Early Out Program

Program Outline :

• MRI’s staff works on accounts aged 90+ days or as determined by the client
• MRI’s program allows hospital staff to focus on current high dollar accounts
• Accounts are assigned to experienced MRI collectors based upon our clients major payer mix and the well established business relationships of the collectors
• Smaller claims receive the same level of attention as larger claims
• All money collected is sent directly to you by the debtor
• Maximize your cash flow while lowering your internal collection costs

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Start-Up Process

• Discuss implementation and client requirements
• Obtain secured access to hospital system for collections staff
• Obtain hospital Managed Care contracts
• Provide hospital IT department with data element requirements
• Monthly conference calls are scheduled in the start-up phase in order to go over the reports and to discuss any issues

Collection Process

• Accounts are assigned to the collectors based on their expertise with major payers
• Accounts are reviewed by the collector to determine course of action
  • Follow-up call to the insurance Company
  • Follow-up call to the Medical Group
  • Appeal for correct contracted payment
  • Re-bill account to correct entity
  • Appeal previously denied or under-paid claims
• Request additional information to resolve assigned accounts, for example, medical records, itemized bill, UB92 or implant invoices Follow-up date is set for the accounts
• The management staff will review aged accounts to insure proper follow-up procedures are being followed and to identify possible issues that need to be communicated to the facilities

Reporting Process

• Reports presented monthly showing the current inventory, current and prior months collection, account assignments and age of the assigned accounts
• Narrative report of any outstanding pending issues, payer issues and or recommendations for possible decrease in the turnaround time for account resolution. Discuss trends and provide feedback for improving Client’s internal process.

Sample Inventory Report