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Collection Process
  Improvement
McKesson



Patient Responsibility
      (Monthly bills X 2)




 Collection Agency
“Patient Responsibility” is a better
    description than “Self Pay”

  1. Uninsured

  2. Copay

  3. Deductible
What percent of your practice
ends up at a collection agency?
What percent of your practice
ends up at a collection agency?

   5,000 patients annually!
Who Are They?
1) Incorrect demographics.

2) Have insurance and thought insurance has/will pay.

3) Want to pay, but don’t have the money this
   paycheck.

4) Will pay only when forced to or never will.
Each group has it’s own dynamics and
   should not be treated the same.

Only group four belongs at Collections

1)   Incorrect demographics
2)   Have insurance and thought insurance has/will pay.
3)   Want to pay, but don’t have the money this paycheck
4)   Will pay only when forced to or never will.
Current Practice                  Proposed Practice

Step 1: Send everyone to          Step 1: Identify each group first.
collections agency

Step 2: As groups 1-3 are         Step 2: Pursue collection
identified, adjust to             process appropriate to each
appropriate collection process.   group.
McKesson

  Patient Responsibility (Monthly bills X 2)
                                                         Incorrect Demographics,
  HBP Shared Services                                   Incorrect Phone Numbers


                                                                SKIP TRACE


                                                             Patient Contacted



  No contact or           Demographics          Insurance               Patient
   will not pay             verified              verified        responsibility verified


Collection agency        Set up payment         Return to             Payment plan
                               plan            McKesson w/
                                               updated ins.
                                                   info
McKesson

  Patient Responsibility (Monthly bills X 2)

  HBP Shared Services                                   Have Insurance



  No contact or                        Insurance                  Patient
   Will not pay                          verified           responsibility verified



Collection agency                      Return to
                                                                Payment plan
                                     McKesson w/
                                    updated ins. info
McKesson

Patient Responsibility (Monthly bills X 2)

HBP Shared Services                          Want to Pay/ Need PP




          Establish PP                            Pt. will not
                                                      pay



                                               Send to collections
Proposal
• Have HBP Shared Services initiate a “Late
  Payment” service and call all patients prior to
  sending to collections.

                     Benefit
• Increased patient satisfaction.
• Decrease collection costs
  (23%/35% vs. 25%/35%)

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HBP Shared Services - Introduction

  • 1. Collection Process Improvement
  • 2. McKesson Patient Responsibility (Monthly bills X 2) Collection Agency
  • 3. “Patient Responsibility” is a better description than “Self Pay” 1. Uninsured 2. Copay 3. Deductible
  • 4. What percent of your practice ends up at a collection agency?
  • 5. What percent of your practice ends up at a collection agency? 5,000 patients annually!
  • 6. Who Are They? 1) Incorrect demographics. 2) Have insurance and thought insurance has/will pay. 3) Want to pay, but don’t have the money this paycheck. 4) Will pay only when forced to or never will.
  • 7. Each group has it’s own dynamics and should not be treated the same. Only group four belongs at Collections 1) Incorrect demographics 2) Have insurance and thought insurance has/will pay. 3) Want to pay, but don’t have the money this paycheck 4) Will pay only when forced to or never will.
  • 8. Current Practice Proposed Practice Step 1: Send everyone to Step 1: Identify each group first. collections agency Step 2: As groups 1-3 are Step 2: Pursue collection identified, adjust to process appropriate to each appropriate collection process. group.
  • 9. McKesson Patient Responsibility (Monthly bills X 2) Incorrect Demographics, HBP Shared Services Incorrect Phone Numbers SKIP TRACE Patient Contacted No contact or Demographics Insurance Patient will not pay verified verified responsibility verified Collection agency Set up payment Return to Payment plan plan McKesson w/ updated ins. info
  • 10. McKesson Patient Responsibility (Monthly bills X 2) HBP Shared Services Have Insurance No contact or Insurance Patient Will not pay verified responsibility verified Collection agency Return to Payment plan McKesson w/ updated ins. info
  • 11. McKesson Patient Responsibility (Monthly bills X 2) HBP Shared Services Want to Pay/ Need PP Establish PP Pt. will not pay Send to collections
  • 12. Proposal • Have HBP Shared Services initiate a “Late Payment” service and call all patients prior to sending to collections. Benefit • Increased patient satisfaction. • Decrease collection costs (23%/35% vs. 25%/35%)