Medical Billing Forum

General Category => General Questions => Topic started by: DavidZ on December 21, 2009, 10:44:05 AM

Title: Uncollected claims
Post by: DavidZ on December 21, 2009, 10:44:05 AM
If you take over a practice and see that they have some uncollected claims, what should you do?
What should you charge the practice to follow up on these claims?
Should you charge for evaluation , if yes how much?

Thanks,

David
Title: Re: Uncollected claims
Post by: Pay_My_Claims on December 22, 2009, 01:34:25 PM
when i start, i do that from day 1 forward, anything else is AR recovery and a separate stand alone charge
Title: Re: Uncollected claims
Post by: Michele on December 23, 2009, 06:02:24 AM
For me, it depends on how many claims.  If it is only a couple (very few compared to current billing) I will slip them thru.  Otherwise it is cleanup and handled separately.

Michele
Title: Re: Uncollected claims
Post by: DavidZ on December 24, 2009, 02:45:47 PM
It is more then a few over 25%.

What should be charged?

Happy Holidays to All and All the Best for 2010!

David
Title: Re: Uncollected claims
Post by: Pay_My_Claims on December 26, 2009, 08:13:32 AM
its hard to tell you what to charge. I charge my worth and factor in the age of the claims, the specialty and the time it would take to pursue payment.
Title: Re: Uncollected claims
Post by: Michele on December 26, 2009, 09:23:33 PM
Charlene's right.  You will have to take some things into consideration.  How old?  Will they likely get paid?  Timely filing issues?  If it is just a matter of simply resubmitting and most will be paid, it's not too bad, but if more likely, several will be denied, then that is different.

Michele
Title: Re: Uncollected claims
Post by: Pay_My_Claims on December 27, 2009, 12:00:40 PM
Exactly Michelle, you have to go behind someone else's work which is difficult in itself. AR Recovery isn't an easy task. It takes up a lot of your time and you should be compensated for it. The claims processing (new claims) is much easier. You should take on a specialty that you know, so billing it wouldn't be a problem. Also I advise any newbie or anyone with no billing experience to not embarq upon this task on specialties they don't know.
Title: Re: Uncollected claims
Post by: DavidZ on December 28, 2009, 03:03:37 PM
Thanks
Title: Re: Uncollected claims
Post by: PMRNC on December 29, 2009, 08:27:31 AM
It depends on your contract. If you have a start date by date of service (recommended) anything prior would need to fall under a separate contract. I have a separate contract drawn up and we usually agree on a higher fee for A/R recovery based on how old the claims are as previous posters have said. No percentage allowed here in NY and besides that I still use a monthly fee this way I get paid for the work I do regardless of what gets paid or not.
Title: Re: Uncollected claims
Post by: DavidZ on December 30, 2009, 09:49:29 AM
Thank you again, will add that to the contract.