Owning any type of healthcare business can be financially rewarding and at the same time very demanding. Mainly because of having delays between 15 to 90 days to get claims paid by private insurance, Medicare/Medicaid and HMOs. These obstacles with revenues in general have slowed also due to the recession. Medical factoring is more of an important tool now more than ever because banking guidelines have changed over the past few years and bank lines of credit have been cut by more than 1 trillion over the last year for businesses.
However, if you own a healthcare practice, DME, hospital or medical staffing company you have expenses that must be paid like clockwork. Payroll needs to be met. Rent needs to be paid. Not surprisingly, all these obligations have one common element – you either pay them or you go out of business.
This leaves you with two possible options besides medical factoring, either business loan or a line of credit. With either you will have a cash reserve sitting at the bank or you need to get financing to cover the wait. Banks almost always require considerable collateral and three years of audited financials. To make things more complicated, most bank financing has maximum limits. Much like a credit card maximum, once you reach it, that is the end of the line. Banks will not loan on third-party payors (i.e. commercial insurance companies, HMO’s, Blue Cross/Blue Shield, Medicare and Medicaid). Even though the largest asset of most businesses is their accounts receivable, most banks won’t lend money on that asset.
The desirable alternative is to factor your medical receivables with medical factoring. Medical factoring provides you with financing based on your insurance claims, eliminating the wait and providing you with funds to operate your business. Contrary to traditional financing, you have no set limits. You can factor as many insurance claims as you can generate. It’s really a tool for growth.
Factoring is the purchase of a medical provider’s third party receivables at a discount. The factoring company advances 75% to 85% of the expected net collectible value of the billings in immediate cash, which is wired directly to the provider’s bank account. The remaining amount is called the reserve and is remitted back to the medical or staffing when the government or insurance company pays the bill less the factoring fee charged during the period.
The biggest benefit from factoring your medical receivables is that your cash flow will become predictable. As opposed to waiting 30 to 90 days hoping your medical claims will be paid soon, factoring gets you paid with certainty in 24 to 48 hours.
Medical factoring is easy to implement and incorporate into your business. Here is how it works.
1. You send your claims to the insurance company and to the factor
2. The factor advances you up to 85% of your expected net collections
3. 15% is not advanced and is used as a reserve to handle charge backs
4. You get immediate use of the funds while the factoring company waits
5. When the claim is paid, the transaction is settled
In today’s economy where the 30-day invoices are fast becoming 45 to 60 days as the norm. Medical Factoring can allow your healthcare business to make the transition from negative to positive cash flow situation.
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