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Prepare For Bad Debt Reserves

By Linda Payne
Wednesday, September 13, 2006

Prepare For Bad Debt Reserves
By
Linda Payne, President, Reimbursement Concepts, LLC

Another Problem Solved!

Situation:  Bad debt reserves keep going up and Management staff is unprepared for what is coming at month end. 

Problem:  No one is “managing the roll.”

Cause:  Collectors were working high dollar accounts, accounts that were >120 days old, credit balances, etc. but they were not running reports that looked at claims billed 45 days prior to the point when they age into a new bucket to ensure that they are being worked before they roll.

Impact:  Bad debt reserves were going up in older aging buckets and management would not be expecting the additional reserves.

Solution:  Run outstanding AR reports that show unpaid invoices that were recognized as revenue 30 days prior to the date that they age into a new aging bucket and reserves on the money increase.  Distribute reports to individual collectors to follow up on high dollar patients that will possibly have a big impact on reserves at month end.

Prevention:  Manage the Roll!  Run this type of report on a weekly basis so that everyone (including finance and Sr. Management) is prepared for what will roll and need reserved at month end.


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Linda Payne


Linda Payne is the founder of Reimbursement Concepts, LLC and is an expert in the field of infusion and DME reimbursement, coding analysis, audits and medical billing and collections. Linda has over 18 years professional experience. Prior to starting Reimbursement Concepts, LLC, Linda was employed as VP of Reimbursement for Accredo Health Services. Prior to Accredo, Linda held varying positions and levels of responsibility at Gentiva Health Services and McKesson MedManagment as well as other regional organizations. Linda's experience includes senior level, multi-site responsibility for Reimbursement Operations, A/R Management, Denial Analysis, Internal and External Auditing, Reimbursement Training, Best Practices, Policy and Procedure development, Corporate Compliance, and Due Diligence. Her extensive experience in reimbursement and operations has afforded her the confidence, knowledge and professionalism required to handle all aspects of reimbursement operations.

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Reimbursement Concepts


Reimbursement Concepts' principal and president, Linda Payne, has over 18 years reimbursement experience in the healthcare industry. Management experience includes a variety of reimbursement organization structures with extensive knowledge in A/R operations and billing systems. Reimbursement Concepts' staff have multiple years experience in medical collections with diverse backgrounds including patient qualification, information systems application, and accounts receivable management. Reimbursement Concepts staff has been clinically educated to maximize reimbursement of medical claims and have specialized training in infusion therapy. Reimbursement Concepts staff have a thorough understanding of Medicare, Medicaid and third party guidelines, resulting in quicker collections.

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