Accounting Challenges
The medical biller’s job would be easier if accounts paid on time and insurance companies reimbursed the correct amount. Unfortunately, accounts build up balances and credits and insurance companies overpay, underpay, and demand “takebacks.”
The sections below include step-by-step instructions for handling common accounting challenges. You will learn how to:
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Refund a personal balance
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Refund a bad check, reinstate the charge, and post a penalty fee
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Turn an account over to a collection agency
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Post an insurance interest payment
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Post an insurance overpayment
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Write-off a credit, turning it into revenue
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Handle an insurance refund or “takeback”
The instructions in these sections assume you have a solid, working knowledge of Partner’s billing tools and basic configuration. For additional information, training, and assistance with these procedures, contact PCC support at support@pcc.com or 1-800-722-7708.
Read More:
- Refund Personal Credits
- Write-Off Credits
- Post Insurance Interest Payments
- Post Insurance Overpayments
- Insurance Refunds (Takebacks)
Related Articles
- Here are some related articles in Other Pediatric Practice Resources > Other Tools and Resources for Your Practice > Billing and Practice Management > Bill Insurance:
- When insurance carriers send payment and adjustment information, either on an EOB or an ERA, they often include a code with a small message. These codes are known as CARC values, or Claim Adjustment Reason Codes, and they are an industry-wide standard.
- Every insurance claim in Partner has a unique identification number. The number appears in various Partner reports and programs, and you can use it to improve claim tracking and payment posting.
- Learn how to submit claims in PCC EHR or in the previous Practice Management tool.
- Partner's insurance billing tools help submit claims, review rejections, and work down your insurance accounts receivable. Partner helps you maximize the use of your time as you pursue proper insurance reimbursement.
- While most claims are transmitted to payors electronically, sometimes you may need to generate a paper 1500 HCFA form.
- How is a claim created, and what happens in the background to make sure your practice is paid? Read below to learn some of the "under the hood" workings of claims after you post charges into PCC EHR.
- Some pediatric offices are holding H1N1 flu clinics or administering H1N1 vaccines by appointment. There are four different H1N1 vaccines and special dosage requirements depending on patient age. You can use Partner tools to simplify your administering and tracking of H1N1 vaccine distribution.
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Work on Claim Errors and Rejections
After you prepare and submit claims, you must deal with claims that could not be submitted or were rejected.