MOS - US based Business Process Outsourcing Managed Outsource Solutions
Medical Accounts Receivable

MOS Medical Accounts Receivable Collections

Medical or Insurance accounts receivables is a common problem within medical facilities ranging from one physician practices to hospitals. Many medical groups do not focus on effective medical A/R and collections and find themselves in crisis management without sufficient resources to meet financial needs. Even with a strategy that is good many offices find that their insurance receivables are getting older and older. Main focus then changes to the new insurance claims as they are more likely to get collected and the old becomes older. Most medical groups do not assess the efficiency (timeliness of payment) and proficiency (adherence to contractual agreements) of their third-party health benefit payers until it is too late. Obviously the primary focus is always patient care.

Managed outsource solutions provides you with a low cost, effective, productive, and customizable solution to your accounts receivable challenge. We are an outsourcing company with resources abundant and already providing AR collections to old and new receivables. Is your staff too busy to work on denials? Do not have time to check on no pay or low pay EOB, down-coding problems? You just want to focus on medical billing alone and want us to follow up on receivables after 30 days? We are already handling these situations on a day to day basis with very good success.

Why MOS? Why outsource medical accounts receivables?

  • We are a US company with offshore interests which are managed by our teams to provide you with the best possible service at a minimum of 30 to 40% cost savings.
  • We follow strategic management of AR through our analysis team, calling team and resolutions department.
  • We evaluate analyze reimbursement issues and then follow up. We can handle accounts from 30 days forward.
  • Manpower resources are our strongest point and we can follow up insurance companies with phone calls making sure that no account ever falls through the cracks.
  • Our AR collectors have several years of experience in the medical billing and collection industry and have been specifically trained on medical reimbursement issues. They are trained on specific skill sets and specialties and hold a minimum of bachelor's degree.
  • Our AR team is supported by AAPC certified coders and financial analysts.
  • We are experienced in several medical billing software including Lytec, Medic, Misys, Medisoft, Inception, NextGen, IDX and other EPM (electronic practice management) and EMR (electronic medical record) software.
  • We have experience working with several 100 s of insurance companies including Aetna, Oxford, United, Hip, GHI, BCBS, Medicare, Medicaid, Humana, EMI, No Fault and Workers Compensation.
  • We strategically analyze and prioritize the work with your office.
  • We work as an extension to your practice not as an outside medical billing and collection company.
  • We manage the solution according to your needs and turn around time.
  • Due diligence. You will get weekly and monthly reports which will include non payment patterns, global pending issues, work progress, procedure code analysis, insurance analysis, cash collections analysis and expected collection reports and so on.

What is the cost?

Our fee is determined by several factors such as age of the accounts, total A/R dollars, total claims, payer distribution and the overall size and scope of the project. Payment of our fee is spread out over the time frame set for the project, so that the revenue needed to pay for the A/R recovery project will come from the revenue that is recovered by the project. It can be as low as 3%. We expect the revenue needed to pay for AR cleanup come from money that would probably be lost because the claims were sitting in AR balance with no one working them.

Contact us to get more information or to try us with no obligation free trial analysis and follow up.