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Healthcare Collection & Medical Receivables Resources

Medical receivables are the amounts owed by third-party payers to healthcare providers. The party owing the money can be commercial insurance companies, HMOs, Medicare and Medicaid, or patients (if there is an outstanding balance after insurance or another payer has paid its portion). After a certain period of delinquency, healthcare providers will often outsource the accounts to collection agencies.

Healthcare Collection & Medical Receivables Resources

Best Practices for Resolution of Medical Accounts: A Report from the Medical Debt Collection Task Force - This document is based on the deliberations of the Medical Debt Collection Task Force, a joint initiative of ACA International and the Healthcare Financial Management Association. Published in January 2014, the report reflects the task force's consensus on the current state of best practices related to the equitable resolution of the patient portion of medical bills.

CFPB Report on Credit Reporting Impact of Medical Debts - In December 2014, the Consumer Financial Protection Bureau Director called on credit reporting agencies to take a more active role in policing the companies that furnish data on consumers, including a mandate to report consumer disputes made against specific companies. The new requirements stem from this CFPB study on debt collection tradelines in credit reporting.

U.S. Department of Health HIPAA Information page - An information repository on the Health Information Portability and Accountability Act (HIPAA) from Health and Human Services, the federal agency that administers the law, including the HIPAA Privacy Rule and the HIPAA Security Rule.

U.S. Centers for Medicare & Medicaid Services – ICD-10 - ICD-10 is the global medical coding standard for classifying diagnoses and reasons for visits in the healthcare setting. It is administered in the U.S. by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS).

2015 Medicare Physician Fee Schedule - The MPFS lists the more than 7,400 unique covered services and their payment rates to physicians in the U.S.

Seven Crucial Compliance Conversations for Every Hospital CFO

Three Strategies to Shrink Bad Debt: Presumptive Charity Care, Propensity to Pay and Partner Management

Whitepaper: The Perfect Medical Bill, Paid Perfectly - This paper sets a general framework for the discussion your organization needs to have to in order to identify weaknesses across your receivables operations, and choose a course of action to collect more cash, quickly.

Whitepaper: Using New Technology to Meet the Challenges of Reducing Healthcare Bad Debt - There has never been a more critical time for US healthcare providers to ensure they follow guidelines of best practice when it comes to billing and payment.

[SLIDE PRESENTATION] Healthcare Debt Sales: Tips to Boost Revenue and Effectively Manage Patient Relationships - Selling medical debt can be a smart option that many hospitals overlook when thinking about how to manage their revenue cycle most effectively.

Medical Receivables Coverage on

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New HFMA Study Examines Rise of Self-Pay

27 September 2016

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Doctors Fight "Devastating" Bill in California Which Would Limit Revenue From Self Pay Patients

6 September 2016

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Latest Ontario Systems Whitepaper Examines Issues Around Self-Pay Revenue

21 July 2016

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The 3 Big Factors That Make Patient Self-Pay a Headache for Providers

18 July 2016

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Spokeo Challenge in Accretive Health Debt Collection Case Receives Mixed Result

7 July 2016

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MDHBA Annual Conference to be held in Annapolis this October

7 July 2016

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New Credit Bureau Reporting Requirements for Debt Collection Agencies and Debt Buyers Become Effective This Week

13 June 2016

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Executive Changes: Ontario Systems Hires Two Top Healthcare Revenue Cycle Experts

20 May 2016

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New ProPublica Article Criticizes Debt Collection Litigation on Medical Accounts; Paints One Firm as Outlier

28 April 2016

Frost-Arnett Growth Prompts Expansion, Headquarter Relocation to New Facility

19 April 2016

New Accounts Receivable Management Provider Combines a History of Strong Revenue Performance with a Meticulous Focus on Compliance and Consumer Relationships

6 April 2016

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Convenience Fees: Potential for Mischief?

4 April 2016

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Hollis Cobb Associates Acquires Healthcare Financial Services

8 March 2016

Senators Introduce Medical Debt Relief Act to Address Medical Debt on Credit Reports

1 March 2016

In Spite of FCC, 70 Percent of TCPA Decisions in Last 14 Months Positive for Industry

22 February 2016