Health Care Billing & Collections: Forms, Checklists & Guidelines

Based on the real-world experiences of some of the best health care billing and collection offices nationwide, Health Care Billing & Collections :

• Proven procedures and practical guidelines, based on the real-world experiences of some of the best health care billing and collection offices nationwide
• Time-saving forms, worksheets, and letters
• Annual updates to ensure that your office procedures are always up-to-date
• And much more!

Plus, Health Care Billing & Collections now includes a Bonus CD-ROM which includes over 60 customizable forms, checklists and policies! Click here to see a complete listing.

Health Care Billing & Collections has been updated to include:

• New and updated policies and forms:
  • CHAMPVA Fact Sheet
  • Registration/Collection in the Emergency Department: Front Desk Registration and Script
  • Protocol for Surgery Scheduling and Pre-Surgical Financial Counseling
  • Sample RFP Template
• FTC Gives More Latitude on Collecting from Deceased Debtors
• Bankruptcy Abuse & Prevention Act
• Frequently Asked Questions About the Disposal of Protected Health Information
• Recovery Audit Contractors and Medicare: The Who, What, When, Where, How & Why
• The ICD-10 Transition
• New Electronic Claim Standards: 5010 and ICD-10
• New Health Care Electronic Transactions Standards
• Can External Call Centers Benefit Access Departments?
• Facts About Age Discrimination
• Patient Access Metrics
• Examine Current Operations Before You Outsource
• Maintaining Hospital–Collection Agency Relationships

• 1. Various Payer Classes
  • Key Types of Insurance Carriers
  • Workers' Compensation
  • Usual, Customary, and Reasonable (UCR) Denials
  • Administrative Denials
• 2. Collection Strategies
  • Up-Front Collection/Registration Guidelines and Policies
  • Financial Assistance/Counseling
  • Overcoming Objections to Payment
  • Successful Collection Strategies
  • Collection Letter Writing
  • Basics of Telephone Collection
  • Skip Tracing
  • Collection Follow-up
  • Management of Collections
  • Collection Policies and Procedures
• 3. Legal Aspects of Collecting
  • Laws Affecting Billing and Collections
  • Key Legal Concerns
  • Specific Types of Debtor Cases
• 4. Billing
  • The Health Insurance Portability and Accountability Act of 1996
  • Assessment and Training
  • Policies
• 4A. Billing and Insurance
  • Specific Payer Guidelines
  • Insurance Claims Process
  • Productivity
  • Billing Policies and Procedures
• 4B. Medicare Billing
• 4C. Coding and Compliance
  • Coding for Physician/Hospital Services
  • Compliance Issues
  • False Claims Act
  • Emergency Medical Treatment and Active Labor Act
• 5. Electronic Systems/Commerce
  • Automated Collection Follow-up Systems
  • Electronic Data Interchange
  • Online Bill Payments
• 6. Customer Relations
  • Understanding Your Customers
  • Developing Quality Customer Service Attitude
  • Handling/Preventing Patient Complaints
  • Patient Handouts
  • Advance Beneficiary Notices
  • Price Quoting
• 7. Staff Management
  • Job Descriptions
  • The Hiring Process
  • Motivating and Goal Setting
  • Turnover Prevention
  • Staff Development
  • Discipline
  • Performance Evaluations
  • Resignations/Exit Interviews
  • Other Staff Policies
• 8. Business Management
  • Quality Improvement
  • Budgeting
  • Provider/Vendor Relationships
  • Managed Care Contracting
• 9. Working with Collection Agencies
  • Selecting a Collection Agency
  • When to Place Accounts with an Agency
  • Evaluating an Agency's Performance
  • Forms, Policies, and Procedures