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Auto accidents

  • 1.  Auto accidents

    Posted 03-11-2019 07:49
    ​​​Good morning everyone,

    We are a hospital base group and many times patients are seen in the ER due to auto accidents, although the auto information is not available.

    The patients demographics are coming over with MVA with no detail information as primary and the Health Insurance is coming over as secondary.

    I was wondering what other groups were doing on addressing these patients. 

    Our billing company is deleted all the information and making these patients self pay.

    Many times the patients do not call  and if they do, they might instructed to file with the medical insurance which can be past filing or they

    age out to collection.

    Any help will be appreciated
    Thank you
    Donna




    ------------------------------
    Donna Russo CPC
    RCM/Account Manager
    Danbury Radiologic Associates
    Danbury CT
    (203) 361-4909
    ------------------------------


  • 2.  RE: Auto accidents

    Posted 03-11-2019 08:11
    We hold them for two weeks to allow new information to come in over our hospital interface. (The hope is that valid auto insurance/claim info will be obtained by the hospital, which triggers an update of our information as well.) If that doesn't happen, we bill the health insurance, making sure the claim is correct - ie, with accident indicator, date, etc. If health insurance denies (I believe they usually do) we then bill the patient.

    Our experience in the past was much the same as yours - if you count on the patient to provide valid info, you end up with either exhausted PIP (if billing to the auto insurance) or timely filing (if billing to health insurance).






    Original Message


  • 3.  RE: Auto accidents

    Posted 03-11-2019 09:36
    We follow a protocol similar to Rick's group.

    ------------------------------
    Tim Hollingsworth
    Business Manager
    Central Illinois Radiological Associates
    East Peoria IL
    ------------------------------

    Original Message


  • 4.  RE: Auto accidents

    Posted 03-11-2019 13:16

    Thank you to both of you,

     

    although I was wondering how does the hospital provide updated insurance information to your groups.

     

    Do they send a separate file weekly?

     

    Donna

     

    Donna Russo, CPC

    Revenue Cycle Manager

    Danbury Radiological Associates

    Specialty Imaging Associates

    Mandell and Blau

    Direct Phone 203-361-4909

    Direct Fax 1-203-841-1327

    OfficeFax   203-748-0833

     




    Original Message


  • 5.  RE: Auto accidents

    Posted 03-11-2019 13:20
    We receive HL7 demographics files daily. Any time the information at the hospital is changed (or, at least the information that is relevant to us) a new HL7 message is created and added to the files we receive. So if the patient contacts the hospital with MVA claim info and the hospital enters it, we get the update.





    Original Message


  • 6.  RE: Auto accidents

    Posted 03-11-2019 17:17

    This would involve a phone call to ask for the information.

     

    Joanne Chichizola

    Billing Manager

    image001

    777 Passaic Ave, Clifton, NJ 07012

    Phone: (973) 284-0020

     Fax: (973) 284-6310

     

    Confidentiality Notice:  This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information.  Any unauthorized review, use, disclosure or distribution is prohibited.  If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

     




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  • 7.  RE: Auto accidents

    Posted 03-11-2019 17:32
    We have near real time HL7 interfaces with our hospital partners.  When a patient provides the hospital with updated insurance information (including auto ins), the hospital sends an HL7 "update" message with the demographics which get sent to the billing company.

    ------------------------------
    Tim Hollingsworth
    Business Manager
    Central Illinois Radiological Associates
    East Peoria IL
    (309) 740-4272
    ------------------------------

    Original Message


  • 8.  RE: Auto accidents

    Posted 03-11-2019 18:03

    Thank you Tim

     

    Donna Russo, CPC

    Revenue Cycle Manager

    Danbury Radiological Associates

    Specialty Imaging Associates

    Mandell and Blau

    Direct Phone 203-361-4909

    Direct Fax 1-203-841-1327

    OfficeFax   203-748-0833

     




    Original Message


  • 9.  RE: Auto accidents

    Posted 03-11-2019 09:20
    Contact the patient to get the auto info.

    Ruby Woodward 
    Sent from my iPhone



    Original Message


  • 10.  RE: Auto accidents

    Posted 03-11-2019 09:58

    I have tried to do this and the patients don't always return the calls. 

     

     

     

    Donna Russo, CPC

    Revenue Cycle Manager

    Danbury Radiological Associates

    Specialty Imaging Associates

    Mandell and Blau

    Direct Phone 203-361-4909

    Direct Fax 1-203-841-1327

    OfficeFax   203-748-0833

     




    Original Message


  • 11.  RE: Auto accidents

    Posted 03-11-2019 10:14

    Donna,

    Follow-up with your hospital. Typically they receive information days or weeks later.

     

    Joanne Chichizola

    Billing Manager

    image001

    777 Passaic Ave, Clifton, NJ 07012

    Phone: (973) 284-0020

     Fax: (973) 284-6310

     

    Confidentiality Notice:  This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information.  Any unauthorized review, use, disclosure or distribution is prohibited.  If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

     




    Original Message


  • 12.  RE: Auto accidents

    Posted 03-11-2019 10:25

    Thank you Joanne

     

    Donna Russo, CPC

    Revenue Cycle Manager

    Danbury Radiological Associates

    Specialty Imaging Associates

    Mandell and Blau

    Direct Phone 203-361-4909

    Direct Fax 1-203-841-1327

    OfficeFax   203-748-0833

     




    Original Message


  • 13.  RE: Auto accidents

    Posted 03-11-2019 10:14

    This is a little scary.  If your billing company isn't cleaning up this kind of information, you have to wonder what else their missing?

     

    Sent from Mail for Windows 10

     




    Original Message


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