Account Receivable Questions & Answers

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Why is it important to have written accounts receivable procedures?

What are the most frequent mistakes managing accounts receivables?

Why do “No Out of Pocket Expense” deals (NOOPE) violate the law?

Why do “No Out of Pocket Expense” (NOOPE) deals violate insurance contracts?

Should we get insurance information over the phone?

Should insurance information always be taken on the first visit?

Does a cash patient reduce the administrative cost of processing a claim?

What techniques can be used to encourage visit by visit payments by cash patients?

How often should I bill for my services?

Why do some insurance companies send EOBs to the patient and not to the doctor?

Is it a good idea to send a copy of my doctor’s documentation along with the claim?

What should I do if a patient routinely “forgets” their wallet?

Can I make the insurance company look for the records I know they received?

What do you do when an insurance company always loses your records?

Can an insurer reject a claim with records?

Should I send records with every claim?

Can I request a specific customer service person to help me with a claim problem?

What information is an insurance company supposed to provide when it rejects a claim?

What should I tell patients when their EOB states their care not “medically necessary?

How can we encourage our patients to make their co-payments of deductible payments on a visit by visit basis?

What is a “reasonable explanation” when an insurer denies payment?

What should we do when an EOB says the care was “not medically necessary?

What really works to get our doctor to fill out reports for insurance companies?

Why are accurate files important?

How long does it take to review records?

How many reports can an insurer make me write?

Do I have any options when I have exhausted a self-insured employer’s appeals?

Should records be sent certified mail?

What do I do when a fellow staff person refuses to follow one of our office procedures?

How should a collections meeting be structured?

Can an insurance company require a certain style of documentation?

Is there any way to screen patients to determine if they are likely to pay their bills?

Are bill payment reminder calls acceptable?

Can an insurance company require a certain style of documentation?

At what point in the visit is it best to speak to patients about past due bills?

Should we ask patients to bring in their payments?

Why is it important to call patients as soon as their account is past due?

Does an insurer have to give a copy of the IME to the doctor?

How can we get patients to follow their treatment plan?

How do we educate patients about our payment policies?

What do I do when I am behind in my 31-day follow up system?

What collection information should I share with my doctor?

Is a doctor required to file an insurance claim for a patient?

Can we balance bill the patient for the amount the insurance company reduced our fee?

Can I refuse to give my patients a copy of their records if they have an unpaid balance?

Does an insurance company have to honor my lien?

When should an account be written off?

What percentage of revenue is written off in a well-run office?

If the insurance company mails us a check that reimburses us for only a portion of a claim, are we giving up our rights to collect the balance of the claim if we cash the check?

If I deposit the check the doctor receives from the insurance company, are we giving up our right to fight the reduction of our charges?

Are we giving up any of our rights if we deposit an insurer’s check?

Can a lien against a patient be enforced?

Why are personal injury claims more difficult to collect than group health claims?

What steps can I follow to decrease my problems with collecting personal injury claims?

Why do some insurance companies insist on giving information only to the patient?

How long does an insurance company have to pay a claim?

On September 1, 2001 the law changed regarding how long an insurance company has to pay a claim. What are the new requirements?

What can we do if an insurer is late paying a claim?

How can we help patients who work for self-insured companies get chiropractic benefits?

Can a lien against a patient be enforced?

Should cash patient be told our collection polices?

What traits are usually found in a person who is successful in an accounts receivable job?

What is an HMO?

What is a PPO?

What is an IPA?

What are the different types of review that can be done on a chiropractor’s claim?

What is a concurrent review?

What are retrospective reviews?

How long must we keep our records?

What is the correct method for disposing of records?

Should accounts receivable be included as part of the transaction?

Can a doctor offer a pre-payment discount?

What is the proper way to give a same day payment discount?

What are the problems in waiting to collect until the patient has been released from care?

Should we ever ask patients to bring in a payment rather then waiting for them to mail it?

How do I get my doctor from making financial arrangements with patients?

How do we enforce our policy that discounts may only given if the patient pays on time?

Can we call patients to remind them of payment due dates?

Do form letters work as well as phone calls for past due accounts?

Should we suspend collection activities if a patient has a dispute over their bill?

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Wisconsin Chiropractic Association 2008