Best Practices for Resolving Medical Accounts

As more and more patients are having to pay more of their healthcare costs out of their own pocket, the need to have a fair, standard process for billing and collections was obvious. There was a clear need for a common-sense best practices approach to clarify the billing and collection process of medical debts.

Through a medical debt collection task force, The American Collectors Association International, along with HFMA and other healthcare industry leaders, have developed a common-sense approach to collecting medical debt. This cooperation was a result of the members of these organizations seeing the need to standardize and simplify the billing and collection process for patients.

The result of this task force was the creation of Best Practices for Resolution of Patient Medical Accounts. It should be noted that the account resolution process begins before the patient’s services are rendered and ends when the patient either receives 100% financial assistance or pays the outstanding balance of the account.

More information on the task force report and these best practices is available at

By |December 22nd, 2014|Collection Practice, Healthcare, Medical, Tips|Comments Off|

Ethical and Moral Debt Collections

As a debt collector for more almost 30 years I understand the need for a collection process in a healthy accounts receivable management program. All businesses providing goods and services must get paid for their products and services. In today’s economy, collecting every dollar owed is crucial, hence the need for “collections”.

Whether it’s the biller or office manager at the doctor’s office, the leasing manager at the apartment community, or the credit department at the local water company, someone must do it.

I believe that using a collection agency is an integral step in the accounts receivable management process. Many creditors use collection agencies, some do not. Some creditors view a collection agency as a last course of action. They often view collection agencies as just a little bit “shady” or not quite ethical. This is a stigma that the vast majority of collection agencies do not deserve. Most collection agencies, like TSC, strive to operate their business in a professional and ethical manner. Most collection agencies, like TSC, belong to ACA International as well as their state collectors’ association. Most collection agencies, like TSC, also work very hard to stay on top of ever-changing legislation that affects the collection industry and to comply with these regulations.

But complying with all of these rules, regulations and statutes should be a given for any ethical and professional collection agency. Beyond this however lies the moral aspect to collections. What many proponents of debt collections loose sight of is the fact that the consumer actually does owe a legitimate debt and has a legal and moral obligation to pay it. Consequently, there are two sides to this relationship. The collector has […]

Going Paperless

In your typical office environment going paperless can be a difficult task.  But why continue to keep the clutter around?  Why not find another way to reduce your carbon footprint, become more organized and enhance the security and privacy of your office documents.  Here are a few good tips on going paperless in your office.

If you receive any sort of junk or solicitation mail at work there are methods you use to opt out of this.  Log-on to and opt out of mailing lists so that you will stop receiving insurance and credit offers.  At you can opt out of direct marketing mail.  For more information on how to stop receiving unsolicited mail you can visit The Federal Trade Commission’s Consumer Alert.

So, if you’re truly going to take the big step and go completely paperless, that means you’ll have to eliminate all the current paper filed in your office.  For this you’ll need to have a nice talk with your IT department and try to obtain a scanner.  A basic scanner will work fine; after all, you’re just scanning documents.  If you’ve got a large amount of paper files, spending 30 minutes a day scanning will help to eventually eliminate all these files.  But before you start scanning, first create a clean and organized file folder system in your computer.  This will help you to quickly retrieve items from your computer.

Instead of printing actual paper documents, print them to PDF.  File these PDF’s in their appropriate folder.  Keep in mind again that a good folder organizational system  is very important here.  But in case you do lose files, there is the handy search feature built into Windows and OS X. Have a […]

By |September 28th, 2011|Tips|0 Comments|

Are you familiar with HIPAA 5010?

HIPAA 5010 compliance date begins on Jan 1, 2012; this was adopted to replace the current version X12 version 4010A1.

ICD-10-CM is a diagnostic coding system implemented by the World Health Organization (WHO) in 1993 to replace ICD-9-CM, which was developed in the 1970′s. ICD-10-CM is in almost every country in the World, except the United States.

HIPAA X12 version 5010 and NCPDP version D.0 are new sets of standards that regulate the electronic transmission of specific healthcare transactions. Covered entities such as health plans, healthcare clearinghouses, and healthcare providers are required to conform to the 5010 standards.

ICD-10-CM is similar to ICD-9-CM, however many improvements have been made to coding ICD-10-CM. For example, a single code can report a disease and its current manifestation (i.e. type II diabetes with diabetic retinopathy). Computer Science combined with new more detailed ICD-10-CM will allow for better analysis of disease patterns and treatment outcomes that can advance medical care. These same details will streamline claims submissions, since these details will make the initial claim easier for payers to understand.

You can find further information online at There you will find detailed information on what you need to do to conform to the 5010 standards.

By |July 21st, 2011|Tips|0 Comments|