decisionhealth Newsletters, Part B News - 2001 Issue 6 (June)
How you can balance collections with kindness and get paid
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Article Overview
This article discusses patient collections in a medical practice and how to address overdue balances without damaging the doctor-patient relationship. It covers internal collection policies, patient communication, written notices, payment arrangements, and when a practice may consider ending care after proper warning. It also touches on Medicare-related considerations for small balances and documentation expectations.
Why This Topic Matters
Medical practices need approaches to collections that protect revenue while reducing legal, reputational, and care-continuity risks. The article is relevant to front-office staff, billing personnel, practice managers, and physicians who handle overdue patient accounts.
Article Sections
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Handling overdue balances in a patient relationship
Introduces the tension between collecting unpaid balances and preserving access to care. Discusses the general situation in which a patient owes money and the practice is deciding how to respond.
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Ending care with notice and record transfer
Covers the practice steps described for giving advance notice before discontinuing care and arranging a transition to another physician. Also addresses communication and follow-up methods related to that process.
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Building an internal collection policy
Describes the importance of having a structured office policy for overdue accounts and using staged notices, collection follow-up, and payment arrangements. Includes broader discussion of staff involvement and patient communication.
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Using phone calls, visit-time reminders, and collection thresholds
Discusses additional collection tactics such as reminder calls, in-office payment prompts, and setting internal limits for escalation efforts. Also notes considerations for small balances versus larger debts.
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Medicare balance write-offs and documentation
Addresses the article's Medicare-related discussion of when a balance may be written off and the need for internal documentation. Focuses on practice accounting and compliance considerations.
What You Will Learn
- How practices can manage overdue patient accounts while preserving professionalism
- Why written notice and transition planning matter when ending a patient relationship
- How collection workflows, reminders, and payment discussions can be organized in a practice
- What kinds of internal thresholds may be considered before escalating collection efforts
- What Medicare-related account handling and documentation issues are mentioned
Who Should Read This
- Medical practice managers
- Front office staff
- Billing and collections staff
- Physicians
- Healthcare consultants
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