays and sometimes old balances, its success or failure has a dramatic impact on the practice’s bottom line.

Check out five ways you can improve your front desk collection efforts:

1. When calling to remind patients about their visit date, also remind them of their co-pay amount and any old balances so they come prepared to pay at the visit.

2. When a patient complains about paying a bill, send her to a manager so the bill can be reviewed and explained.

3. Most practice management software will allow front desk staff to view outstanding balances. Your front desk staff can politely remind the patient that there is a balance and say something like, “How would you like to pay your bill today?” Assume that the patient is planning to pay.

4. If the patient has a problem paying their balance or paying for the visit that day, do not discuss this at the front desk. Respect his privacy. Staff may wish to take him to a manager’s office where a payment plan or other arrangement can be established.

5. Ask your manager about offering discounts to patients with no insurance if they pay for the visit at checkout instead of sending them a bill.

And one extra tip: Involve Your Supervisor. Pearl Stafford, front office manager for an internist and gastroenterologist in Naples, FL, who also once worked for a psychiatrist where she assumed the role of the receptionist from time to time, acknowledges that old or really old AR can be difficult to collect. “A lot hinges on the physician,”says Stafford. “In this particular office, my physician provided incentive. Since the AR was so old in many cases, he offered me 25 percent of anything I collected. Most collection agencies charge 50 percent, so this was beneficial to the practice and also worked as an incentive for me.” If something is really old, it’s better to collect some money as opposed to nothing and wipe it off the books.

Carol Gibbons, CEO of CJ Consulting, helps management to set up collection targets for the front desk and then rewards staff when they reach that goal. “In one practice with seven physicians, the front desk as collecting $500 per day at the front desk. After doing training with the front desk staff, we started pushing up their collection goal and then bought lunch each time they reached a new goal. Today, at the front desk, that office collects $2,500 to $3,500 per day in co-payments, co-insurance, and old balances. The manager still buys pizza when they reach a new high in daily collections or rewards individual employees with gift cards.”

Again, your specific role in collections will vary, but these are some ideas that you may wish to present to your manager or physician if they are not yet implemented in your office.

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Find out if you’re legal in collecting patient portion before providing the surgical service.

Don’t be too hasty in collecting a patient’s copay and deductible up front.

“While in theory, the practice of collecting deductibles up front may sound good, you should check your carrier contracts to be sure you are allowed to do this before requesting the deductible amount from the patient up front. There are plans which strictly prohibit this type of up front billing, and you can cause quite a headache for your practice if you are not well informed,” warns a subscriber who commented on “Checklist: Collect Surgical Deductibles Up Front to Improve A/R.”

True, says Medical Office Billing & Collections Alert editor Leesa Israel. It is always best to check your payer contract before implementing any billing or collections practice. Every payer, and every contract, can be different.

Whether you can collect a deposit from the patient before performing a surgery is a function of your payer contract that your physician has signed. If the contract does not exclude collecting copays and deductibles up front, you are perfectly legal in collecting the patient portion of the surgery before providing the service.

Exception: If your physician signed a contract that forbids this type of up-front collection, you would be violating the contract by collecting a pre-surgery deposit.

Lesson learned: This is why it is so important to read your contracts before signing them and why it is so important to have a copy of all of your signed contracts. That way, you can quickly and easily determine if there are any limitations or any privileges that you have as stated in the contract that affect your billing and collections procedures.

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  2. Medical Billers: Test Your Collections Know-How Here This nifty tool tells you if collections cluelessness is...
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