PSA PSA

Healthcare Debt Collection

We are pleased to introduce you to our Transworld Systems Inc. healthcare debt collection program. PSA has a contractual relationship with Transworld Systems Inc. to represent its debt collection services to the numerous physician networks that we represent in the healthcare industry. Transworld Systems Inc. has been in the healthcare debt collection business for 35 years and has over 20,000 healthcare clients nationally.

• No More Large Contingency Fees – Traditionally, when a physician’s practice or billing company wanted to turn over files for collection, they would utilize a contingency based collection agency that would typically charge 35-40% of the value of the files turned over to them. Because of the high cost associated with contingency based collection agencies, practices would tenaciously hold on to these files for six months or more which results in a collection success rate of no more than 10-20%.

• Our program utilizes a low cost, fixed fee business model which results in the highest profit recovery at the lowest cost in the healthcare industry - our average fee is $10 per file or less regardless of the value of the file. Our program creates an incentive for a practice to turn their files over to us early in the collection process because of our low fees. Typically, a practice will turn over their self-pay files to us at 61 days and their commercial insurance files to us at 91 days. Because we get these files turned over to us much earlier, our collection success rate is much higher than the traditional debt collection company. Our average recovery rate is 56%. This contrasts with a 10-20% collection success rate for contingency-based collection agencies.

Our Program Functions As A Natural Extension Of Your Practice

Our program works as a natural extension of your practice’s own in-house collection efforts. Our program in no way takes the place of any current billing and collection efforts that take place during the first sixty to ninety days of the billing and collection process. Our program represents a natural transition for handling delinquent accounts that could be turned over to us much earlier due to the low cost associated with our program. In addition, your practice can selectively choose which files they want to turn over to us for collection.

An example comparing the traditional debt collection company with our own higher profit recovery, low cost program:*

Assumptions:

Number of Files/ Accounts Submitted Average Balance Per Account
100 $500

Traditional Contingency-based Collection Company

Number of Accounts Average Balance Per Account Cost Per Account Anticipated Recovery Rate Projected Total Recovered ($) Cost To Recover ($) Cost To Recover (%) Net To Practice
100 $500 30% of Value 20% $10,000 $3,000 30% $7,000
(Total Value of Accounts: $50,000)

Fixed-Fee Collection Company

Number of Accounts Average Balance Per Account Cost Per Account Anticipated Recovery Rate Projected Total Recovered ($) Cost To Recover ($) Cost To Recover (%) Net To Practice
100 $500 $10 50% $25,000 $1,000 2.9% $24,000
(Total Value of Accounts: $50,000)

* In this example which is based on historic collection data for both fixed fee and traditional collection agencies, we will collect $17,000 more net dollars to the practice than the traditional agency at a cost to recover of 2.9% versus 30% for the traditional debt collection company.

How Do I Get Started With A Debt Collection Program?

First, PSA will request a summary aging report from the practice which shows receivables by financial class and breaks down the receivables into aging buckets, i.e., 0-30 days, 31-60 days, etc. From the aging report, we will develop assumptions which will include the number of clean-up files to be worked, number of self-pay files reaching 61 days, number of commercial insurance files reaching 91 days, etc. From the assumptions, we will create a system design proposal which looks at the financial impact of our program for your practice over a 6, 12 and 24 month time frame. It will tell us how many files would be turned over during those time periods, how much in receivables the files would represent and with our collection success rate 56%, how much in receivables we would expect to collect for each of those time periods. It will also show what the resulting cost to collect would be. At no additional cost, our IT department will work with your practice staff to set up an automated upload procedure so that the practice can easily upload both claim and remittance files to us.