Subrogation for Medical Professionals

TPES brings a wealth of knowledge and unique approach to the world of medical provider collections. The model we have created brings a new outlook to enhance the percentage of accounts receivable collected by all types of physicians and hospital and ancillary practices.

Medical practitioners are being squeezed from different avenues including insurance company allowed procedures, discounting the amounts allowed, by new federal and state regulations regardless of whether or not the particular state has the benefits allowed by the Affordable Health Care Act.

TPES offers a confluence of experienced, dedicated staff as well as its own seasoned array of professionals. Today’s atmosphere requires medical providers to use an aggressive approach.

This creative approach has led to non-fee based services, which are abundant in the marketplace.  From subrogations firms to collection firms of all sizes and shape, most do not pursue the funds medical professionals are due.

TPES consults with the collection arm of a practice to determine where the patient might be going to seek funds in addition to that which is provided by their own health insurance. Many times, the provider is unaware the patient is seeking additional funding. Patients pursue third-parties to see a full recovery beyond that which is allowed by simply receiving payment for their respective medical expenses.

In the myriad of avenues that are available, it is critical to the bottom line of the medical practice to seek and recover the maximum allowed. That requires investigators, first responders, and others who can ascertain whether or not the patient does indeed have an avenue to pursue under the facts of each situation, which led to their injury.

Facts

  • U.S. hospitals reported $45.9 billion in uncompensated care in 2012 representing 6.1 percent in annual hospital expenses. 
  • U.S. hospitals reported that 5.93 percent of their total second quarter 2014 gross revenue was written off as charity care or bad debt compared to 5.09 percent in the first quarter of 2014.
  • Of the 5.93 percent written off as uncollectable, 3.03 percent was for bad debt and 2.90 percent was for charity care expenses.
  • Uncollectable write-offs among southeastern, southwestern, and midwestern hospitals swelled significantly past the benchmark in the second quarter 2014. 
  • Midwestern hospitals saw the highest level of uncollectable write-offs by region, at 11.4 percent of total gross revenue or more than double the 4.73 percent of total gross revenue written off as uncollectable in the first quarter (Analysis on Second Quarter 2014, The Hospital Accounts).