Address: 27919 Jefferson Ave. Suite #206, Temecula, CA 92590 • Phone: 951-695-3372 • Toll Free: 800-695-1295      Today's Date: May 26, 2017 • Current Time: 11:02:55 PM

Healthcare Services Division

Healthcare collections require special billing and collection knowledge because the receivables are unique.

Collection agencies must also use tact and diplomacy in dealing with patients who may have medical conditions affecting repayment.

We have partnered with hospitals and medical providers for over 30 years providing our current level of expertise. American Capital always balances its healthcare collections with measured compassion.

Outsourcing and early-out collections in the challenging California healthcare environment is American Capital’s special niche.

We currently partner in the following fields within the healthcare community:

  • Medical Centers
  • EMS/Ambulance and Paramedics
  • Emergency Room Physician Groups
  • Radiology Groups
  • Surgery Groups
  • Dentists
  • Chiropractors
  • Physical Therapy Firms
  • Blood Banks
  • Drug and Alcohol Counselors
  • Optometry
  • Urgent Care Centers
  • Orthopedic Medical Groups

American Capital offers providers the more traditional bad debt collection efforts as well as special programs and outsourcing in meeting the client’s fiscal requirements.

Available provider services include:

  • Early Out Programs
  • Pre-Collection Services
  • Payment Plan Monitoring
  • Insurance Resolution and Follow Up
  • Bad Debt Collection
  • Insurance Billing on Discovered Insurance
  • Balance After Medicare Collections
  • Small Balance Follow Up
  • Work Comp Accounts
  • A/R Cleanouts
  • 2nd Placements

 

Our Healthcare Debt Recovery Partners Benefit From:

  • 30 Years of Training in Medical Collections
  • Bilingual Collectors
  • In-House Insurance Billers
  • H.I.P.P.A. Compliance
  • ACA Client Health Services Programs
  • Advanced Technology for Optimum Results
  • Free Client-Attorney Consulting on Healthcare Matters
  • On-Line Client Review of Accounts
  • On-Line/Internet Debtor Payments 24/7

Our Healthcare Debt Recovery Partners Benefit From:

  • 30 Years of Training in Medical Collections
  • Bilingual Collectors
  • In-House Insurance Billers
  • H.I.P.P.A. Compliance
  • ACA Health Services Programs
  • Advanced Technology for Optimum Results
  • Free Client-Attorney Consulting on Healthcare Matters
  • Online Client Review of Accounts
  • Online/Internet Debtor Payments 24/7

Proud Member Of:


ACA's Healthcare Services Program

California Ambulance Association

 

The ACA’s healthcare services program is made up of members who pledge to maintain the highest standards in collecting healthcare accounts.

As members of the ACA's Healthcare Services Program, we proudly adhere to the following Statement of Guidelines and Principals:

 

Healthcare Collection, Servicing and Debt Practices
Statement of Principles and Guidelines

Guidelines

Collection agencies and debt purchasers that assist in the collection and payment of healthcare receivables will observe all applicable laws, regulations and mandates pertaining to the processing, handling and sale of healthcare receivables. In doing so, members of ACA International who assent to these Guidelines should strive to:

Patient Communications:

  • Service all healthcare accounts using a process that is consistent with the expectations of their healthcare provider clients.
  • Collect patient accounts in a fair, consistent manner that reflects the public's high expectations of healthcare providers and the collection agencies and debt purchasers who communicate with their patients.
  • When responding to a patient's request for information about the bill, account or past due debt, do so in a manner designed to help the patient fully understand his or her payment obligation and in accordance with applicable law or regulation.

Business Relationships:

  • Encourage that due diligence is performed by the healthcare provider, the servicer of the accounts or the debt buyer of the accounts in an effort to promote solid business relationships and a good reputation for all.
  • Perform services or payment operations in connection with the collection, servicing or purchase of healthcare debt subject to a written agreement signed by the healthcare provider and the collection agency or debt purchaser.
  • Perform services or payment operations upon receipt of information necessary to comply with all applicable laws.
  • Clarify and disclose permissible collection recovery methods in the contingent fee service agreement or the debt sale agreement as applicable.
  • Resell a healthcare receivable only with the express permission of the healthcare provider as provided in the debt sale agreement.
  • Communicate regularly with the healthcare provider's designated representative having authority and oversight over the collection or sale of healthcare receivables.
  • Establish communication and appropriate information sharing protocols with the healthcare provider during the term of the service agreement and for a reasonable period of time following termination of the service or debt sale agreement.

Legal and Compliance:

  • Abide by and conduct all services in accordance with the Fair Debt Collection Practices Act, the Health Insurance Portability and Accountability Act, the Fair Credit Reporting Act, charity care program requirements and healthcare and consumer protection laws and mandates, where applicable.
  • Adhere to local and state licensing and bond requirements in the jurisdictions where such are required and provide license and bond documentation upon the request of the healthcare provider.
  • Abide by the ACA Code of Ethics and Professional Responsibility and Code of Operations.

Operations:

  • Maintain a quality assurance program designed, adopted or developed by the individual member to promote compliance with these Guiding Principles and all collection servicing, debt sale agreements and business associate contract requirements.
  • Provide initial and ongoing training and supervision of employees to encourage performance of their duties in a professional and ethical manner.
  • Establish a Code of Conduct, signed by all employees that supports these Guiding Principles and the needs of the healthcare community.
  • Actively promote and encourage the highest level of integrity within the healthcare receivables management industry.

Healthcare providers must act as the stewards of healthcare services and exist to serve their communities. Their ability to act as stewards and seek payment for services is often dependent upon the quality and caliber of their business associates, including the collection agencies that service their accounts and the debt purchasers to which patient accounts are sold. While this Statement of Principles and Guidelines does not expand the compliance and legal requirements imposed on healthcare providers, collection agencies, or debt purchasers, it seeks to promote professional and ethical conduct by all parties involved in the management and collection of healthcare receivables.