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Collections Tools


Updated 11/7/215 - We sure have seen a lot of changes in the healthcare industry.

ABNs directly from CMS -- CMS link for all the new types of ABNs

Aging Review - Line by Line Form

The following are downloadable forms that others have sent to share.

Collections Blank Form - Generic Fill-in the blank form - Created and donated by Maria Shadmehr

Collections Letter- "Balance Due"

Collections Letter - "Balance Past Due" - Created and donated by Maria Shadmehr

Collections Letter - Desceased Patient Estate Query - Created and donated by Maria Shadmehr

Collections Letter - "Payment Not Yet Received" - Created and donated by Maria Shadmehr

Collections Letter - "Please Call To Arrange Payments" - Created and donated by Maria Shadmehr

Collections Letter - "Please Call To Arrange Payments"

Collection Letter - "Thanks for Your Payment" - Created and donated by Maria Shadmehr

Collections Letter - "Warning: You're About to be Reported to Collection Agency" 

Collections Process- Workflow Sheet

Collections Productivity Flow Sheet - Created and donated by Maria Shadmehr

Physician's Notification Form - "Dr., we're sending your patient to collections' agency..."

Scheduling Form - "Insurance Verification & Scheduling" Created and donated by Maria Shadmehr

Self Pay Policy