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ACA International: Healthcare Receivables Solutions Names Amber Billman New CEO

Billman earns promotion after several years in leadership at revenue cycle management company. 1/11/2019 1:00 PM Amber Billman was recently promoted to CEO at Healthcare Receivables Solutions (HRS), a Dallas-based, full-service healthcare revenue cycle management company and member of ACA International. With more than 15 years of experience in claims processing, Billman was promoted from … Continue reading ACA International: Healthcare Receivables Solutions Names Amber Billman New CEO

Healthcare Receivables Solutions Names Amber Billman New CEO

Healthcare Receivables Solutions (HRS), a Dallas-based, full-service healthcare revenue cycle management company, is excited to announce its new CEO, Amber Billman. She will take over her new duties effective immediately. With more than 15 years of experience in claims processing, Billman is being promoted from her current position as Billing Director at HRS, a position … Continue reading Healthcare Receivables Solutions Names Amber Billman New CEO

MEDICAL DEBT MANAGEMENT TURNS YOUR BAD DEBT INTO GOOD CASH

WHO WE ARE MDM is a full-service collection agency.  What sets us apart from other agencies is that we only collect on medical debt, placing us at a decided advantage in a complex, risk-filled industry.  Not all debt collection cases involve the same degree of know-how, complexity, and risk. The more skilled, equipped, and responsive … Continue reading MEDICAL DEBT MANAGEMENT TURNS YOUR BAD DEBT INTO GOOD CASH

Top 5 Reasons You Should Insource Your Revenue Cycle Processes

  In today’s healthcare environment of shrinking reimbursements, Medicaid policy changes, and governmental mandates, the importance of maintaining a healthy revenue cycle is second only to providing the best patient care possible. Without an adequate margin, there can be no medical mission. Outsourcing these services sounds so remote and detached. We prefer the term “insourcing” … Continue reading Top 5 Reasons You Should Insource Your Revenue Cycle Processes

Healthcare Receivables Solutions Has New Name, New Look, Expanded Services

DALLAS, June 28, 2018 (Newswire.com) – Healthcare Receivables Solutions (HRS), a Dallas-based full-service, healthcare revenue cycle management company, is excited to announce its new name, signifying a revitalized rebranding effort which reflects its more expansive audience reach, increased connectivity with customers and wider range of services. The company was formerly known as Hospital Receivables Services. With more … Continue reading Healthcare Receivables Solutions Has New Name, New Look, Expanded Services

PCI Compliance Checklist

More than 898,000,000 (yes, that’s MILLION) records with sensitive information have been breached between January 2005 and April 2016 – and that’s just what has been made public! Standard security procedures and technologies can thwart theft of cardholder data and private information. It is the responsibility of the entities that store, process or transmit cardholder … Continue reading PCI Compliance Checklist

How Do You Know You Are Choosing The Right Medical Billing Company For Your Practice?

Choosing the right medical billing and collection company to manage your accounts receivable is not always an easy choice. There are some key factors that make a difference in how well the company will do in managing you’re A/R. When interviewing perspective billing companies, make sure you take good notes, then do a side by … Continue reading How Do You Know You Are Choosing The Right Medical Billing Company For Your Practice?

Key Terms for Health Insurance

Key Terms

  • Charged: The amount your health care provider bills for the health care services provided to you.
  • Allowed: The amount your health plan may pay your health care provider for the service you received. This may be less than the amount the provider charged.
  • Provider: The name of the health care professional who provided the health care services to you.
  • Claim: The bill your provider sent to your health plan for the services provided.
  • Claim Number: The number assigned to each bill that a provider sends to your health plan.
  • Copay: The amount your insurance requires you to pay at the time of service. This fee may vary based on type service.
  • Coinsurance: The amount you pay for your services based off your plan. This amount is your portion after insurance allowed amount and payments are applied. This is a cost sharing between you and your insurance. Example would be if your plan is an 80/20 plan.  Your insurance pays their 80% and the remainder is your 20%.
  • Date of Service: The date health care services were provided.
  • Deductible: A predetermined amount that you must pay before insurance begins to pay their portion.
  • Not Covered: The dollar amount for health care services that your health plan does not cover.
  • Notes: If your health plan does not pay a claim in full, they give you the reason on the last page of your EOB. Each reason has a two-digit code. This code is also in the Summary of Charges section of the EOB, following the claim for which it applies.
  • Out-of-Pocket: The amount you are responsible for paying each year for covered health services to meet your deductible, co pay and/or coinsurance amounts.
  • Paid by Health Plan: The amount that your health plan has paid your health care provider.
  • Procedure / Service: A brief description of the health care services provided on the date listed.
  • Request a Review: If your health plan does not pay some or all of a claim, you have the right to ask why it was not paid and to ask us to see if they will change their decision. This is called an appeal. For details on the appeals process, see your EOB.
  • You Owe: This is also referred to as Patient Responsibility. This amount, if any, you may owe to your health care provider for each claim. You may have paid some of this amount to your provider at the time you received the services.