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Doctors and Patient Collections!

Posted by YSNY | Posted in Medical Practice Management and Billing Services | Posted on 02-09-2009

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Does your office collect the right amount during a patients visit?

A recent survey released on June 15th, 2009 by NaviNet Inc., found that 49% of practices were unable to estimate the correct amount due at the time of visit, other then predetermined co-pay.

As a result a result according to McKinsey & Co. doctors collect only about half of the balance due from patients.

What practices don’t understand is that collecting at the time of service is one of the things that must be done, the way things are even insured patients are increasingly on the hook for an even-larger share of costs.

In 2008 the avarage patient deductible grew by about 10%. On 2009 the deductible grew by about 15%. This becomes a big loss in revenue and must be collected at time of service.

Proper front desk training and review must be done once a month.

- Confirming the patient’s eligibility coverage and benefits, must be done before patient is seen.

- Providing accurate estimates of patient out-of-pocket expenses for specific services.

- Explaining to the patient, why they are being charged for these services.

- Helping patients that cannot afford to pay the amount if full, by setting up an automated payment plan.

- Allowing the patient a call to speak with their insurance carrier regarding their benefits.

Keep in mind the best practice is to collect the money  that are owed from patients at time of service, before they leave the office.

My Zimbio


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Are your claims being underpaid? Problems with collecting your money?

Posted by YSNY | Posted in Medical Practice Management and Billing Services | Posted on 18-08-2009

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Are your claims being underpaid, or not paid at all?

It is amazing how practice owners to not know where they stand when it comes to collecting their claims from the insurance carrier.

Some just think by having a biller on premises insures them that they will get paid!

I can asure you this is not the case. Billers on salary have no incentive that will drive them to get you the money that you deserve. Please keep that in mind.

Someone has to supervise the billing process that your practice has implemented. Someone has to check what was submitted/resubmitted and what was collected, also have to be familiar what is in your contract with the insurance carrier that you are billing. Not to mention the bills that go out directly to your patients.

You need someone that will keep track of what is going on.

It is easy to miss things in a busy practice, you might be thinking that you are saving money by having your front desk person do your billing and scheduling at the same time.

The bottom line you have to have someone in control, someone that will provide a detailed report to you that will show you what is happening with your money!

Please keep in mind that dealing with insurance carriers is not a simple process and also a time consuming process.

It is recommended to have a dedicated billing service that is motivated to see you get paid, a service that is up to date and has experience in dealing with the insurance world as it is today! 

David Zilber

Practice Management Consultant

http://www.realpracticesolutions.com


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