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Five Strategies for Strategic Debt Recovery of Self-Pay Patient Accounts

AHA Approves Updated Hospital Billing, Collections Guidelines

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AHA endorses updated patient billing, collection procedures

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Federal Proposals Would Limit Aggressive Hospital Collections Practices

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Articles in category: Point-of-Service Collections

1. Federal Proposals Would Limit Aggressive Hospital Collections Practices Explore healthleadersmedia.com (Jul 3 2012) Feature Story , Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management New proposed federal legislation and regulations would limit aggressive hospital debt collection. One proposal would amend the Fair Debt Collection Practices Act to include medical debt. Treasury regulations would set policies for patient financial assistance and emergency medical care for hospitals with tax-exempt status. (Read Full Article)

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2. New Accretive allegations: Debt collector told new mom to pay or baby would stay Explore healthleadersmedia.com (Jun 27 2012) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management Minnesota Attorney General Lori Swanson has leveled new charges against Accretive Health, alleging the Chicago-based debt collection agency used illegal billing and collection tactics to get money from patients at two Twin Cities hospital systems. Swanson's revised complaint, filed Tuesday, June 19, in U.S. District Court in St. Paul, cites a dozen instances where "emergency room patients (were) hustled with bedside collection visits" that led them to believe they had to pay before receiving care. (Read Full Article)

   Comment Mentions:   Accretive Health   Lori Swanson

3. N.J. lawmakers approve bill requiring for-profit hospitals to post financial records Explore healthleadersmedia.com (Jun 27 2012) Collections , Community Benefit , Cost Reduction , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management The bill (A2143) passed the Senate in March and now heads to Gov. Chris Christie, who will decide whether to sign it. Any hospital that seeks a share of the state charity care funds to treat uninsured patients would have to disclose sources of income, business holdings and salaries of its top officers along with other information that nonprofit companies must file with the Internal Revenue Service, according to the bill. The state Department of Health and Senior Services would collect and post the information on its website. (Read Full Article)

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4. AHA endorses updated patient billing, collection procedures Explore Healthcare Finance News (Jun 6 2012) Feature Story , Collections , Debt Management , Improving Collections , Patient Friendly Billing , Point-of-Service Collections , Vendor Management Last week, a number of major national hospital organizations, such as the American Hospital Association (AHA), lent their support to the recently updated Statement of Principles and Guidelines on practices that hospitals should follow in regards to billing and collection, which incorporate patient-friendly billing practices. Election Feature Content:  No Feature read more (Read Full Article)

   Comment Mentions:   American Hospital Association

5. AHA Approves Updated Hospital Billing, Collections Guidelines Explore Becker's Hospital Review (May 30 2012) Collections , Debt Management , Improving Collections , Patient Friendly Billing , Point-of-Service Collections , Vendor Management In an effort to adapt to the Patient Protection and Affordable Care Act and as a reminder that hospitals must address billing issues in a "timely, transparent and forthright manner," the American Hospital Association released updated guidelines (pdf) on hospital billing and collection practices. Under the PPACA, non-profit hospitals must conduct community needs assessments, clearly state financial aid policies and follow other billing procedures in order to keep their tax exemptions. The AHA ori (Read Full Article)

   Comment Mentions:   American Hospital Association

6. Accretive Health may farm out debt-collection work Explore healthleadersmedia.com (May 10 2012) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management Accretive Health Inc. is in little danger of losing any more of its customers and is considering doing away with its hospital debt-collection services, the company's chief executive said Wednesday. Accretive Health Inc. is in little danger of losing any more of its customers and is considering doing away with its hospital debt-collection services, the company's chief executive said Wednesday. The practice has come under intense scrutiny in recent weeks after Minnesota's Attorney General released a blistering report, accusing the company of unsavory tactics that may have violated debt-collection laws. (Read Full Article)

   Comment Mentions:   Accretive Health Inc.

7. 5 Much Better Ways To Collect Patient Debt Explore Hospital Impact (May 8 2012) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Revenue Cycle , Vendor Management by Ron Shinkman, FierceHealthFinance We tend to be creatures of habit, often settling into routines we don't reassess until something jarring occurs to them or our lives.Hospital finance executives should consider the recent coverage about patient collection practices in Minnesota, North Carolina and elsewhere as that opportunity to make a reassessment. It seems perfectly reasonable that highly educated professionals with advanced degrees in hospital or business administration want to be proactive about collecting unpaid bills. They have been relentlessly educated about not leaving money on the table. In an era of reduced payments from public and private payers, collecting every little bit helps. But hospital patients didn't buy a flat-screen television from you; most sought care because they had no other choice. And unlike the neighborhood Best Buy, there is likely not a single price for a single procedure posted anywhere in your institution. In such an environment, dunning and then suing patients with low incomes and few resources to respond is extraordinarily short-sighted, if not mean-spirited. So how can hospital finance executives improve patient debt collections? Read the full article at FierceHealthFinance to find out. (Read Full Article)

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8. Directions in Group Practice Management Collection Explore Executive Insight (Apr 22 2012) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management All installments of this print and online column can be viewed in this handy e-book. (Read Full Article)

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9. Costly medical-bill myths Explore money.msn.com (Apr 19 2012) Collections , Debt Management , Improving Collections , Patient Friendly Billing , Payment Models , Point-of-Service Collections , Scoring , Vendor Management When doctor or hospital bills go unpaid, they can end up going to collections and hurt your credit score. To protect yourself, you need to know how the process works. (Read Full Article)

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10. 5 Ways To Collect Money Up Front Explore Healthcare Finance News (Apr 11 2012) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management (Read Full Article)

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11. How to offer a softer touch on patient collections Explore fiercehealthfinance.com (Apr 4 2012) Feature Story , Collections , Debt Management , Improving Collections , Point-of-Service Collections , Revenue Cycle , Vendor Management As the ranks of the uninsured and medical debt continue to rise in this country, hospitals have a variety of options for dealing with patient collections. The more traditional includes referring delinquent accounts to collection agencies, taking the writeoff or suing. This hurts the patients' credit and is among the reasons why medical debt is the number one driver in the United States behind personal bankruptcies. Another option in the case of deceased patients is to file a claim against their (Read Full Article)

    Comment Mentions:   Sharp Healthcare

12. Review of Medicaid Audits Finds Dismal Results Explore Healthcare Technology News (Mar 20 2012) Point-of-Service Collections Flaws in processes and use of data are significantly hindering recoupment of Medicaid overpayments under the Medicaid Integrity Contractor Audit program, according to a new report from the Department of Health and Human Services’ Office of Inspector General. (Read Full Article)

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13. Implementing Health Reform: The Reinsurnace, Risk Adjustment, And Risk Corridor Final Rule Explore Health Affairs (Mar 16 2012) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management On March 16, 2012, the Department of Health and Human Services published a final rule on the implementation of the reinsurance, risk adjustment, and risk corridor programs which are to be put in place under the Affordable Care Act (ACA), effective January 1, 2014. HHS also published final (and interim final) rules on Medicaid eligibility [...] (Read Full Article)

    Comment Mentions:   Health and Human Services

14. Medical bills that could wreck your credit Explore Newsday (Mar 4 2012) Collections , Debt Management , Improving Collections , Patient Friendly Billing , Point-of-Service Collections , Vendor Management CHICAGO -- Here's an added challenge if you're struggling to pay a medical bill: Your credit can be wrecked if the doctor or hospital kicks your unpaid bill to a collection agency. A growing number of Americans are discovering this unexpected land mine when they refinance or take out a loan. The Commonwealth Fund, a private foundation that sponsors health care research, estimates that 22 million Americans were contacted by collection agencies for unpaid medical bills in 2005. That increased to 3 (Read Full Article)

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15. Evolving Medical Provider Explore People Process Technology Blog (Feb 20 2012) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management Kel Mohror The Evolving Medical Provider faces a tumultuous environment where shortages of healthcare workers, payor economic pressures and government quality initiatives that demand the wisdom of Peter Drucker, the technological virtuosity of Steve Jobs, the acumen of Warren Buffet (or perhaps Jimmy Buffet?), and the stamina of a tri-athlete. In circumstances of complexity, collective wisdom- "best practices" and "lessons learned"- consistently leads to optimal results compared to "flying solo." A provider can search the Web to tap the collective wisdom in the content of FierceHealthIT, Healthcare IT News, Health Data Management, and EHRtv. Organizations such as Kaiser Permanente and... (Read Full Article)

    Comment Mentions:   Health Data Management

16. eHealth Initiative Studies the I.T. of ACOs Explore Healthcare Technology News (Feb 10 2012) Accountable Care Organizations , Business Process Improvement , Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management A new report from stakeholder advocacy group eHealth Initiative explores the health information technology infrastructure needed to support accountable care organizations. (Read Full Article)

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17. Reducing costs through better care collaboration Explore Healthcare Finance News (Jan 25 2012) Feature Story , Collections , Cost Reduction , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management For the past several decades, the U.S. healthcare system has rewarded the provision of high-volume, specialized patient care—and, as a result, we have seen costs skyrocket and our collective health suffer. (Read Full Article)

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18. Does HIPAA Impact Consumer Consent Under the TCPA? Explore ACA International (Jan 25 2012) Collections , Debt Management , Improving Collections , Patient Friendly Billing , Point-of-Service Collections , Vendor Management Illinois district court finds HIPAA privacy regulations do not restrict a medical provider from giving a cell phone number to a debt collector. Share: Some consumer attorneys have filed Telephone Consumer Protection Act claims alleging a debt collector lacks consent to collect medical debt even if the consumer gave the medical provider his/her cell phone number because of Health Insurance Portability and Accountability Act privacy restrictions. (Read Full Article)

    Comment Mentions:   Hipaa

19. CMS reveals RAC audit hotspots Explore fiercehealthfinance.com (Jan 24 2012) Collections , Debt Management , Improving Collections , Payment Models , Point-of-Service Collections , Vendor Management Recovery audit contractors (RAC) discovered more than 20,000 overpayments for just three types of hospital, ambulance and durable medical equipment claims submitted to the Centers for Medicare & Medicaid Services for reimbursement, according to a January newsletter. CMS reported more than 19,600 improperly submitted payment claims for Brovana and Perforomist, two medications used to control the symptoms of chronic obstructive pulmonary disease. CMS has since collected the overpayments. RAC auditors found numerous claims submissions whose improper billing was reached by multiplying by the dosage size of the medication rather than by the number of units prescribed to the patient. Among ambulance companies and hospitals, auditors discovered more than 1,000 instances where the service provider was billing Medicare Part B for its services rather than the hospital directly. Overpayments have also been collected in those instances. CMS also warned of admitting too many patients for evaluations when they could have performed the services on an outpatient basis, as well as overbilling for prosthetic limbs and accessories. To learn more:- read the AHA News Now brief- read the Medicare newsletter (.pdf) Related Articles:Providers stress over looming Medicare prepayment audits  CMS delays Medicare RAC prepayment reviews  AHA: Hospitals appeal RAC denials with 77% success  RACs correct $92.3M in improper payments (Read Full Article)

    Comment Mentions:   Medicare Part B

20. More hospitals demand payment on the spot Explore healthleadersmedia.com (Jan 24 2012) Collections , Debt Management , Improving Collections , Payment Models , Point-of-Service Collections , Vendor Management Under intense financial pressure, hospital financial executives no longer wait months to bill the patient after insurance has paid. (Read Full Article)

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21. EMH to begin point of service collection policy in January Explore Anderson Independent Mail (Jan 9 2012) Business Process Improvement , Collections , Debt Management , Improving Collections , Payment Models , Point-of-Service Collections , Vendor Management Elbert Memorial Hospital has started the point of service collection policy. This policy states that all co-payments, deductibles and self-pay accounts will be due and payable at the time services are rendered unless prior arrangements for payment have been made with the patient financial services representative in the hospital patient financial services office. (Read Full Article)

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22. Ways to improve patient collections Explore fiercehealthfinance.com (Dec 20 2011) Business Process Improvement , Collections , Debt Management , Improving Collections , Patient Access , Point-of-Service Collections , Vendor Management Hospitals must sharpen their skills--both technologically and socially--in order to improve their patient collections rate, according to a presentation at last week's Healthcare Finance Management Association (HFMA) virtual conference. (Read Full Article)

    Comment Mentions:   HFMA

23. Study on Health Plan Collection of Language Data to Address Disparities Explore AHIP Coverage (Dec 19 2011) Collections , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management A new AHIP study supported by the Robert Wood Johnson Foundation shows that health plans have made substantial progress in the collection of data on patient language and that they are widely offering options for language services. Continue reading → (Read Full Article)

    Comment Mentions:   Ahip   American Journal of Managed Care

24. CDC Proposal Seeks to Analyze Cost Impact of Chronic Diseases Explore Becker's Hospital Review (Dec 12 2011) Collections , Cost Reduction , Debt Management , Improving Collections , Point-of-Service Collections , Vendor Management The CDC has proposed a project that would collect select information from specific organizations in order to conduct an analysis on the cost-effectiveness of interventions for improving population health. (Read Full Article)

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