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"Why Low Collections?"
I predict that in the foreseeable future, payers will
Reduce allowed fees
Invent new ways to deny, underpay, or delay medical billing claims
Audit more practices, ask for bigger refunds, and increase severity of penalties
About my practice
For the past 5 years, we treat more patients every year
Our collections from billing have NOT grown in step with work volume
Our billing was audited in the past 5 years by
My concerns are
Paying billing service fees for getting easy claims paid but neglecting problem claims
No live phone support - inability to reach billing specialist to discuss problem on hand
Lack of compliance methodology and controls – unknown audit risk
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