Archives for July 2014

New Whitepaper Reveals Three Strategies to Shrink Bad Debt


Despite the advances of the Patient Protection and Affordable Healthcare Act (ACA) related to patient debt (establishing maximum out-of-pocket expenses and other protections), most healthcare finance analysts believe bad debt will increase over the coming years.

LexisNexis, in this free whitepaper, has put together recommended best practices from a wide range of healthcare providers who have managed to stem the tide of bad debt increases.

Read an excerpt below — and then download the paper from our Free Whitepapers section.

from the whitepaper:

At the outset of any bad debt initiative, it is a good idea to take a hard look at one’s organization and financial structure. Here are three best practices:

  1. Know what bad debt is. Healthcare providers use different models for coming up with a bad debt calculation. As one expert recently pointed out, if one does not know what model the organization employs, the changes may not be effective. Some organizations, for example, may write off accounts receivable more than 180 days old as bad debt; others may use a model that tracks populations separately, such as writing off self-pays after 30 days, co-insurance and deductibles after 90 days, Medicare beneficiaries after 120 days, and so on.
  2. Ensure accountability. Reducing bad debt is the responsibility of the entire organization. As will become evident in this whitepaper, managing bad debt starts at the beginning of the patient finance lifecycle and extends beyond revenue cycle staff into the clinical areas.
  3. Establish lines of communication. Bad debt can explode suddenly, many times as a result of circumstances beyond a healthcare provider’s control (e.g., changes in government regulation or contracts with payors). Not only is it important to stay on top of bad debt trends, but to communicate them in a timely fashion. Many healthcare financial professionals recommend regular meetings with the CFO or CEO beyond traditional reporting. In addition, setting up in-person reporting to clinical and healthcare revenue cycle departments can go a long way toward impressing upon all staff the importance of managing bad debt. Do not forget your partners, especially those working in accounts receivable. Another frequently overlooked stakeholder group is the payors. Hold monthly meetings to review payor issues.

New Whitepaper Reveals Three Strategies to Shrink Bad Debt
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Accounts Receivable Management

TCPA Victory May Expand Scope of Vicarious Liability Claims


Companies that hire vendors to place automated calls to cell phones may find themselves at greater risk for Telephone Consumer Protection Act troubles following a decision from the Ninth Circuit Court of Appeals in Thomas v. Taco Bell Corp. The recent decision follows a May 2013 ruling from the Federal Communications Commission in In re Dish Network, LLC, that applied an expanded view of liability for a vendor’s conduct (also known as “vicarious liability”).

Widening the TCPA Trap for Vendor Conduct

What the FCC said in In re Dish Network, LLC  is that TCPA liability is not limited to the “classical” theory of a company’s responsibility for its vendor’s wrongdoing, the theory being that a company is liable if it controlled or had the right to control its vendor’s conduct. In the TCPA context, that could mean that the company controlled the manner and means by which its vendor made automated calls or text messages to cell phones. The FCC ruled that in addition, liability should also attach for a vendor’s TCPA bungles under the theories of apparent authority and ratification.

Apparent Authority

Apparent authority differs from the classical approach because it does not focus on control over the vendor’s conduct. Instead, liability for vendor conduct can arise when a person believes a vendor is acting as another’s agent, the belief is reasonable and the company that hired the vendor did something to foster the belief that the vendor was acting as its agent. Under this theory, even if the vendor is not an agent, liability can be established.

Ratification

Ratification does require the vendor to be an agent. But it does not require a showing of control over the vendor’s conduct. Instead, the FCC adopted the position that liability can exist under the TCPA by engaging a vendor to make communications to cell phones and “knowingly accepting their benefits.”

Nachos, Texts and the TCPA

Which brings us back to the Ninth Circuit decision.

In 2005, Taco Bell Corporation was a member of the Chicago Area Taco Bell Local Owners Advertising Association. The association decided to run a promotion featuring its Nachos BellGrande. The Nachos BellGrande is a platter of tortilla chips, covered with cheese, beef, diced tomatoes and (in case you’re counting calories at this point) low-fat sour cream. The association assigned the promotion to its advertising agency who in turn hired its own vendor to assist in preparing and sending text messages to cell phones as part of the campaign.

Tracie Thomas received one of these text messages. Thomas perhaps was not impressed by the offer of Nachos BellGrande because it prompted her, four years later, to file a putative class action against Taco Bell alleging the text message violated the TCPA.

The trial court granted judgment for Taco Bell, finding that the association, the agency and the agency’s vendor were not acting as agents of Taco Bell. Even if they were, under the “classical” theory of vicarious liability,  Taco Bell did not exercise control over the manner and means by which the text message campaign was conducted by the association, its advertising agency or the advertising agency’s vendor. Thomas appealed. While the appeal was pending the FCC issued its declaratory ruling in In re Dish Network, LLC.

Potential Expansion of Vicarious Liability

The Ninth Circuit Court of Appeals affirmed the trial court judgment in favor of Taco Bell. But, it also added some troubling dicta. Addressing the FCC’s ruling in In re Dish Network, LLC, the appeals court considered Thomas’ claim “on the assumption” that ratification and apparent authority “may provide a basis for vicarious liability” under the TCPA.

Fortunately for Taco Bell, the appeals court found no evidence to sustain either of the expanded theories of vicarious liability. Apparent authority failed because there there was no evidence Thomas reasonably relied on anything Taco Bell to lead her to believe that the association, its ad agency or the ad agency’s vendor were its authorized agents.

And Taco Bell could not be liable under ratification. Liability under ratification attaches only where the act was performed by an agent, and neither the association, the ad agency nor the ad agency’s vendor were Taco Bell’s agents. Since the trial court’s opinion did not address either concept and the Ninth Circuit’s opinion states it is “Not for Publication,” it is probably not precedential.  But even if it is not binding, it does suggest that at least this panel of judges is not adverse to these expanded concepts of liability.

This is not the first court to enter this new territory. Last fall we identified a trial court decision from the Northern District of Illinois that also adopted ratification and apparent authority liability under the TCPA.

Potential Fallout

In all three scenarios of vicarious liability, vendor management best practices should help reduce TCPA risks. Much has changed in cell phone communications since Thomas received her text message in 2005.  But it was not vendor management that saved Taco Bell from the expanded theories of liability. It was the unique relationship Taco Bell had with the other parties who carried out the promotion. Taco Bell was simply a member of an association that decided to market products using text messaging.  Had Taco Bell hired the ad agency here, the outcome could have been very different.

These same reasons suggest that the Ninth Circuit decision will likely be viewed by some as fertile ground to grow more TCPA litigation.

This post originally appeared on the Consumer Financial Services Blog, run by ARM defense firm Maurice & Needleman.

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Accounts Receivable Management

RevSpring Announces emerge As Its Transformational Communication and Payments Platform


RevSpring is pleased to announce emerge as its new transformational, Web-based communication and payments platform. RevSpring’s emerge will offer integrated, multiple communication and payment channels including text, email, IVR as well as a flexible online payment portal that makes it easy for a consumer to make a payment from any device.

As consumer communication and bill-pay habits move steadily towards mobile and tablet devices, organizations must offer a payment and communication platform that meets consumers’ changing demands. The emerge platform provides a superior mobile payments experience.

“RevSpring is committed to creating innovative products that address the ever-changing needs of the revenue cycle and receivables management,” said Tim Schriner, president and chief executive officer of RevSpring. “The emerge platform will enable consumers to easily make a payment from any device as well as receive communication through the channel of their choosing. We are excited about the positive impact this will have on the consumer experience and our clients’ bottom line.”

Available in late Q3, attendees at the ACA Convention and Expo can be the first to see a demonstration of the emerge platform in the Exhibitor Showcase on July 23 at 5:15 p.m., during the opening reception. Demonstrations also will be available in Booth #602 throughout the convention.

About RevSpring

RevSpring’s core service offerings include data hygiene and analytics, secure document creation and delivery, multi-channel communications, electronic billing and archival services and online payment tools, all while ensuring compliance with regulatory guidelines. RevSpring holds multiple security certifications including PCI DSS Level 1, HIPAA/HITECH and SSAE 16 SOC 2 and maintains rigorous legislative and regulatory compliance programs. It serves a large and diverse customer base across the healthcare, receivables management, insurance, financial services, home services and other end-markets.

 

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Accounts Receivable Management

CFPB Takes Direct Aim at Policing Legal Profession


For centuries, the regulation of the practice of law has been delegated to the judicial branch of government.  As the Supreme Court explained, “since the founding the Republic, the licensing and regulation of lawyers has been left exclusively to the states and the District of Columbia . . . (t)he states prescribe  the qualifications for admission to practice and the standards of professional conduct.  They are also responsible for the discipline of lawyers.”  Leis v. Flynt, 439 U.S. 438, 442 (1979).

On July 14, 2014, the Consumer Financial Protection Bureau (“CFPB”), a Federal regulatory body created by the Dodd Frank Act of 2010 mounted a frontal attack on this bedrock of separation of powers principle by filing suit in the United States District Court against a prominent consumer collection law firm, Frederick J. Hanna and Associates, P.C. of Atlanta Georgia.  This suit, which also names three law firm partners, asks that the Hanna firm pay penalties based on unverified allegations that the lawyers employed by the law office failed to exercise their independent legal judgment in determining whether to file collection suits.  The suit also claims that the Hanna firm did not determine whether underlying contract documents supporting affidavits signed by their clients validated the accuracy of the debts subject to the state court collection actions.

The CFPB alleges that this conduct violates the Fair Debt Collection Practices Act’s provisions outlawing false, deceptive or misleading statements and unfair conduct in the collection of the debts.  Although no lawyer has ever been required to obtain a license to practice law from the CFPB, this agency nonetheless claims they have the right to seek a court order restraining the law firm from filing suits on behalf of its creditor clients.

Make no mistake!  This lawsuit is no mere border incursion crossing the line drawn by the separation of powers doctrine.  Instead, this action represents the beginning of a full scale ground invasion which, if successful, will radically change the landscape for the practice of law in every state of the nation.

Perhaps the CFPB felt it could flex the heavy hand of government enforcement action against large collection firms by using Mr. Hanna as a test case.  They may have picked on the wrong party.  Mr. Hanna already successfully defeated a broad invasive subpoena request issued by the Georgia Administrator of Fair Business Practices Act which sought to investigate alleged abusive debt collection practices by the Hanna law firm.  Mr. Hanna took his case to the Supreme Court of Georgia which quashed the subpoena and issued an opinion, State ex rel. Doyle v. Frederick J. Hanna and Associates, P.C., 287 Ga. 289 (2010), holding that only the Georgia Supreme Court has the authority to regulate the practice of law.

Undoubtedly, Mr. Hanna’s defense of the CFPB’s ill-conceived action will focus on the separation of powers principle recognized by the Georgia court. His response should also point out the Dodd-Frank Act’s specific exclusion that the CFPB “may not exercise any supervisory or enforcement authority with respect to an activity engaged in by an attorney as part of the practice of the law under the laws of a state in which the attorney is licensed to practice law.”  12 U.S.C. § 5517(e)(1) (emphasis added).

The entire credit and collection industry, including creditor clients who are represented by collection attorneys, must recognize the present danger to the viability of the collection of consumer debts and to the preservation of the attorney-client relationship represented by this CFPB enforcement action.  The concern about the encroachment on the court’s function in overseeing lawyers is one that should be shared by every lawyer who has ever taken an oath to the highest court in his or her state to abide by the court’s rules of professional conduct in the representation of the lawyer’s clients.

If it seems that this piece is laced with a fair amount of hyperbole and somewhat reminisce of the Chicken Little adage that “the sky is falling,” the dramatization of this recent development is justified.  The Federal Government should stay out of the business of regulating how attorneys conduct the practice of law in representing clients.  The only reasonable outcome of this CFPB lawsuit is a complete dismissal of the suit and a vindication of the principle that a lawyer will answer to the courts if the lawyer’s conduct in representing a client and in prosecuting lawsuits does not meet professional standards of conduct.

 

Ronald Canter is the founding member of The Law Offices of Ronald S. Canter, LLC of Rockville, Maryland. Join Mr. Canter, Kim Phan of Ballard Spahr and Anita Tolani of Weinberg, Jacobs & Tolani at ARM-U (October 14-15 in Washington, DC) for a panel discussion of what the regulatory future looks like for debt collectors – including the huge role the CFPB will play – and how agencies can prepare for the future right now. This exclusive event will bring together senior compliance and operations officers, collection attorneys and HR/training experts, and allow them to learn from each other, discuss pitfalls and identify areas of improvement.

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Accounts Receivable Management

Can Debt Collectors Legally Charge Interest?


Numerous recent FDCPA lawsuits challenge the ability of debt collectors to assess interest to accounts.  These cases focus on a number of factors including whether collection letters need to disclose the accrual of interest and also interest on purchased accounts.

Most recently, a California Court held that interest could only be assessed in certain circumstances after a judgment had been entered.

In the latest episode of the Debt Collection Drill podcast, Attorneys John Rossman and Mike Poncin tackle the intricate issues involved with collection agencies assessing interest and provide an assessment of strategies to comply with the law.

Listen to the 13-minute audio clip below:


http://traffic.libsyn.com/thedrill/TDCD_40.mp3

 

(If you cannot see the audio player above, please download the file directly at http://traffic.libsyn.com/thedrill/TDCD_40.mp3.

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Accounts Receivable Management

Consumer Narratives Coming Soon to CFPB Complaint Database


The Consumer Financial Protection Bureau (CFPB) Wednesday announced that it is proposing to expand its consumer complaints public database to include the consumer’s narrative description of what happened, along with a company response narrative. The announcement came on the three-year anniversary of the CFPB’s launch.

When consumers submit a complaint to the CFPB, they fill in information such as who they are, who the complaint is against, when it occurred, and what issues were relevant based on a preset list of options. But they are also given a text box to describe what happened and can attach documents to the complaint. When the Bureau forwards the complaint to the company, the narrative text and documents (if any) are provided.

But that narrative text does not appear in the CFPB’s public complaints database. Under Wednesday’s proposal, that would change.

The CFPB said, “In many ways, the narratives are the most insightful part of a complaint. They provide a first-hand account of the consumer’s experience and the problem they would like resolved.” The agency said that by publishing the narratives, it would “greatly enhance the utility of the [complaints] database” by adding context to the complaints.

For example, the CFPB noted, providing the complaint narratives within the mortgage category of “loan modification, collection, foreclosure,” would help determine if the consumer is being charged extra fees, the servicer has lost paperwork, or any number of other specific problems. Describing the circumstances can provide vital information about why the consumer believes they were harmed.

The official proposal notes that the CFPB would publish the complaints only if consumers proactively opt for their narrative to be shared. When consumers submit a complaint through the CFPB’s complaint portal, they would have to affirmatively check a consent box to give the Bureau permission to publish their narrative.

The Bureau also noted that it would take “all reasonable steps” to remove any personal information consumers provide within the narrative.

The CFPB is also proposing that companies’ responses be made public, should they choose. Companies would be given the opportunity to post a written response that would appear next to the consumer’s story. In most cases, this response would appear at the same time as the consumer’s narrative so that reviewers can see both sides concurrently. This response would also be scrubbed of personal information.

The proposal is open for public comment for a period of 30 days beginning from when the policy statement is published in the Federal Register. Comments can be filed at Regulations.gov under docket number CFPB-2014-0016.

 

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Accounts Receivable Management

Major Move at the Top – Goodbye, NCO?


Mike Ginsberg

Mike Ginsberg

On Monday, Expert Global Solutions (EGS) announced that it would divest certain parts of its accounts receivable management (ARM) business to well-known private equity firm Platinum Equity. The tagline of their joint press release stated that the “business expected to operate as TSI,” effectively removing the name NCO from the U.S third party ARM industry as far as we can tell.

For more than a year, EGS was making moves with its third party debt collection businesses in the U.S. that attracted the attention of many other ARM companies and recovery managers throughout the industry.  These moves raised a lot of speculation that EGS was downsizing parts of its collections business but the company was doing so in a way that would not attract too much attention.

Not anymore.

EGS publicly proclaimed that it will be getting out of U.S. third party collections altogether by selling off Transworld Systems, Attorney Network, Education, Healthcare Bad Debt, Government and U.S.-based Third Party Collections.  The release also went on to note that the new entity formed from the combination of these business units is expected to operate under the name Transworld Systems, Inc., not NCO Group.  Does this mean that when this transaction is completed the name NCO will no longer exist in the U.S. third party ARM industry or will it continue in some capacity within EGS?  I guess we will find out soon.

In the interim, the announcement on Monday will certainly strike a chord among many credit and collection professionals across the U.S.  Since its successful public offering nearly 20 years ago, NCO was viewed as a bellwether in the industry with its monster size acquisitions of FCA International, OSI and RMA to name a few that catapulted it from a small business into pole position as the largest ARM company in the world.  One thing is now clear.  NCO as we came to know will no longer exist.

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Accounts Receivable Management

CBE Companies Installs Artiva Healthcare and Artiva RM from Ontario Systems


Ontario Systems, a leading receivables technology and services provider, announced CBE Companies has installed both Artiva Healthcare and Artiva RM to drive new receivables solutions for its first- and third-party healthcare clients, along with third-party clients in other industries. A company with an 80-year history in the accounts receivable management industry, CBE Companies brings expertise, innovation, and a partnership approach to clients in the healthcare, utility, telecommunications, financial, education, and government markets.

“We picked Artiva Healthcare and Artiva RM based on the reputation Ontario Systems has built among its customers and partners over a 30-plus year history in the receivables and healthcare markets,” says Nick Michael, Chief Client Officer at CBE Companies. “CBE’s alliance with Ontario Systems helps position CBE to provide new and innovative solutions to its clients, building on the expertise, technology, and dedicated people already in place within both organizations.”

The two organizations have worked together to bring CBE’s receivables vision to reality, leveraging a number of key benefits Artiva Healthcare and Artiva RM stand to provide, including:

  • Healthcare receivables tools that include self-pay collections, insurance follow-up, and denials management
  • Reporting capabilities dedicated to the specific needs of healthcare clients
  • Workflows that create efficiencies in CBE’s dedicated Healthcare Division
  • A technology platform that allows CBE to reduce its cost of support

“Companies like CBE represent a contingent of elite receivables operations,” says Ontario Systems Vice President of Sales and Marketing, Jason Harrington. “These organizations pursue growth with a commitment to innovative collection solutions in evolving markets, like healthcare, where they rely on pedigreed partners drawing strategy from multiple industries. Organizations like theirs continually motivate us to push our own products and services forward, inspiring technology solutions as bold as their vision. Our partnership highlights both of our companies’ positions as leaders in our respective markets.”

About CBE Companies

CBE Companies is a global business process outsourcing (BPO) organization and is the parent company of CBE Group, CBE Customer Solutions, and Argent Account Acquisitions. CBE Companies is supported by a leadership team of tenured industry experts. Its workforce of dedicated professionals is quickly growing. As the organization grows, new career opportunities are continually created. The mission of CBE Companies is to make its customers better through:

  • Focus on the deepest understanding of its customers’ business
  • Innovative solutions that provide clear value in solving specific business challenges
  • A unique culture and investment in employee engagement

CBE Companies currently employs over 1,200 people in six locations globally. Its corporate headquarters is located in Cedar Falls, Iowa, with additional facilities in Waterloo, Iowa; Overland Park, Kansas; Haverhill, Massachusetts and Manila, Philippines. The organization is consistently recognized as a top five Employer of Choice in the Cedar Valley.  It has also been recognized by Workplace Dynamics as one of Iowa’s Top Workplaces.

Learn more about CBE Companies at CBEcompanies.com.

About Ontario Systems

Ontario Systems, LLC is a leading provider of accounts receivable and strategic receivables management solutions for the collections and healthcare industries. Offering a full portfolio of software, services, and business process expertise, Ontario Systems customers include nine of the 10 largest collections agencies, and three of the five biggest health systems in the U.S., with 55,000 representatives in more than 500 locations.

To learn more about how Ontario Systems can help power up your receivables, visit OntarioSystems.com.

CBE Companies Installs Artiva Healthcare and Artiva RM from Ontario Systems
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Accounts Receivable Management

Leading Collection Platform CSS IMPACT Acquires 123 Comply LLC


Collections Solutions Software, Inc. (CSS IMPACT), the ARM industry’s leading and most robust Debt Collections platform, today announced the acquisition of 123 Comply LLC. With the purchase of this practice and its intellectual property, CSS IMPACT is expanding its platform to include End to End Compliance to meet & ensure CFPB, FDCPA and PCI compliance. Terms of the acquisition were not disclosed.

On concluding the successful acquisition, Mr. Carl Briganti, CEO & President of CSS IMPACT said, “This acquisition is strategic to our organic growth and fulfills our focus to create value added solutions for the industry. With Compliance on Demand™, CSS IMPACT now has the industry’s only pre-emptive, real time and post audit Compliance solution that is fully integrated to provide end to end coverage. Our platform IMPACT! HD2.0 has Compliance built in, so whether you are in the C suite or on the collections floor, creating new strategies, expanding into new market segments and complying with even the most rigorous of regulations & client’s needs, all this can easily be met with confidence & knowledge that your organization is always in compliance. Now there is no need to fear, CSS is here.”

For more information on CSS IMPACT’s Compliance on Demand™, please visit www.cssimpact.com

Dr. Phillip Spears, head of 123 Comply and affectionately known to many in the industry as the Doctor of Compliance, said, “With this partnership, 123 Comply LLC will become a Value Added Reseller for CSS IMPACT and offer the complete suite of ARM + Collections Platform, Compliance related solutions as a standalone or integrated offering. 123 Comply will also have the expanded reach and marketing power of the CSS brand and customer base to market the industry’s only complete Compliance platform. We look forward with CSS to expanding our reach and delivering dynamic solutions to the industry.”

Collections Solutions Software Inc., is the industry’s leading ARM + Collections Platform focused on the Healthcare, Education & Legal industries. For more information, please visit, www.cssimpact.com.

Founded by Dr. Phillip Spears, 123 Comply LLC is a leading provider of compliance oriented services & solutions and a Platinum VAR of CSS IMPACT! For more information, please visit, www.123comply.com

Leading Collection Platform CSS IMPACT Acquires 123 Comply LLC
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Accounts Receivable Management

TECH LOCK Challenge: A Compliance and Data Security Questionnaire


Tech Lock Challenge Downloadable CoverSelf assessments on compliance and data security: one of the smartest things you can do for your collection agency. 

Using these 55 questions, developed by industry-expert Todd Langusch of TECH LOCK, Inc., you’ll be able to immediately see any vulnerabilities your agency may be laboring with.

This comprehensive questionnaire looks at the following risk areas: Risk Assessment, Security Awareness, Overseeing Service providers, Encryption, Transmission of Sensitive or Non-Public Personal Information, Firewall, System Hardening, Regularly Monitor and Test, Strong Access Control measures, General, Remote Access.

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If you don’t have an account yet, registration is free and simple.

This questionnaire focuses you on:

  • How often does your company conduct a formal Risk Assessment, how is it performed and how are the results documented?
  • How often does your company conduct employee security awareness training, how is it performed and how are the results documented?
  • How does your company perform a due diligence on a service provider before signing a contract and how do you oversee and monitor those service providers on an ongoing basis?
  • And much more!

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Accounts Receivable Management