Third Party Outpatients Collection Program: Determining Predictors of Payment inFull of Third Party Outpatient Billings

摘要

The purpose of this study was to determine the effects of predictor variables;current procedural terminology (CPT) code, number of CPT codes, third party payer, number of claims, and followup, on payment in full of third party outpatient billings utilizing multiple discriminant analysis. Results of the study indicate that third party payer and number of claims are significant predictors of payment in full. The major implication of this study is that to maximize payment in full of third party outpatient billings, this facility should ensure that every beneficiary with third party insurance is identified, the beneficiary's insurance carrier is billed, and reimbursement from the third party payer is received. Third Party Collection Program.