Town Hall – Billing & AR – Vito Mazza

We meet with Vito Mazza of Kinum to answer these questions about Billing and A/R:

  1. How to deal with employers who continually ignore the process of submitting their claims to their W/C carrier?
  2. How do establish charges for the WC service in a fee schedule state?
  3. What standard of billing do you share with the client?
  4. How often do you update charges?
  5. What do you do with denials or down coding?
  6. When do you send a client to collections?
  7. How do you ensure service recovery with these clients?

Feb 9th town hall billing accounts Vito Mazza – slides


ADDITIONAL RESOURCES:

Best Practice for Account Management


Audio:


NAOHP TOWN HALL FEB 9, 2021

Vito Mazza, KINUM, INC.

1. How to deal with employers who continually ignore the invoice?

Get help, sooner!

2. What is the difference between Commercial Debt & Consumer Debt?

Commercial debt is basically B to B debt. Business to business is when your practice is owed $ from a business entity – could be OCC MED, or INSURANCE CLAIMS. Consumer debt is usually Patient Pay. There is definitely a difference between the 2 types!

Not all agencies can help with BOTH types … this is a particular advantage for us.

3. What standard of billing do you share with the client?

Early Diplomatic 3rd Party Intervention!

4. What do you do with denials in Urgent Care?

We have sort of a secret weapon to deal with Insurance Denials. When Insurance Companies are CHARTERED, the Legislators add in something to protect themselves that also helps Attorneys and Licensed Collection Agencies……

If a provider is contacted by a 3rd party (one of those I mentioned) they MUST REPLY by a Supervisor in a Timely Fashion!

This is compared to your billing team waiting ON HOLD and when it is their turn, only being able to speak about 3 cases … then back into the cue!

5. When do you send a client to collections?

That depends on the products that the practice might use:

We have non-collection REMINDERS that some use at 30-60 days.

Our WRITTEN LEGAL DEMANDS from the agency can be used from 90 days +. (OCC MED or Patient Pay)

Our CALL CENTER professional COLLECTORS can be used any time after The Legal Demands. This could include several years for a clean-up operation, depending on your States Statute of Limitations.

6. How do you ensure service recovery with these clients? 

Our CLIENTS appreciate where our Name comes from… KIN – family, NUM – numbers. Family before numbers!

It speaks to how we treat your Patients, which is with dignity and respect! And from a business point of view, our fixed cost of less than $10 per debtor gives you an incentive to use us EARLY when it is much easier to save those relationships!


QUESTIONS ADDED SEP 3, 2021:

Mostly the occ med practices have most extended delays in payment from TPAs, always wanting more documentation and other delay tactics, is there anything Kinum offers to help speed that process, not necessarily “collections” vs “expedition”  OUR Medical Insurance demands can be sent to TPAs!

Samples are attached here:

KINUM Med. Ins. Demands

Kinum Step 2 Commercial Diplomatic Demands

Kinum_4-25×5-5_ad-FINAL

One board member wanted to know if Kinum has any particular expertise in collecting California-specific accounts for workers comp.” I think Tuesday’s TOWN HALL answered this one… we can help AFTER the denials and follow-up verifications of debt… when they become Patient Pay or Commercial Company Pay.


Our name comes from:  KIN– Family  NUM– Numbers

Family before Numbers … People before Profits!

Vito Mazza
Direct Line & Text:  201-446-4072
Direct Toll-Free: 800-850-5110

CORPORATE Toll-Free Fax:  877-504-3190

vito.mazza@kinum.com
https://www.Kinum.com/vito-mazza

Kinum, Inc.

WE, ALL of US, have an obligation to SUCCEED!

Be WELL, Be SAFE, and EXPECT THE BEST!


The Quality Assurance Manual

Quality improvement (QI) is an explicit, evidence-based process for evaluating and improving processes and systems. Quality improvement requires: 1) careful planning, 2) the identification of appropriate personnel to execute and monitor the quality improvement plan and 3) ongoing education for health care professionals and client companies on the plan and its projected outcomes. Because of their diversity, occupational health programs require an integrated quality improvement framework that recognizes contributing products and services and the linkages necessary for enhanced efficiency and effectiveness. The framework defines the various components of a quality program and incorporates them in an action plan to simplify implementation.

CLICK HERE or image below to get the resource guide — Members discount code = NAOHP-200-OH-YEAH



THANKS TO OUR PREMIER SPONSOR FOR TOWN HALL – UL

UL’s SYSTOC Kiosk, automatic appointment reminders, and no-show notifications to the employer help streamline the front desk workflow.

Download here: SYSTOC Kiosk for occupational medicine

Thank You To Our Annual Sponsors

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