From whom should deductibles, coinsurance, and co-payments be collected by MSO for Advanced Mobile Iv And Amiv?
Advanced_Mobile_Iv_And_Amiv Franchise · 2023 FDDAnswer from 2023 FDD Document
When applicable, MSO shall collect all deductibles, coinsurance, and co-payments from all of Provider's patients regardless of payor, and consistent with applicable billing rules of payors with which Provider contracts.
Source: Item 23 — RECEIPTS (FDD pages 54–202)
What This Means (2023 FDD)
According to Advanced Mobile Iv And Amiv's 2023 Franchise Disclosure Document, the MSO (Management Services Organization) is responsible for collecting deductibles, coinsurance, and co-payments from the Provider's patients. This applies regardless of the payor source, and the collections must be consistent with the applicable billing rules of payors with whom the Provider has contracts.
This means that as an Advanced Mobile Iv And Amiv franchisee (the Provider), you will not be directly responsible for collecting these payments from patients. Instead, the MSO will handle this aspect of the billing process. This can simplify the administrative tasks for the franchisee and ensure that collections are handled in accordance with established billing rules and contractual agreements.
However, the FDD also states that the ultimate responsibility for all claims submitted remains with the Provider. This means that while the MSO handles the initial collection efforts, the franchisee is still accountable for the accuracy and subsequent adjustments or repayments related to those payments. Therefore, franchisees should maintain oversight of the billing and collection process managed by the MSO to ensure compliance and accuracy.