Author Topic: Term billing service working their A/R  (Read 905 times)

Powerade_993

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Term billing service working their A/R
« on: December 16, 2017, 01:30:39 PM »
I recently sign a new client. The former billing service will be working the A/R they are responsible for.

1. What is the average time given to a terminated billing service to do so? I know this is a decision between the provider and terminated billing service but Iím curious. They have stated she will possibly continue for 4 months working A/R prior to my start date of 1/1/2018. Seems a bit generous!

2. I will be using Navicure as my clearinghouse because it is built into the providers system I will be using. If she is using a different clearinghouse is this even possible? If I setup Regence to accept claims through Navicure and then she continues to use say OfficeAlly is this even possible? Iím not familiar with this happening.

3. I should also state that all payments have previously went to her business address. Moving forward the provider has elected payments to be received at my business (locked box) address. This becomes extremely complicated when she continues to work A/R she is responsible for. I offered my services to do so but they have elected that she continues and resolves her accounts (all prior to 1/1).

Sriram_Sub

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Re: Term billing service working their A/R
« Reply #1 on: December 18, 2017, 09:00:31 AM »
Hi Powerade_993,

1. Generally they give about 90 days for a termed vendor to catch up with the old A/R. But since you have a cut off date, the provider may even have a different arrangement (may be a claim basis) with the vendor until his All of his collectibles are brought in.

2. Yes. This is possible. A provider can submit claims via more than 1 clearinghouse. You just have to make sure you apply for a new EDI enrollment and not an update.

3. This is a bit complicated though, but since you will be taking charge beginning from a particular service date, you should report to the other vendor if you receive any payments for her claims and make sure you have a track of it. Similarly, she should send your payments to you from payers who have not updated the new address, so that both of you can reconcile your deposits accurately.

Hope this helps. Good luck with the new client.
Sriram

Powerade_993

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Re: Term billing service working their A/R
« Reply #2 on: December 18, 2017, 09:15:22 AM »
Thank you Sriram_Sub! This was helpful information as I am responding to my new client with my recommendations.

So you can bill say Regence from two different clearinghouses? Would you then receive ERA information on both clearinghouses based on where the claims where originally submitted?

Powerade_993

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Re: Term billing service working their A/R
« Reply #3 on: December 18, 2017, 09:46:31 AM »
Called Regence this morning. They confirmed you can in fact submit claims through two separate clearinghouse, however, the ERA's will come to one.

Thank you :-)

Sriram_Sub

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Re: Term billing service working their A/R
« Reply #4 on: December 18, 2017, 10:07:03 AM »
Yes. The payments will always be through one clearinghouse. You should work on a reconciliation mechanism with your counterpart. Good luck.
Sriram

Powerade_993

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Re: Term billing service working their A/R
« Reply #5 on: December 18, 2017, 10:16:50 AM »
Thank you!! I appreciate you help today.

Michele

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Re: Term billing service working their A/R
« Reply #6 on: December 19, 2017, 08:51:43 AM »
I recently sign a new client.

Congratulations!

1. What is the average time given to a terminated billing service to do so? I know this is a decision between the provider and terminated billing service but Iím curious. They have stated she will possibly continue for 4 months working A/R prior to my start date of 1/1/2018. Seems a bit generous!
Well, like you stated that is between them, but we try to clean up any accounts that are leaving within 60 days.  It can go up to 90 depending on the size and complexity of the provider. 


2. I will be using Navicure as my clearinghouse because it is built into the providers system I will be using. If she is using a different clearinghouse is this even possible? If I setup Regence to accept claims through Navicure and then she continues to use say OfficeAlly is this even possible? Iím not familiar with this happening.
Many people say that you cannot have two Medicare connections at one time however we have had many times so I'm not sure.  We have always set up our clearinghouse and the old service was not affected. 

3. I should also state that all payments have previously went to her business address. Moving forward the provider has elected payments to be received at my business (locked box) address. This becomes extremely complicated when she continues to work A/R she is responsible for. I offered my services to do so but they have elected that she continues and resolves her accounts (all prior to 1/1).
It unfortunately gets a bit messy but we like to switch things to us, and then we provide anything that is old to the provider to pass on to the old biller.  I don't want the old biller to have to pass on to us. 
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PMRNC

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Re: Term billing service working their A/R
« Reply #7 on: December 19, 2017, 11:12:29 AM »
It is in my contract that I have NOTHING to do with a previous billing company's contract, terms, etc. No communication as well. Physician/client is responsible for all interaction and data. Gets very messy even if you offer up suggestions.
Linda Walker
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Powerade_993

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Re: Term billing service working their A/R
« Reply #8 on: December 19, 2017, 11:24:53 AM »
Thank you everyone!! One more thing figured out  ;)