Practice Management

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  • 1.  New Credit Bureau Reporting and Impact to Collections

    Posted 05-11-2022 14:42

    While the No Surprise Billing regulations will further reduce many practices collection accounts, the email I just got from Equifax confirms that patient responsible balances for accounts we ARE contracted for is going to get more interesting as well. Washington state previously moved to require 120 days before we can send an account to collection, and that had some impact, but here's the new additions impacting nationwide collection processes:

     

    Paid medical collection debt will no longer be included on consumer credit reports, as of July 1, 2022.

     

    The time period before unpaid medical collection debt will appear on a consumer's report will be increased from six months to one year, also effective July 1, 2022. This change gives consumers more time to work with insurance and/or healthcare providers to address medical collection debt before it appears on credit reports.

     

    Medical debt collection accounts under at least $500 will no longer be included on consumer credit reports. This goes into effect the first half of 2023.

     

     

    Any thoughts as to changes in your existing processes or what you may consider to help address these changes? We are hospital-based so not a whole lot of control over what happens on the patient side, but shaking my head over the continual hits to healthcare to say the least.

     

    Thank you for any input you may have,

     

    Michelle

     

    Michelle R. Juette, CPC, RCC

    Business Services Manager

    Yakima Valley Radiology

    (509) 895-0402 (direct, voice/mail)

    (509) 248-0733 (secure fax)

    mailto:mjuette@yakrad.com

     

     

     

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  • 2.  RE: New Credit Bureau Reporting and Impact to Collections

    Posted 05-11-2022 14:53
    Aggravating is what I call it - I suggest we send the unpaid bills to our congressman and senators.
    Seems they have been in DC too long and have forgotten (or likely never knew) that businesses are intended to operate at a profit.


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    Douglas G. Kraus, CPA
    Chief Financial Officer
    South Texas Radiology Group, P.A.
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  • 3.  RE: New Credit Bureau Reporting and Impact to Collections

    Posted 05-11-2022 15:04

    I think this is the credit bureaus changing on their own initiative.  No government involvement that I know of.

     

    Dave

     

     

           David Smith, FACMPE  |  Executive Director  |  785.393.8387

    5800 Foxridge Dr.  Ste 240  |  Mission, KS  66202  |  www.uickc.com

    p-uic-horizontal-03a

     

                                                              Member of

     

                             

     






  • 4.  RE: New Credit Bureau Reporting and Impact to Collections

    Posted 05-11-2022 15:07
    We send a list of all accounts that meet collection criteria to our clients at month end.  They flag, color code, notate etc. these patients to request payment before they are seen again.  Although smaller balances will not affect their credit report, the provider can decide if they want to provide service until that old debit is resolved. This will work better in some settings than others of course. But, it is just about the only way to have the patient accountable for lingering balances.

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    Mindy Smith BMSC-CCP, FDCPA
    Billing Manager
    Management Data Systems, Inc.
    Lake Charles
    (337) 437-7681
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  • 5.  RE: New Credit Bureau Reporting and Impact to Collections

    Posted 05-11-2022 15:13

    Michelle – These are great points and questions. As a collection agency, that specializes in medical debt – with the majority coming from the Radiology industry – we are paying close attention to this topic.

    The proposed potential changes:

    • Beginning July 1, 2022, all paid medical debts will be removed from a consumer's credit report.
    • Beginning July 1, 2022, unpaid medical debts will have a 365-day waiting period from the date of service before being able to initially report the debt to the credit bureaus.
    • Beginning January 1, 2023, any unpaid medical debt less than $500 will not be included on a consumer's credit report.

    Our thoughts on this determination:  Credit reporting and medical debt have always had a love-hate relationship.

    We have clients who have always credit reported and clients who have never credit reported. There is not an absolute answer in this space. Our industries will need additional guidance before we can determine the next best steps. We suggest all practices know and understand what their collection agency is currently doing in this space - for example, SCS has already built new programing and full system rules to properly manage these proposed changes, should they become law.

    With much of Radiology being low revenue, and high volume, this would greatly impact the majority of their accounts and bad debt.  It is imperative that the physician associations step in and lobby to have Congress understand the impact these sorts of actions can have on the healthcare industry and their bottom line. 

    The full and original Press Release is below. Feel free to reach out to me at SCS if you want to hear the details of what we are doing in this space. Happy to talk shop and share!

    Link:

    https://www.prnewswire.com/news-releases/equifax-experian-and-transunion-support-us-consumers-with-changes-to-medical-collection-debt-reporting-301505822.html" title="https://d2qlgm04.na1.hubspotlinksstarter.com/ctc/ub+113/d2qlgm04/vwhpsk4pkcmpmf50qt4thqcw5d86_w4h4hswn3x6vh95knjzv3zsc37cgjzdw9cdvtx8jzn5lw8s_0mn62nyjhw2xvbjb9hvnxjw7bpwsb2mltvjw1wft-w237wbzw56hhqh1nmnr2w70v3qw7vrp_bw1qxjm68jwkvyw2hvndx3kj9nkw2x8c4v42p0syw7ldkbs92phwpw1xqdsq3xnflbw7qcytk4yhgsrw3n9vk28lhjdmw98bpvq2zcgl-w9bzjj17l04wln2xxpsmlslygw6s3k531kjf44w20pcqd8vm1fgw3k_wnb5ppphpw3sz-lg5xtwkjw6jhy3_32b__lw6yb9q44gknpcw1jbzgc5knmlnw4qlyct7jwgwgw8nnlvs44zxkzw1cjdr72gvnrtw2kbd9-3lktfvw9fdlz63mtdrbw7klkzx4l1rvtw7mfrkh6zgh0dw4thdb42h9lsmw43gvvq8qvbt5w4flczm3-bvdyw4zb_-s2yb31rw6cwnfc59cqbrw7kfrvx58ky2bw6qcbdd2g2gzq3bkb1" href="https://d2qlgm04.na1.hubspotlinksstarter.com/Ctc/UB+113/d2qLgM04/VWHpSK4PKCmpMf50qT4thqcW5d86_w4H4hsWN3X6VH95knJZV3Zsc37CgJzdW9cDvTX8JZn5lW8S_0mN62NYJHW2XvbJb9hVnxjW7bPWsb2mLtvJW1Wft-w237wbZW56hhqh1nmNR2W70v3qW7VRp_BW1qxjM68JwKvyW2HvNDx3kj9NKW2x8c4V42p0sYW7ldKBS92phWpW1xQdSQ3XnflbW7qCytK4YHgSrW3n9vK28LHJdMW98BpVQ2ZcGL-W9bZjj17l04wLN2XXPSMLsLyGW6s3k531kJf44W20PcqD8VM1fgW3k_WnB5PPPhpW3SZ-Lg5xtWkjW6jhy3_32B__lW6YB9q44GKNPCW1jBZGc5KNMLNW4QLyCt7jWgwGW8nnlVs44zXKZW1cJdR72gvnrTW2KbD9-3LktFvW9fDlZ63mtdrbW7KlkZx4L1rvTW7mfRKh6ZgH0DW4THdB42H9LSmW43gvvq8QVBT5W4FLcZm3-bvdYW4ZB_-s2yb31rW6cwNfc59CQbrW7kFrVx58KY2bW6qCBDd2G2gzq3bKb1" rel="noopener noreferrer" target="_blank" tabindex="-1">https://www.prnewswire.com/news-releases/equifax-experian-and-transunion-support-us-consumers-with-changes-to-medical-collection-debt-reporting-301505822.html



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    Maegan Moore
    Director, Marketing & Business Development
    Specialized Collections Systems, Inc.
    maegan.moore@scscollects.com

    Chair, RBMA Chapter Committee
    Past President, Texas RBMA
    Past Secretary, Texas RBMA
    Past Member, RBMA Marketing Subcommittee
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  • 6.  RE: New Credit Bureau Reporting and Impact to Collections

    Posted 05-12-2022 10:55
    MIchelle,
    For what it's worth- when I started with my current practice about 4 years ago I stopped credit reporting our collection accounts.  Prior to this when I was on the hospital side I had stopped credit reporting 10 years ago.   My agencies provide me with a net-back report monthly and I have seen absolutely no reduction in the recoveries.  It's eliminated much of the anxiety from patients when an account was turned in error and we have less exposure for the regulations regarding extraordinary collection actions.  The agencies I use were skeptical about not reporting at first but after seeing our performance began advising all of their medical clients to follow this practice.

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    Donald Miller
    Chief Revenue Officer
    Inland Imaging
    Spokane WA
    (509) 363-7634
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  • 7.  RE: New Credit Bureau Reporting and Impact to Collections

    Posted 05-12-2022 12:04

    Our trade association, ACA International, is working diligently on this issue, and the outcome of this may not be exactly as it has been announced. At PARADIGM, our agency President, Dan Nichols, connected Bob Still-RBMA Executive Director and Matt DeRosiers-RBMA Federal Affairs Committee Chair with our trade association (ACA International) lobbyist to work on this issue. The new reporting guidelines from the three credit reporting agencies have already been deemed by the Consumer Financial Protection Bureau (CFPB) and the Biden/Harris administration as "not enough".  The Biden/Harris administration has also directed federally backed loan lenders, such as SBA and FHA loan lenders, to not consider medical debt when reviewing the applicants credit file. 

     

    SCA Collections, Inc. is one of the few agencies still in this business that collected medical debt before it could be reported. Most of the money collected is early in the collection process.  Credit reporting usually helps collect the older accounts, so the new changes will have an impact.  Our agency is currently working with our clients to provide solutions to change the workflow of accounts to mitigate the impact. 

     

    Please feel free to reach out to me with any questions that you may have.



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    Philip Herendeen
    Vice President- Client Management
    SCA Collections
    Greenville NC
    252-355-5500
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