Are Missing Patient Billing Records Ruining Your Day?
Stress no more. MEDRECS will take care of it for you:
MEDRECS Inc. has a handle on the dizzying vicissitudes of the patient billing record industry. We call this an “industry” because the recent proliferation of outsourced billing companies has snowballed into BIG business, on a national scale. There is now a nationwide labyrinth of billing services, hospitals, ER departments, and parent medical systems, with requirements so complicated it will make your head spin. The most immediate and perplexing consequence of this is that clinics and hospitals are less and less likely to maintain their own patient billing records, and often times they do not have correct information regarding how to retrieve the billing records. Below we provide some very valuable information to help illuminate some of these recent changes for you:
EPBS Intermedix is an emergency physician billing service in Oklahoma which maintains patient billing records for no less than 6 Washington State providers. As of recently, EPBS now requires the “emergency/medical group” name on the patient authorization – i.e. they will no longer accept just the Hospital name on the authorization. Below are the Hospital names with the corresponding group names that must be on the authorization.
Capital Medical Center – Thurston Emergency Group
Valley General – Northsound Emergency Medicine
Swedish Medical First Hill – Seattle Emergency Physicians
Auburn Regional – Cascade Emergency Physicians
Holy Family – Emergency Physicians Services
Similar requirements are now in place for our local facilities in Washington:
Association of University Physicians now requires the authorization to list not only the Hospital but the exact medical group, clinic, or emergency physicians for which you desire billing records.
Similarly, Swedish Cancer Institute requires us to request patient billing records from 3 separate contact fax/phone numbers depending on which services were provided.
It is critical to be aware of these requirements in advance so you can plan accordingly and prepare the necessary request information. MEDRECS is here to help you and your law firm navigate the challenging world of medical and billing record retrieval. Please leave a comment or let us know if you have any questions. We are always happy to help!