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Medical

Cost Optimization for Healthcare Clinics

Cost Optimization
Healthcare clinics that wish to succeed in today’s competitive market must strive not only to provide quality care while keeping up with the continual technological advances of such a fast-paced and innovative industry but also to ensure they are managing their costs effectively.

The healthcare market is growing bigger every year – according to the Bureau of Labor Statistics, the number of healthcare clinics opening each year is steadily rising, with healthcare jobs predicted to increase 30 to 40 percent over the next ten years.

When a business implements a cost-optimization plan, there are a few key areas that need careful consideration: cost and pricing evaluation, process and service optimization, and streamlining of system operations. A healthcare clinic is no different, and the principles of lean methodology can be applied to any clinic’s cost optimization plan – adjusting the staff, resources, effort, and energy to guarantee best value for patients.

Optimizing the skills of your staff

Like any business, healthcare clinics will have a wide range of expenses that owners need to cover. From administrative costs to payroll and marketing, the expense categories can vary widely depending on the type of clinic. Here is a general overview of the main areas that can be analyzed in terms of cost-optimization.

For the majority of clinics the bulk of expenses will cover wages and benefits. How can clinics make sure that they are spending wisely here? A clinic’s primary focus should be on efficiency and productivity – ensuring that members of staff are performing to the best of their capabilities so that they can provide the best quality service in the shortest period of time.

Potential time and energy ‘drains’ – distractions, inefficient tools and equipment, poor communication, to name a few – have been known to interfere with staff productivity. To reduce the amount of time spent on unnecessary tasks, a clinic’s work team must be able to take responsibility for the quality of their work as well as learn when to delegate or ask for help.

One of the key area which is often overlooked by managers and owners-operators is instilling into their employees a sense of ownership in the business and its operations. A professional front-desk receptionist, as well as diligent medical assistants, focus on optimizing their own work by taking advantage of the tools at their disposal, their own time-saving micro-planning skills as well as shortcuts provided in the daily workflow.

One of the most valuable assets in a company is an employee who is aware of the costs of their labor to the company and tries to give back as much as they receive. Make sure your managers learn to value the loners or rule-breakers who don’t seem to follow minor policies and procedures but add to the bottom line time and again. They’re some of the biggest contributors to your cost-saving attempts.

Some employees deliver their best work in structured, disciplined environments, while others are just as efficient by organizing themselves to create a more personal, albeit highly efficient environment, which from the outside may seem odd, even rebellious, but that, in the end, is conducive to successful completion of their tasks. Always provide a medium for honest feedback from your employees since they’re often the most qualified to clarify where time and resources are being wasted.

Investing in training could be the key to unlocking your employees’ potential, and studies show that increased responsibility boosts workers’ morale and sense of job satisfaction.

Equipment

As well as training, clinics must be willing to invest in quality equipment. Providing members of staff with the best tools and equipment will allow them to perform their duties efficiently and on-time. As the saying goes, you must spend money to make money. If you do need to spend it, make sure you either invest in long-term solutions which new and veteran employees can use with ease or in good software for one essential aspect of your business, such as accounting or compliance.

When buying clinical equipment, if there’s no extra money in the budget for shiny new machines, make sure that the second-hand options you look at have some warranty. Some second-hand products may be as good as new, while others may be at the end of their lifetime. Make sure you are trained and knowledgeable about the specs you need or that at least one of your employees or partners can provide some guidance.

Marketing

Let’s analyze where money can be saved in the black hole of 21st century business: marketing. The majority of commercial businesses need to allocate large portions of their budget to marketing, but clinics can get by successfully without such spending. A healthcare clinic can tap into a key resource: its referral and client network. Medical colleagues in the same field can refer your business to their clients.

You can also offer incentives to your existing clients to refer you to their friends and family – but remember that for this tactic to work, customer satisfaction through quality service is key. Incentives can take the form of rewards; for example, you can establish a ‘member’s club’ or a points system.
The amount of spending on rent and utilities will vary depending on a clinic’s size and location, but as current real estate trends mean that rental costs get higher and higher each year in urban areas, more businesses are moving toward co-working and shared workspaces. Perhaps, it could even make sense for you to share your space (and therefore, rental costs!) with other healthcare practitioners.

Optimizing platforms, applications, processes and services

An important strategic move for any business looking to manage costs is knowing what services to outsource. If time-consuming tasks could be taken care of externally, then your clinic would have more time and space to focus on providing top-quality care and ensuring customer satisfaction. Could your administrative tasks such as bookkeeping or information technology tasks such as data interpretation, modeling and storage, be outsourced? A cost-benefit analysis is instrumental in determining if it’s better to perform these tasks in-house than to contract someone to do it for you.

Another important area of focus should be ensuring the efficiency of processes: from client registration to scheduling, to appointments and follow up or after-care. What processes are in place and are they efficient? How do you define efficiency?

A clinic’s workflow should aim to be seamless, and healthcare technology can play a vital role here. Do you have a system for online bookings? Can patients schedule their own screenings and appointments through a website or a smartphone application? IT tools and software are constantly improving productivity, and enhancing the quality of care provided. AI (Artificial Intelligence) is making it easier to streamline patient flows, leading to scheduling systems that are more simplified yet efficient than ever before. New software and cloud platform technology have also revolutionized healthcare administration, with everything from billing to medical record filing now being taken care of digitally.

The healthcare sector is receiving more attention in recent times as demand is constantly growing for improved access to quality healthcare. Clinics and healthcare services need to evaluate their spending and make sure they are running as efficiently as they can in order to hold their place in a market that is growing more and more competitive every day. Chances are, there’s at least one area where a business can rethink its budget and expenses but there are also risks whenever cutting expenses starts to affect the quality of patient care and patient acquisition. Being frugal with everything may turn out to be very expensive for your company in the long run.

Filed Under: Medical

12 Biggest Personal Financial Mistakes That Doctors Make

Doctors are smart people. But even smart people make dumb mistakes sometimes.

Going to medical school doesn’t guarantee that you how to handle your finances. Newly minted physicians earn high incomes but have large amounts of student debt, and generally require specialized insurance. This can get people into trouble if they aren’t aware of best practices for building and holding onto wealth.

Below you’ll find 12 of the most common personal finance mistakes that doctors make. Knowing what can go wrong is the best way to make better decisions.

Ramping Up Spending Too Quickly

Physicians enjoy a large bump in salary when they emerge from their residencies. Many are quick to enjoy the lifestyle this increase affords them. But this ignores the biggest drag on their savings — student debt.

Instead of upgrading your house, car, and lifestyle when you become an attending, you should channel your extra income into paying off your debt, thus establishing a stable financial base. Only then you should start enjoying the spoils of your work.

Not Saving Enough

Even when doctors recognize the value of paying down their debts, they may not save enough for retirement. They often don’t realize the importance of compounding interest and underestimate how much they need to save annually to continue their normal lifestyle into retirement. On average, doctors should be saving at least 20% of their income.

Allocating Assets Inappropriately

Early on in their career, doctors should favor growth investments, like stock funds, REITs, and similar assets. However, safer investments, like government bonds and money market accounts, need to be included as a hedge against loss. High net worth individuals often focus on growth without a safety hedge, which can get them into trouble.

A good rule of thumb is to use your age to set your safe investment percentage. A 30-year-old should have 30% of their portfolio in safe investments. As they age, that percentage goes up, ensuring that a larger share of their assets are protected from loss as they get close to retirement.

Buying Too Much House

Buying a big, expensive house, even if you can afford it, isn’t always the smartest financial move.

That’s because homeownership creates a host of hidden expenses that eat away at a physician’s ability to save. The more expensive the home, the higher these costs climb. Taxes, interest, furnishings, climate control, repairs, and other expenses add up quickly. Be sure that you still have enough income after taking care of these costs to save the recommended 20%.

Not Purchasing Adequate Insurance

Life insurance exists to replace your earning power should you pass away. Doctors can earn quite a bit over their lifetimes. Therefore they need life insurance policies that match. $500,000 worth of coverage seems like a lot, but when you make $200,000 a year, your policy payout won’t last very long.

Doctor’s need at least a million dollars of coverage. Two to three million is better. They also need adequate disability, umbrella, and malpractice insurance. Skimping on any of these could get you into trouble. Similarly having a good dental malpractice insurance policy is important.

Purchasing Insurance They Don’t Need

As important as insurance is, sometimes you don’t need it. Life insurance is the most salient example. It’s intended to support your dependents in the case of your untimely demise, replacing your lifetime earning power.

If you don’t have any dependents, you don’t need life insurance. It’s really that simple.

Playing the Stock Market

The proper way to invest in stocks is to purchase shares in mutual funds. This spreads your risk among hundreds of different companies. However, doctors and other high net worth earners frequently play the market, buying stock in individual companies.

This is a mistake. You’re a doctor, not an investment professional. Even seasoned investors find timing stock picks challenging. The chances that you will pick winners more often than losers are slim. Buying individual stocks is a poor way to build wealth.

Leasing a Car

Doctors don’t drive Hondas, right? They drive expensive status cars. And they want the newest model with all of the bells and whistles. Leases guarantee a new car every few years.

But this is the worst way to buy a car. Leasees are essentially renting their cars on a long term basis. New cars depreciate rapidly within the first few years, causing you to lose significant value on your investment. However, with a lease, you don’t own the car, so you’re not building any value at all.

The better move is to buy a pre-owned luxury car. A vehicle that’s three years old has already depreciated significantly, which means you’ll be getting a discount for an automobile that’s still in excellent condition.

Loaning Money Instead of Giving it Away

It’s nice to have the resources available to help family and friends in need. However, if you want to help, the smart move is to make it a gift instead of a loan. Why?

Because if the person defaults on their loan, it can ruin the relationship. This isn’t a risk when the money is gifted. More importantly, you’re less likely to give away money you can’t afford to live without. You might give someone $1,000, but loan them $10,000 because you’re assuming you’ll be paid back. But what if you aren’t?

Listening to Unqualified Investment Advisors

So you know this guy who knows a woman that’s putting together the “deal of a century.” It’s a “home run,” you’re told. You’ll double your money, guaranteed! You just can’t lose!

When something sounds too good to be true, it usually is. There are no guarantees in investing unless you’re talking about savings accounts and CDs. Make sure you get investment advice only from people qualified to give it.

Not Having a Proper Will

This is a mistake that many people make, but it can be particularly damaging for doctors and other high earners, particularly if you have children. You’re going to accumulate a sizable net worth, and you don’t want to leave its dispersal to chance.

Managing Taxes Inappropriately

There are significant tax shelters available to individuals with high earning power. However, many physicians are unaware of them or are too busy to educate themselves fully. Doctors that don’t manage their tax liabilities properly lose more money to the government than they need to, reducing their overall savings.

It’s best to consult with a trustworthy tax professional to be sure you’re managing your money wisely. And in general, you should find a financial advisor you can trust to look at your entire financial picture.

Filed Under: Medical

Negative Impact on U.S. Providers when Patients Go Abroad

 

In today’s interconnected world, traveling abroad for cheaper medical treatment (known as medical tourism) has become increasingly popular. Whether it’s for elective procedures, specialized treatments, or cost savings, more Americans are choosing to seek healthcare outside the United States. While this trend offers benefits to patients, it also brings significant challenges to U.S. healthcare providers. Let’s dive into how patients going abroad for treatment can negatively impact American medical professionals and the healthcare system as a whole.

1. Financial Strain on U.S. Healthcare Systems

One of the most direct impacts of medical tourism is the financial strain it places on U.S. healthcare providers. When patients opt to receive treatment abroad, hospitals and clinics lose revenue that could have been invested back into improving services, hiring staff, or expanding facilities. This loss of income can be especially hard on smaller practices and specialized clinics that rely heavily on patient fees to stay afloat.

2. Increased Pressure on Remaining Patients

With fewer patients staying within the U.S. healthcare system, those who do require medical services may face longer wait times and reduced access to care. This can lead to increased stress and burnout among healthcare providers, who are already grappling with high patient loads and limited resources. In turn, this can affect the quality of care that patients receive, creating a cycle of dissatisfaction and further driving patients to seek treatment abroad.

3. Talent Drain and Staffing Challenges

When revenue drops due to patients traveling overseas, U.S. healthcare providers might struggle to offer competitive salaries and benefits. This can make it difficult to attract and retain top medical talent. Skilled doctors, nurses, and other healthcare professionals may seek better opportunities elsewhere, leading to a talent drain that undermines the quality of care available within the country.

4. Innovation and Research Setbacks

Funding is crucial for medical research and innovation. When healthcare providers experience financial setbacks because of medical tourism, there is less money available for research projects, clinical trials, and the development of new treatments. This slowdown in innovation can hinder advancements in medical science, ultimately affecting everyone’s health outcomes.

5. Impact on Local Communities

Local communities often rely on hospitals and clinics not just for healthcare, but also as major employers and economic contributors. When medical tourism leads to reduced revenues, these institutions may cut back on services, lay off staff, or even close down. This can have a ripple effect, harming the local economy and reducing access to essential medical services for the community.

6. Challenges in Maintaining Quality and Standards

U.S. healthcare providers pride themselves on high standards of care and stringent regulations. However, the financial pressures from medical tourism can make it difficult to maintain these standards. Cost-cutting measures might lead to reduced staffing, limited resources, or less investment in state-of-the-art technology. Over time, this can erode the quality of care that patients expect and deserve.

7. Ethical and Professional Dilemmas

Healthcare professionals take an oath to provide the best possible care to their patients. When patients choose to go abroad, providers may feel conflicted, especially if they believe that the patients are not receiving the best treatment available domestically. This can lead to ethical dilemmas and professional frustration, impacting job satisfaction and overall morale within the healthcare community.

8. Long-Term Consequences for Public Health

When patients seek treatments abroad, it can complicate public health efforts, especially if those treatments involve infectious diseases or require follow-up care. Ensuring continuity of care becomes more challenging, and any complications arising from procedures performed overseas can strain the U.S. healthcare system further. This fragmentation can hinder effective public health responses and the management of widespread health issues.

Looking Ahead: Balancing Choices and Support

While medical tourism presents clear financial and logistical challenges for U.S. healthcare providers, it also highlights areas where the American healthcare system can improve. By addressing issues like high costs, long wait times, and access to specialized treatments, the U.S. can reduce the incentives for patients to seek care abroad. Additionally, fostering stronger patient-provider relationships and enhancing the overall quality of care can help retain patients within the domestic healthcare system.

Filed Under: Medical

Improve Patient Engagement for Hospitals & Medical Offices

Doctor
In many ways, it doesn’t matter how knowledgable a doctor is, or how much they care for their patients if the patients aren’t actively engaged in their care. That’s because unless they’re willing to follow their doctor’s advice and do what it takes to stay healthy, the quality of service means nothing.

That’s why, in a patient-centered care model, patient engagement is critical. Engaged patients drive better outcomes for themselves, reduce operating costs, and improve the relationship between themselves and their caregivers.

However, improving engagement isn’t always easy. Clients can be resistant to their diagnoses, their care regimens, and the costs associated with their treatments. Overcoming these obstacles is a primary concern for patient-centered organizations. The strategies detailed below represent best practices for getting patients past the blocks preventing them from engaging deeply with their healthcare.

Collaborate With Patients on Their Healthcare Goals

Patients are far more likely to feel vested in their healthcare outcomes when they’re given a voice in their care. Instead of a physician dictating a regimen that’s divorced from the realities of the patient’s life, it’s more effective to treat care as a conversation.

For example, a patient suffering from high blood pressure might decide that their healthcare goal is to stop being dependant on medication. When they come to this decision on their own, they’re more likely to develop the healthy habits necessary to achieve their goal.

Encourage Questions and Explain Things Thoroughly

Patients with a comprehensive understanding of their condition, what it means for them, and the purpose of their treatments will engage more deeply simply because they feel like active participants. Instead of receiving treatment edicts from their doctor’s ivory tower, they feel like partners in their care.

Therefore, it’s in a patient’s best interest for doctors to treat all questions with respect, and to answer them a patiently and as thoroughly as possible. This often means reducing complex concepts to explanations simple enough for a child to understand. Doctor’s shouldn’t assume their patients have the requisite knowledge base to grasp the ramifications of their health issues fully. They should listen first and then explain.

Take Advantage of Engagement Technologies

Several technologies can be utilized to increase engagement. Patient portals make it easy for them to ask questions, access previous conversations, request refills, make payments, and more. Portals increase engagement by allowing real-time access to care options in unprecedented ways.

Telehealth technologies do the same thing for patient appointments. When they need to see their doctor, patients are more likely to act when they know a video chat is all that’s required. It’s faster for them, and the caregiver, which makes it more likely the patient will seek the care they need.

An underappreciated technology that’s quite effective at improving outcomes is an appointment reminder system. Simply reminding people of upcoming doctor visits dramatically increases attendance.

Create Patient Accountability

People are more likely to do what they’re supposed to when they know they’re going to be held to account for their actions. Gym buddies are an example of the sort of accountability that health practices should strive for. You’ll show up to the gym even if you don’t want to because you know you’ll have to explain yourself if your buddy shows up and you’re not there.

Once a patient chooses a goal, doctors should set up some means to ensure accountability. That might mean weekly check-ins. Support groups can also be an effective way of creating accountability.

However this accountability is accomplished, it’s critical that patients feel there are tangible consequences for not doing what’s required of them, consequences beyond their health.

Cultivate a Focus on Preventative Care

Illness can have a profound affect on a patient’s mental state. Depression and resignation can make it difficult for people to engage actively in improving their situation. That’s why preventative care is so critical. It helps keep people healthy so that they aren’t faced with major treatment issues.

Preventative care is an engaging practice because it’s proactive. It’s not a reaction to something external to the patient. It’s a conscious choice the patient makes. It means actively engaging in their health outcomes because they want to, not because an illness is forcing them to. Preventative care creates good habits that can then carry over if an illness does appear.

Patient-centered care is also a choice, one that hospitals and medical offices need to make every day. The suggestions offered here can help practices drive better outcomes for themselves and their patients.

Filed Under: Medical

Who is a Certified Revenue Cycle Representative? CRCR Exam Information

crcr healthcare professional
Revenue cycle management in healthcare is a critical discipline. It keeps the lights on and maintains a practice’s ability to see patients. Without it, efficient data collection and patient billing aren’t possible. And with healthcare complexity increasing year upon year, the hunt for qualified individuals assumes a higher priority.

Certified revenue cycle representatives (CRCRs) are revenue professionals with specialized credentials that ensure they have the knowledge, skills, and attitude needed for success in modern healthcare. CRCRs demonstrate their readiness by passing an exam administered by the Healthcare Financial Management Association.

Acquiring CRCR certification can be a wise career move for anyone in healthcare revenue cycle management that wants to extend their skills, increase their marketability, and scale their earning potential.

What Are the Responsibilities of a Certified Revenue Cycle Representative?

A CRCR handles a patient’s financial journey through the healthcare system — from the moment they request an appointment until the very last claim and payment has been handled. Representatives are tasked with shepherding this process to avoid the many pitfalls that can cause problems for the practice and their patients.

New patients come to a medical provider with a raft of information that must be carefully collected and notated. Mistakes at this stage can lead to insurance denials and other problems down the road. CRCR’s have the training required to handle even complicated pre-registrations.

Representatives must also be skilled with claims submissions and understand the nuances involved with accurately coding medical services. Improperly coded submissions may lead to financial losses and service denials.

Once claims are in process, there are plenty of back-office responsibilities required for proper stewardship of patient accounts, including payment posting, statement processing, collections, and handling claims denials. At each point, mistakes can cause delays, missed payments, and angry patients.

Ultimately, it’s the CRCR’s responsibility to maintain efficient procedures and systems that ensure insurance companies and patients appropriately compensate the healthcare provider, and that these fees are collected as quickly as possible.

What You Can Expect From the CRCR Exam

Candidates can prepare for their exam with online materials provided by HFMA. Members get access for free. A $399 fee is required for the study materials and the exam if you don’t join the organization.

To earn their certification, candidates must complete the full program and then score at least 70% of the questions right on their exam. They’ll have 90 minutes to complete the test. If they fail on their first attempt, they’re required to wait 30 days before making another attempt. Once awarded, certifications last for two years. Recertification is required every two years, earned by passing a recertification exam. It is recommended that you take at least a few sample practice tests to score good marks before you give the exam. The average salary for a Revenue Cycle Specialist in the United States is about 54K.

The test is 75 questions long and focuses on several broad topic categories, including:

  • Ethical practices
  • Compliance regulations
  • Patient-centric revenue cycle best practices
  • Revenue cycle KPMs
  • Best practices for patient financial communications
  • Payment models
  • Patient satisfaction management
  • Claims requirements
  • Patient estimates and price transparency
  • Financial assistance requirements

According to HFMA’s official course description, after completing your certification you’ll be prepared to:

“Identify processes and techniques for both enhancing the patient experience and improving financial performance, explore the most effective ways to reduce denials and simplify collections, review regulations to assure compliance, outline effective ways to increase interdepartmental cooperation, heighten staff confidence and improve work satisfaction, and create effective ways to measure revenue cycle staff proficiency, recognize staff knowledge and expertise, and decrease turnover.”

Like any other certification, the CRCR provides its recipients an edge over the competition. They become more attractive to employers because their certification provides tangible proof that they have the skills medical offices are looking for. Once on the job, they’re more effective due to the specialized skills the CRCR training provides.

Holding a CRCR certification offers revenue professionals a more nuanced perspective on their industry. They’re better equipped to keep current with the inevitable shifts in practices and procedures that occur as healthcare evolves. And because they’re required to recertify every two years, their knowledge is guaranteed to be up to date.

Healthcare revenue workers looking to cement their place in the industry would do well to become a certified revenue cycle representative. It’s good for them and it’s good for healthcare generally.

Filed Under: Medical

Allscripts / Veradigm & Collections: When Great Software Still Leaves You With Bad Debt

Ready for patients to pay as reliably as your software performs?

If you’re on Allscripts (now largely operating under the Veradigm and Altera Digital Health brands), you already invested in a serious EHR and revenue cycle platform.

Yet your reality may look like this:

  • A/R days creeping into the 45–60+ range

  • A growing chunk of balances sitting in the 90+ day bucket

  • Patient balances increasing faster than your team can follow up

The technology is modern.
The unpaid invoices are not.


Where Allscripts stops and your debt problem starts

Allscripts / Veradigm / Altera are built to help you:

  • Register patients, capture charges, and code correctly

  • Submit cleaner claims and reduce preventable denials

  • Post payments and track financial performance

But your platform will not:

  • Call a patient five times over three months

  • Talk through a realistic payment plan with someone juggling multiple bills

  • Track down a patient who moved and left no forwarding address

  • Decide which accounts are “soft collections” vs “hard collections”

That’s not a software problem. That’s a collections strategy problem.


What Allscripts (Veradigm / Altera) actually does well

You don’t need to rewrite their brochure. Just recognize the parts that matter for A/R:

  • Eligibility & benefits checks
    Catch coverage issues before the visit so fewer balances become messy “I thought insurance would pay” situations.

  • Charge capture, coding, and claims
    Integrated workflows help cut down on basic coding errors and format rejections, so you’re not creating avoidable denials.

  • Denial work queues & workflows
    Staff can see which claims bounced, why they were denied, and what needs to be fixed or appealed.

  • Dashboards and financial reports
    A/R aging, payer mix, patient vs insurance balances – all visible in one place, across locations and providers.

In other words: Allscripts helps you see the leak and reduce some of it. It does not mop up all the water on the floor.


Why you still end up with growing patient A/R

Even with a solid platform, money leaks out at predictable places:

  • High deductibles and co-pays
    Patients are responsible for more, but many treat medical bills like low-priority debt.

  • Front-desk gaps
    Estimates aren’t explained clearly, consent forms are vague about financial responsibility, or payment options aren’t discussed.

  • Denials that never quite get reworked
    Staff are busy; some claims in the denial queue quietly age out.

  • No clear “stop line”
    Statements go out. A few calls are made. Then… the account just keeps aging because nobody wants to make a firm decision about collections.

If more than 15–20% of your A/R lives in the 90+ days column, you don’t just have “slow payers.” You have no defined end-game for overdue accounts.


Use your Allscripts reports to decide what goes to collections

You already have the data. Now give it a job.

Step 1: Watch your A/R aging, not just total A/R
Break it into:

  • 0–30 days

  • 31–60 days

  • 61–90 days

  • 91–120 days

  • 120+ days

The danger zone is 91+ days, especially on patient balances.


Step 2: Split insurance vs patient responsibility

  • Insurance A/R → mostly a denial / follow-up / appeal workflow

  • Patient A/R → a collections workflow

They are not the same problem, even if they live in the same report.


Step 3: Create simple placement rules

For example:

  • Any patient balance that is:

    • 90+ days old,

    • No payment plan in place, and

    • No meaningful contact in the last 30 days

    → eligible for third-party collections.

  • Balances above a certain threshold (say $300, $500, or $1,000, depending on your practice) escalate faster than small balances.

  • Charity-care or hardship patients follow a different internal path, not collections, if you choose.

Write these rules down. Review them with your billing team. Then use Allscripts to pull a list every month that matches those criteria.


Hospitals vs medical groups: same software, different debt story

If you’re on the hospital / large system side (Sunrise / Altera):

  • You’re dealing with larger balances, multiple service lines, and often complex self-pay after insurance.

  • Bad debt can hide in small balances across many encounters, or in a few large cases that quietly age.

If you’re an ambulatory practice on Veradigm / Allscripts PM:

  • The pain is usually high-deductible patient A/R and chronic slow-payers.

  • Denials are often smaller per claim, but frequent, and staff can’t keep up.

In both settings, the pattern is the same: software surfaces the problem, but people must decide what to do with it.


What a collection agency can do that your EHR never will

A good, healthcare-focused collection agency adds capabilities your platform simply doesn’t have:

  • Dedicated follow-up far beyond a few statements

  • Trained negotiators who talk to patients all day, every day

  • Skip-tracing tools to find moved or non-responsive patients

  • Compliance expertise (HIPAA, FDCPA, state rules) baked into every call and letter

  • A structured approach to payment plans, settlements, and—if needed—legal escalation

Allscripts helps you organize information.
A collection agency helps you turn old information into real money.

You need both.


How Nexa fits in

If you’re already on Allscripts / Veradigm / Altera and your A/R is still swollen with 90+ day accounts, changing software won’t fix it. Strengthening your collections layer will.

That’s where Nexa comes in.

  • Nexa is an information portal, not a collection agency.

  • We do not perform any collections or credit reporting ourselves.

  • Instead, we learn about your specialty, average balances, and A/R pain points.

  • Then we share your collection requirements with a small set of shortlisted, healthcare-focused collection agencies we believe fit your profile.

  • It is entirely your choice whether to work with any of them.

If your Allscripts dashboards clearly show the problem but your bank account doesn’t, it’s time to connect the dots between great software and serious collections support—so your revenue cycle finally behaves as well as your EHR.

Are you already using AllScripts? Have unpaid medical bills? 
Need to transfer your unpaid medical bills to a collection agency? Contact us

  • You decide what should be the minimum outstanding balance eligible for collections.
  • Only send accounts if a payment hasn’t been made in _(60/120/180) days.
  • Send 5 collection demands to your patient or transfer directly for debt collection calls.
  • You are in total control of the process. Dedicated medical & dental debt collectors.
  • Contact us for a demo of our free AllScripts debt collection utility. 

    Collection Agency
    Debt Collection Utility

 

Filed Under: Medical

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