This seminar is intended to give a basic overview of procedures for handling your receivables. It will provide a practical overview of the collection process from admission/registration through legal remedies. The faculty will discuss collection techniques, procedures, remedies and pitfalls.
The program is intended to cover day-to-day problems in the collection process and will also give practical advice, which will aid the collector in dealing with legal excuses.
- The attendee will be able to discuss federal and state medical collection laws.
- The attendee will be able to identify bankruptcy and probate claims.
- The attendee will be able to review the medical contract.
8:30 a.m. - 9:30 a.m.
I. The Medical Contract
A. Implied Contract To Pay For Services Rendered
B. Written Contract
1. Payment Guaranty
2. Assignment Of Benefits
3. Payment Of Collection
Costs And Interest
C. Statute Of Limitations For Medical Bills
D. Elements To Prove Case In Court
1. Accuracy Of The Bill
2. Use Of Computers To
3. Reasonableness Of Prices
4. Comparison Of Prices Of
5. Demand For Payment
E. Post Judgment Procedures Available To Collect On Bills
1. Wage Garnishments
2. Bank Citations
3. Memorandum Of
4. Payment Plans
9:30 a.m. - 10:00 a.m.
II. Responsible Parties
A. The Patient
B. The Illinois Family Expense Act
C. Minor's Responsibility For Medical Expenses
D. Other Guarantors
10:00 a.m. - 10:10 a.m.
10:10 a.m. - 11:00 a.m.
III. Federal Laws Applicable To
Medical Bill Collections
A. Medicare And Medicaid
B. Emergency Medical Treatment And Active Labor Act
C. Employee Retirement Income Security Act
D. Hill-Burton Act
E. Health Insurance Portability And Accountability Act
11:00 a.m. - 12:00 p.m.
IV. State Laws
A. Prompt Pay Act
B. Illinois HMO Act
C. Illinois Workers' Compensation Act
D. Case Law Governing Medical Collections From Insurers
12:00 p.m. - 1:00 p.m.
Lunch (On Your Own)
1:00 p.m. - 2:00 p.m.
V. Third Party Liability
A. Health Care Services Lien Act
1. Old Lien Acts
2. Current Lien Act
B. How To File A Lien
C. Amount To Be Collected Through The Liens
D. Adjudication Of The Liens
E. Case Law On The Lien Acts
2:00 p.m. - 2:50 p.m.
VI. Bankruptcy And Probate Claims
A. Filing Claims In A Bankruptcy Case
B. Rights And Limitations In Bankruptcy Matters
C. Proofs Of Claim
D. Probate Estates
3. Deceased Individuals
E. Filing A Probate Claim
F. Cases Under The Probate Act
2:50 p.m. - 3:00 p.m.
3:00 p.m. - 4:00 p.m.
VII. Miscellaneous Collection Issues
A. Fair Debt Collection Practices Act
B. Insurance Denials
2. Pre-Existing Conditions
3. Experimental Procedures
C. Arbitration Clauses In Managed Care Contracts
D. Charity Applications And Class Action Suits
E. Insurance Guaranty Fund
4:00 p.m. - 4:30 p.m.
VIII. Question And Answer