Author Topic: End of contract question  (Read 901 times)

maxamillion125

  • Newbie
  • *
  • Posts: 20
End of contract question
« on: November 04, 2014, 09:19:00 PM »
Is a billing company responsible for answering patient questions and following up on denied claims after the contract between the provider and billing company has ended? To me it would seem like grounds for a HIPAA violation if we are calling insurance companies regarding claims after our contract ended with that provider. The DOS was during our contract but we are still getting calls from patients but there's not much we can do as our PM software account is closed and we can't access any patient info or claim info.  The provider is saying we are responsible for answering their patients questions and following up with denied claims.  The contract ended 3 months ago we tried to negotiate new terms but it didn't work out. 

Merry

  • Sr. Member
  • ****
  • Posts: 363
Re: End of contract question
« Reply #1 on: November 04, 2014, 09:21:46 PM »
What does your contract say about how you are to handle this situation.
You could always say that you don't have access to the information since you no longer do the billing. (If that is true)

maxamillion125

  • Newbie
  • *
  • Posts: 20
Re: End of contract question
« Reply #2 on: November 04, 2014, 09:33:50 PM »
Its true we printed out A/R reports but we don't have access to individual claims or patients accounts.  The account is closed.  The contract ran its course, we just never reached an agreement for another contract.  Are we legally responsible for following up on unpaid claims or answering patient/provider questions regarding claims that occurred during our contract?