Author Topic: Uncollected claims  (Read 1979 times)

DavidZ

  • Jr. Member
  • **
  • Posts: 79
Uncollected claims
« 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

Pay_My_Claims

  • Guest
Re: Uncollected claims
« Reply #1 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

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4761
    • Solutions Medical Billing
Re: Uncollected claims
« Reply #2 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
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

DavidZ

  • Jr. Member
  • **
  • Posts: 79
Re: Uncollected claims
« Reply #3 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

Pay_My_Claims

  • Guest
Re: Uncollected claims
« Reply #4 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.

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4761
    • Solutions Medical Billing
Re: Uncollected claims
« Reply #5 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
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Pay_My_Claims

  • Guest
Re: Uncollected claims
« Reply #6 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.

DavidZ

  • Jr. Member
  • **
  • Posts: 79
Re: Uncollected claims
« Reply #7 on: December 28, 2009, 03:03:37 PM »
Thanks

PMRNC

  • Hero Member
  • *****
  • Posts: 4252
    • One Stop Resources & Networking for Medical Billers
Re: Uncollected claims
« Reply #8 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.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

DavidZ

  • Jr. Member
  • **
  • Posts: 79
Re: Uncollected claims
« Reply #9 on: December 30, 2009, 09:49:29 AM »
Thank you again, will add that to the contract.