Healthcare Factoring describes expertise in buying Invoices in a particular industry by the Invoice Factoring Company. Some Invoice Factors only specialize in one or two sectors. For example, there are many trucking only factors. If you provide Nurse staffing, medical supplies, transcription services or other products and services to the healthcare industry, a Healthcare only Factor could help you. However, most Factors are generalists; their expertise lies in credit and collection. Because of this, factors will buy invoices from any company in any niche as long as there is no THIRD PARTY PAYEE.
Third Party Medical Receivables Factoring
Factors understand that when you buy goods, you as the consumer typically pay for the products. However, there are some industries where the consumer does not directly pay for services received, but third-party payers reimburse the provider of those services. Healthcare is the primary example of this in the US. Healthcare is 19% of the total GDP. In healthcare, those third-party payees could be Medicare, Medicaid, Commercial Insurance, Private Insurance, HMO/PPO, and Managed Care. The average time to collect for these types of Accounts Receivable can range from 90 – 180 days.
Third Party Medical Receivable Factors focus specifically on financing the healthcare and medical community. Factors also understand the pressure providers and facilities face on the cost and revenue sides of the business. They have a thorough understanding of the complexities of billing, monitoring, and collecting medical receivables, as well as the cash flow challenges of managing a healthcare or facilities organization.
As mentioned above, billing and coding expertise are ultra-critical. A Doctor, Hospital or clinic bills $1000 for a procedure under one code and subsequently Medicare or the Insurance carrier changes the code and only remits $200. As a healthcare professional you know the billing dance and the risk to your business. That is why it is best to partner with a Factor who has deep and wide experience in third-party payees and is up to date on recent healthcare legislation.