Author Topic: Not showing a patient credit  (Read 4803 times)

NuBiker

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Re: Not showing a patient credit
« Reply #15 on: March 29, 2011, 09:29:25 PM »
I always phone, text or email the patient and say "hey !!! Good news, the EOB says your copay is less than we thought, so you have a refund.
When it goes the opposite, I phone, text, or email and say "hey !! bad news, the EOB says your copay is more than we thought, and I will be sending you a statement that says how much you owe."

I use the same effort whether it's a refund or a balance due.

rking12

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Re: Not showing a patient credit
« Reply #16 on: March 30, 2011, 09:52:59 AM »
I would double check w/ the insurance company whether or not they correctly applied the patient's benefits.  If they did not, then the money belongs to the insurance company and they can ask for it back at anytime.

dekenn

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Re: Not showing a patient credit
« Reply #17 on: March 30, 2011, 10:03:14 AM »
That's why I hold onto it for a while.... occasionally, the insurance company will "re-work" the claim and find out "gosh, we forgot to apply the copay, you owe us $$$!"  THEN, try to get it from the patient, after you already refunded it!!! ;)

DMK

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Re: Not showing a patient credit
« Reply #18 on: March 30, 2011, 11:41:57 AM »
I'm not sure of the laws in every state, but I'm fairly certain that, in California you're supposed to return a patient's overpayment in 30 days. 

I agree, that if care is done, refund right away. But if they're fairly regular we apply the overpayment towards visits until it's used.  Most patients love it when I tell them "You have a credit, so I don't need any money today".

That is the one and only problem I have with the providers I see using outside billing.  Some of the services are months behind.  I absolutely understand that they can only be as good as the information they're given, but I hate getting past due bills, when I paid it months before but it hasn't gotten posted yet.  That's what's hard when you know too much!

rdmoore2003

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Re: Not showing a patient credit
« Reply #19 on: April 29, 2011, 02:31:51 PM »
if we find that refund checks are not being cashed by the patient and we attempt to contact them but cannot,  what should we do?   Is there an agency that we can turn over the unclaimed moneys to.    for example, a few years ago, there was a website that you could go to and enter your information and it would let you know if there was money waiting on you, in my case there was, but for healthcare industry is there something or someone we should contact?   any help would be appreciated?
Regina

pattil88

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Re: Not showing a patient credit
« Reply #20 on: April 29, 2011, 02:47:52 PM »
Not sure what state you're in, but in Georgia we have to file a report to a state agency called "Georgia Unclaimed Property" - you may want to check with your state for a similar regulation.  We have to do this for uncashed patient refund checks, unresolved credit balances, etc. that are over a certain age. Not one of our favorite reports to work but it does clean up old credit balances!

PMRNC

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Re: Not showing a patient credit
« Reply #21 on: April 29, 2011, 08:09:27 PM »
Quote
We do not refund until pt is discharged

Although it's a hassle and it's paperwork I know, it's still not right to keep money owed to the patient unless it is discussed and documented in their files. For example, if Miss Smith is going to the chiropractor and her plan pays 80%, let's say she hits 100% somewhere down the line and she's been paying her 20% at each visit. She's going to have a credit and that credit should be refunded to her within a sufficient time.  Like I said, not giving them the money back is NO different than not reimbursing the insurance company when they make an overpayment it's technically stealing.
Linda Walker
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