NMS




30075 Greenfield Rd., Suite 100
Southfield, MI 48076

Phone: (248) 290-2940
Fax: (248) 290-2941


July 2007 - Cash Collection is driven by Insurance Verification and setting expectations with your patients

Though offices may have had the policy to collect co-pays with their patients, the new world of payor rules has created an entirely different situation.      You no longer have a set renewal  timeframe, no common “rules” for co-pays or deductibles.  And some patients have chosen high deductible plans  or Health Savings plans which require you to have the ability to process a credit card transaction.

Do you have the tools to do online verification for your patients’ payors?  Many payors only will provide insurance verification checking via their web pages.  There are services you can contract with such as Emdeon or Blue Cross/Blue Shield so your staff can complete the necessary verification.

In the current Michigan economy, the volume of  self-pay patients is increasing.  Do you have adequate policies and procedures to ensure that you collect self-pay monies?  Or are you finding yourself with an increase in bad debt and collection agency fees?  Many consumers place a lower priority on an unsecured service bill such as yours than on their monthly credit card bill, further complicating collection.

The other critical success factor is clearly setting expectations with your patients before their service.  Once you have verified their benefits and determined their obligations, communicating to the patient what they are  expected to pay at time of service or prior to a surgical procedure prevents many issues.

Best-practice offices we work with often use these tools to improve cash collection performance:
  • Establishment of a pre-patient arrival  readiness checklist
  • Routine insurance verification including co-pay/deductible determination
  • Consistent patient notification of financial obligations
  • Establishment of minimum payment for self-pay patients at time of service,  often including a percentage discount for payment in full at time of service.  (Be creative in getting your monies earlier in the collection process!)

Assets your office should have in place include:
  • secure internet access
  • credit card or electronic check processing
  • an office policy on cash collections
Contact us at NMS for other ideas to ensure your financial success