tci Medicare Compliance & Reimbursement - 2011 Issue 21
Reader Question: State Laws Are Paramount When Dealing With Collections
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Article Overview
This article addresses a physician office question about handling overdue patient balances and whether accounts may be referred to collections or credit reporting when the patient makes only partial payments. It focuses on the importance of state laws, payer or carrier requirements, internal office policies, and coordination with third-party collection agencies. The piece is aimed at billing, coding, and office staff who manage patient collections and debt follow-up.
Why This Topic Matters
Collection practices for patient balances can vary by state and contract, so offices need to understand the compliance and operational issues involved before referring accounts or accepting partial payments. The article is relevant to practices that want to establish consistent policies for delinquent balances and third-party collection workflows.
What You Will Learn
- How physician offices may approach delinquent patient balances
- Why state laws and payer requirements matter in collections
- How office policies affect handling partial payments and repayment schedules
- What to consider when working with a collection agency or credit bureau
- How payment handling changes after an account is assigned to collections
Who Should Read This
- Physician office staff
- Medical billing staff
- Coding professionals
- Practice managers
- Revenue cycle personnel
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