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To collect or not to collect. The internal woe of the physician's office.

Physicians are obliged to provide health care services regardless of race, creed, color or the ability to pay, write Carol Miller and Harry Wolpoff, Esq. Yet, a medical group is a traditional business which requires cash payments to continue operations. Miller and Wolpoff discuss such issues as physician sensitivity to collections, patient responsibilities and staff training in creating an effective collection program for medical groups.

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PubMed1990

Practical methods to improve fee collections.

A medical practice's financial policies should be frankly discussed with patients and explained at the initial visit. At that time, health insurance coverage should also be discussed. This candid conversation not only opens the door to further communication regarding a once-sensitive subject but also facilitates collection of fees--especially important when high-priced procedures are contemplated. The author also discusses third-party payers (including Medicare) and the pros and cons of prepaid health plans.

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PubMed1985

Financial analysis of an inner city trauma center: charges vs collections.

The changes in the economy and in tax rules have caused hospitals to assess the financial viability of different areas within their institutions. While emergency departments generally have become recognized as a cost-effective portal of entry for patients, trauma centers, particularly those located in the inner city, usually are seen as areas of large investment and small financial return. This study looks at a large, inner-city trauma service and the charges, collections, and demographics of the trauma population it serves. For patients admitted to the trauma service, total collections were 77% of charges. There was no difference in collections between those patients with blunt injuries and those with penetrating injuries; violent vs nonviolent injuries; patients transferred in vs primary receivals; or patients transferred out after stabilization vs those retained at the trauma center.

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