decisionhealth Newsletters, Part B News - 2000 Issue 4 (April)
When do you collect deductibles? Pros and cons to help you decide
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Article Overview
This article looks at common practice-management approaches to Medicare deductible collection, including collecting at the time of service versus billing after claims process. It shares operational pros and cons, staff workflows, and ethical concerns raised by different billing offices and advisers. The piece is aimed at practice managers, billers, and other revenue cycle staff who want to compare collection methods and understand the administrative tradeoffs involved.
Why This Topic Matters
Deductible collection affects cash flow, patient billing experience, staff workload, and how offices coordinate with Medicare and secondary coverage. Understanding the competing approaches helps practices evaluate a policy that fits their workflow and patient population.
Article Sections
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Wait
This section describes a back-end collection approach where claims are filed first and the patient balance is determined later. It summarizes operational considerations and staff experiences from practices using this method.
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At Time of Service
This section describes a front-end collection approach where deductibles are requested when the patient arrives. It outlines workflow steps, reminder procedures, and handling of situations where the amount due is uncertain.
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Alternative Approach and Ethical Concerns
This section discusses an alternative billing strategy that involves delaying claim submission and then presents concerns raised about the practice. It also notes general timing considerations for claim filing.
What You Will Learn
- Common deductible collection workflows used in medical offices
- Operational pros and cons of collecting before versus after claim adjudication
- How practices may coordinate deductible collection with secondary coverage
- Administrative and ethical concerns associated with alternate billing approaches
- General claim-filing timing considerations discussed in the article
Who Should Read This
- Practice managers
- Medical billers
- Revenue cycle staff
- Physician office administrators
Code Ranges Discussed
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