Behavioral Health Collections Specialists
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Generalized & Boutique Debt Collection Services

Substance abuse debt collections is a critical area for many organizations in behavioral health. In general, treatment centers, detox's, physician groups and other types of medical and behavioral providers are placed in a legal position of having to follow up and make attempts to collect debt from their clients. Co-pays, deductibles and other types of debt resulting from legal and appropriate advancements of funds to such clients.

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The addiction treatment, medical and behavioral health provider are required to make good faith efforts to collect debt owed by a client. Some of the types of debt which might fall into such categories would be co-pays, deductibles and loan of funds for airline tickets, residential expenses, personal expenses and more. Advancements of funds are appropriated under a defined set of circumstances and cannot amount to what might be defined as an inducement to influence the client to attend that particular center. Many providers make costly mistakes in this area.

Understanding Debt Collection Promissory Notes

In the case of advancements and loans to clients for airline tickets, the client should be providing to the drug and alcohol treatment center or detox facility an executed promissory note. It should include a payback schedule, itemized financial statement reflecting liabilities, income and expenses. These should reflect the clients need as well as a request from the client for such advancement. In addition, a statement from the client that they are unable to pay for the particular item of expense for which they are requesting the advancement. 

Under no circumstances is it legally appropriate for a substance abuse treatment provider to simply provide funding to a client, or a potential client, merely to influence the client to attend that provider’s treatment program. There is no legally appropriate concept at work in which provider would be placed in a position of “out-bidding” each other for a particular client admission. We are always available to answer any questions about your collection procedures. 

Substance Abuse Collections and the Law

Pay 2 Patient, LLC can and does selectively act as a collection agent to follow such debt and in adherence to the Fair Debt Collection Practices Act (FDCPA.) This Federal Law, found at 15 USC Section 1692, follows appropriate guidelines to communicate with and collect such debt from the providers debtor. It includes the amount of co-pays and deductibles owed by the client. In addition, other types of debts owed to the provider by the client such as appropriate and legal loans.

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The founders of Pay 2 Patient, LLC have many years of experience in substance collections, and will take all legally appropriate actions to follow, communicate with and to obtain repayment of the debt owed to the provider. This is accomplished by a wide variety of proven collections procedures. This also includes the rare cases of legal action although such is rarely recommended as an initial step. The fee charged by Pay 2 Patient, LLC is based up the length of time that the debt has been outstanding and on a percentage basis of collected fees.

For more information please email us.

Substance Abuse Collections Costly Mistakes

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Behavioral health collections is complicated with many dollars being lost. Addiction treatment centers and private physicians are unaware when providers make payment for services directly to an individual. This happens often with out of network providers. Usually treatment providers find out too late about the circumstances of this payment situation between the providers and an individual.

What are the pitfalls to be aware of if you are a behavioral health provider?

Out of Network (OON) claims are usually more costly to the insurance carrier and to the patient. As a mechanism to encourage participation in its' network (and because certain laws mandating this to happen) carriers will issue payment directly to the provider on behalf of the patient. However, some carriers do not extend this outcome to non-participating or OON providers. Some carriers (Empire and Federal BCBS in Florida) issue payment directly to the patient. The reimbursement check is made payable to the patient not to the service provider. This can disrupt the provider’s cash flow and this creates the Pay 2 Patient circumstance. This usually occurs when the insured does not execute the assignment of benefits and attest to it.

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Assisting with Your Behavioral Health Collections

Providers become understandably confused about how this could happen considering that the providers billing and admissions staff had the patient execute all the correct authorizations, and a verified assignment of benefit (AOB) at the time of admission.  Most providers think that if all such documentation is executed by the patient that regardless of whether they are in network or out of network the insurance reimbursement checks will be sent to their office. For many providers the assignment from the patient is unlikely to be honored by the carrier and its check will be sent to the patient anyway. This comes as a surprise to many providers who expect to receive the check from the carrier so long as it has a valid attested assignment of benefits.

In many cases both the patient and the provider’s staff are unaware that the insurance checks will be sent directly to the patient, even when the patient had already given the provider an assignment of benefits. And, even when the staff has informed the carrier of mistakes and oversights that are often made. Sometimes, it is only during a routine claim A/R review that the billing staff realizes that the check they have been waiting for has already been sent to the patient.  The carrier generally does not routinely inform the providers billing staff of this circumstance.

This is when the problem becomes acute and financially damages the providers anticipated cash flow because it is extremely difficult for the provider to recover such insurance payments from the patient who has already received the check and potentially has cashed it.  Obviously, the practice of issuing checks directly to patients instead of to the provider has greatly impacted the cash flow of many providers.  Providers in Florida should make sure that the insured also executes an AOB and attests to it.

 
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Services & Pricing

We specialize in behavioral health collection of fees intended for OON providers. 

  • Treatment Centers
  • Detox Facilities
  • Doctors' Groups
  • Urgent Care Groups
  • Other Providers

Benefits of our services:

We only charge a percentage of collected fees. We have a very high rate of success. We work on an independent basis, are ethical and adhere to HIPAA laws. We do not give up on any case and work closely with the billing department. Call us for a free no obligation consultation at (954) 592-1922.

 Co-Founder Pay 2 Patient, LLC

Co-Founder Pay 2 Patient, LLC

Dale P. Redlich, JD, NCRC

Co-founder of Pay 2 Patient, LLC which is a licensed collection company. The company was formed to assist providers, such as addiction treatment centers, detox facilities physician group practices, Chiropractic practices, individual providers and mental health facilities etc. In the process of collection and retrieval of third party insurance reimbursement funds which some insurance carriers such as Empire and Federal BCBS send directly to their insured or to the client/patient rather than sending such funds to the treatment provider in payment of their fees. This is known as “pay 2 patient collections.

Dale Redlich is a retired attorney and has worked in the legal field, the collection and pay 2 patient field and the addiction and mental health treatment field since 1975. As part of his work in the legal field he maintained a successful law practice for many years in various areas of civil, criminal and commercial litigation including the collection of contractual debt obligations.

Subsequently, he retired from the practice of law and founded the Challenges Addiction Treatment Center in 1997.  This facility operated a PHP, IOP and OP residential practice for addiction and dual disorders for many years until it was sold in 2014 to Satori Waters Treatment Facility. As an integral part of operating this facility he was at the forefront of the pursuit of numerous pay 2 patient circumstances which required him to track down and collect such pay 2 patient funds sent by the carriers directly to the patient.  Challenges lost many fees in this manner until such were retrieved and turned over to Challenges as the provider of the services.

He continued to work for Satori for several years after the sale of Challenges in the capacity of a legal support expert and continued to participate in the collection of debt and in the area of pay 2 patient cases together with his wife, Beatrix Redlich.  During the years 2017 and 2018 over 2 million dollars in pay 2 patient funds were collected in that manner for Satori.

Dale Redlich and his wife Beatrix Redich became the principals and co-founders of Pay 2 Patient, LLC and are experts in the locating, collection and retrieval of Pay 2 Patient Insurance Reimbursement Funds. You can connect with Dale on LinkedIn by clicking here.

 

 Co-Founder Pay 2 Patient

Co-Founder Pay 2 Patient

Beatrix Redlich

Beatrix Redlich is the primary founder of Pay 2 Patient, LLC and in fact has been and remains the driving force behind the successful day to day operation of the company; in fact, she is the President and CEO and is responsible for a majority of client interaction.

Her background in collections, accounts receivables, revenue cycle management and debt resolution originates from her work with accounting experts as a commercial litigation, legal and financial support expert.  She spent many years working within various law offices and legal management systems and together with major accounting firms where she was charged with overall management of law office operation as well as the operation of a system of multiple community mental health centers within a management service organization.    She is experienced with financial operations, accounts receivable, financial management and participation on management boards as well as being involved with debt collection regarding client debt as well as third party debt.

Beatrix has also spent over 17 years as a co-founder and manager of the financial operation of a well-known and successful addiction and mental health residential treatment center and was an instrumental member of the team which founded and ran the company as well as her being involved on a day to day basis with the pursuit and collection of patient debt as well as the oversight and management specifically  of pay 2 patient collections in which role she was responsible for the collection and retrieval of millions of dollar in revenue.

In 2014 the addiction treatment center was sold, and she began working as an AR and collections expert for the Satori Waters system of multiple facility operations.  Ultimately, she implemented the company system for collection of Pay 2 Patient debt.  In fact, in this capacity  she has been directly  responsible for the collection of over 2.5 million dollars of Pay 2 Patient fund collection. You can connect with Beatrix on LinkedIn by clicking here.

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Testimonials

Dale has always been a pillar in the addiction treatment industry. His experience as a treatment center owner has propelled him with the services Pay 2 Patient offers. If you want to find lost billing monies, you need to give him a call.
— Charles Davis, CEO Behavioral Health Network Resources
Remarkable on the amount of lost recievables that Pay 2 Patient collects.
— Yaneleisis Batista Broward Health
Beatrix Redlich has been a miracle worker in her ability to search, locate and retrieve a tremendous amount of money from patients who received our insurance checks by mistake. I recommend her highly.
— David Michael, CEO, Safe Harbour Treatment Center

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