Self-Pay (Early-Out to Bad Debt) - Keeping up with the waves of self-pay accounts that are being created on a daily basis due the 50 million uninsured and the increases in co-pays and deductibles for the patients who are insured is a daunting task for many hospitals. Hospitals see the benefit of outsourcing this payer class - and the sooner the better since the collectability of self-pay balances declines substantially with the passage of time. In fact, the number one cause for personal bankruptcies is healthcare debt. So collecting up-front and early in the revenue cycle is critical. Our services Partner provides professional first-party self-pay follow-up in the name of the hospital, treating each patient/guarantor with respect, just like the hospital's personnel would do if they had the time and resources. And if more aggressive collections action is desired by the hospital, they can provide this service through its bad debt collection department where patients will be contacted in a firm but FDCPA compliant, professional approach. To assess a hospital's Self-Pay revenue cycle needs, they provide a complimentary Self-Pay Revenue Cycle Analysis that includes (1) short- and long-term recommendations in a work-plan format and (2) a summary of the financial improvement that can be achieved.

Workers Compensation Accounts - These claims present a challenge for many hospitals because of the labor-intensive nature of preparing these bills for payment, including providing medical records, itemized bills and injury reports. In addition, many carriers unjustly reduce payments based on "usual and customary" reimbursement levels or other cost-containment methods.

Motor Vehicle Accident Accounts - These accounts can eat up a disproportionate amount of collector follow-up time due to their complexity and multiple parties involved, including the patient's attorney. Our sevices Partner provides a systematic and comprehensive approach to these accounts, utilizing its attorneys to protect the hospital's interest. In many cases, our attorneys can obtain prompt reimbursement via the patient's own auto or health coverage, with or without a subrogation agreement. If no such recovery is possible, their attorneys work with the patient's attorney to ensure the hospital is paid, either by lien or enforceable letter of protection.

Clean-ups & Special Projects - Managing the full spectrum of Patient Financial Services can be like herding cats. Very little stays the same from day-to-day. Systems issues, staffing challenges, payer contract terms, and regulatory requirements; they stack up to a very dynamic management challenge. Occasionally, our clients need some assistance to keep up or get caught up with a specific group of accounts on a one-time or sporadic basis. Our technology and experience combine for an organized and efficient solution to address those A/R emergencies that crop up from time to time.