Many patients feel healthcare is too expensive. Combine that with the number of high deductible plans on the rise, collecting payments from patients can be challenging. A survey by West, found that nearly three in five Americans delay paying their medical bills. And as each of you know, the longer a bill goes unpaid your chances of collecting the balance deceases. As a result, a certain percentage of patients who you work with will not pay their bill. Many of you deal with this scenario all too frequently! You know the importance of capturing your patient-pay balances.
Continue reading Collection Policy Part 6: Capturing Patient-Pay Balances
Allegiance Group provides turn-key solutions to automate the collection of outstanding balances for healthcare providers. In this article, HME Business mentions Allegiance Group as a provider that can help optimize your revenue cycle management. (The following excerpts are from the article printed by HME Business in June 2019.)
How should RCM work in the world of HME and how can providers use IT to optimize their entire revenue performance?
This acronym-heavy HME industry, you might have come across yet another three-letter abbreviation, RCM. It stands for revenue cycle management, and it could change your business.
Don’t confuse RCM with billing. Billing is the process of filing claims with reimbursement sources such as Medicare or private payer plans. Then it follows up with those funding sources to ensure the claims get reimbursed. RCM is broader than that. RCM encompasses billing and claims management, but it also optimizes how claims denial is handled, how patient co-pays are collected, and how much staff time is expended on claims. Revenue Cycle Management tracks the revenues and costs related to a patient’s interaction with a healthcare provider from the beginning and end of the process. RCM is the umbrella under which all revenues are managed and maximized.
And now, RCM has come to the HME industry. In fact, in some ways, it has been here, thanks to the software systems and services that have proliferated in the HME industry. However, HME software makers have started working with providers in earnest to start defining how RCM should work in the HME industry to help providers overhaul their entire revenue performance — not just refine their billing.
Outsourcing (to optimize your revenue cycle management)
In addition to implementing new software solutions, another option is to outsource parts of the RCM process to third parties. Various third-party companies serving the HME industry specialize in particular elements of billing and claims processing. For instance, one outsourcer, Allegiance Group, specializes in patient pay and another, Prochant, focuses on insurance.
To learn more about how to optimize your revenue cycle management, read the full article in HME Business.
We were pleased to host the COLLECTPlus Advisory Board meeting for the mutual clients of our partner Allegiance Group (AG) in December, 2018.
The AG team created an environment of open and honest feedback that made for some amazing troubleshooting and enhancement ideas. Seasoned users from Hart Medical, Carelinc and Sobaks Home Medical took the time to step through questions at each level of the collections process. In addition, clients like SuperCare, connecting from the west coast, offered up powerful integration design ideas.
Of the 52 meetings I attended in December, this was by far the most collaborative and actionable! Be sure to attend the next one at the 2019 Users Conference in September!
Lisa Anderson, Universal Software Solutions
When creating a collection policy, your goal is to create a published document that outlines the company’s collection procedures. It will include a variety of topics from setting up a patient record to processing a payment. Keep in mind, the purpose of the policy is to help establish the collection culture of your organization and define who will complete which tasks throughout the process.
To begin, pull out your current documents. These notes will help you outline what is commonly known as your “workflow.” Your workflow will detail what happens when you receive an order and follows a patient’s journey until their bill is paid. Our patient invoice flow chart will give you some ideas on what to include.
Continue reading Collection Policy, Part 2: Where do I start when creating a Collection Policy?
Allegiance Group expands its IT team with the hiring of Robert McCabe as chief information officer. McCabe works closely with IT and account managers throughout the company’s footprint. He will develop and maintain the strategic product roadmap for the company’s products.
With more than 20 years of experience in Client Services for DST Systems, Inc. McCabe held multiple titles including Programmer, Staff Analyst, Project Leader, and Systems Manager prior to holding position as Client Services Director. Robert’s hiring deepens Allegiance Group’s technology capabilities in all categories including client service management, client onboarding and software partner collaboration.
“We’re very excited to welcome Robert to the Allegiance Group team,” said Anne Orrick, co-chief executive officer. “With his strong background and experience in managing large client relationships, he will help guide us to the next level. Through his work with clients to identify, evaluate and prioritize system enhancements, he can help us quickly and efficiently integrated with our software partners.”
McCabe earned his bachelor’s degree from the Embry-Riddle Aeronautical University.