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Getting Payment from Physician's

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galinafl26:
I am even more confused now than I was before asking a question on this forum. I collect money for what I collect. So did you run your report by posting dates? Lets say you started billing December 1,2012..so you would run a posting report from December 1st? Can you be a bit more specific please!

PMRNC:

--- Quote ---I am even more confused now than I was before asking a question on this forum. I collect money for what I collect. So did you run your report by posting dates? Lets say you started billing December 1,2012..so you would run a posting report from December 1st? Can you be a bit more specific please!
--- End quote ---

I'm not trying to be difficult but indeed it WILL matter what your contract says. Going by what you say, you are collecting your 7.5% on revenue YOU collect? If that's the case and hopefully when you posted payments you used a specific payment code to differentiate what YOU were collecting/posting. For example, if you were posting patient co-pay's collect at the time of service, you would have wanted to give it a code of it's own. Likewise if your client receives a payment from the patient via mail because of a bill you sent out that would be another payment code. Another one would be a payment code to differentiate each insurance payment.   If your contract states you will only collect 7.5% from YOUR collections, you can't run a report of line item posting because there will be payments made that you did not collect (time of service, out of pocket).   With that said your best bet is to run a report using the payment codes.   So for example if I were to bill a % of what only "I" collect, I would run my report on all payment codes assigned to those payments I posted as a result of my billing.

Like I said.. Good data in is good data out. If you did not setup your database with reporting in mind, your going to have a very difficult time of it.

IMHO.. I would never charge a provider ONLY what I'm collecting. When I billed a % (I don't anymore) my contract stated it was a percentage of FULL PRACTICE revenue, because it was MY time in posting ALL payments. 

galinafl26:
my contract also states that I collect a percentage of full practice revenue however this particular doctor doesn't go crazy collection copayment or deductibles. Again, I can't get my question answered. Do I run an aging report based on whatever was posting to invoice my doctor?

Michele:
The only way to know if he's giving you all of the eobs is to run an aging report and check all outstanding claims.  If they were paid, but you weren't notified, most likely he's not giving you all the eobs.

As for the report question, the reason your question isn't getting answered is because there is not a one word easy answer.  It truly depends on a lot of things, mostly how it's worded in your contract.  I'm going to assume it's not spelled out in the contract.  IF that is the case then it will just depend on how you set it up, and then you need to stick with that.  So if you start out doing by posting date and then continue that way, it should be fine.

galinafl26:
Michele,

Thank you so much for answering me. I actually understood you. I will stick to the monthly posting report for invoicing him.

Thanks,
Gayle!

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