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Do hospitals and other companies write off insurance difference

Posted on 9/12/15 at 7:31 pm
Posted by Rust Cohle
Baton rouge
Member since Mar 2014
1937 posts
Posted on 9/12/15 at 7:31 pm
Just wondering if hospitals, body shops and other companies that deal with insurance write off the difference of unpaid bills.
For example a hospital bills for 1000 dollars for stitches but the insurance company only pays $500.

Does the hospital get to claim a loss of $500

If so that seems like a huge benefit.
Posted by hombreman9
USA
Member since Feb 2009
3781 posts
Posted on 9/12/15 at 9:44 pm to
I think at the end of the day it's just collections vs expenses. Could be wrong though.
Posted by wiltznucs
Apollo Beach, FL
Member since Sep 2005
8961 posts
Posted on 9/12/15 at 11:20 pm to
Some of this depends on the structure of the hospital. For-profit, non-profit vs not-for-profit. There are opportunities to write off bad debt and charity for hospitals. Probably not in the circumstance that you outline. These write offs are generally reserved for treating the uninsured.

If the hospital receives the agreed upon contractual payment from the insurer its revenue. If the hospital receives less than it cost to care for the patient there probably should be a job opening in the Contracts Dept.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37027 posts
Posted on 9/13/15 at 2:25 pm to
Not really. I have several medical practices as clients and they book the revenue at full freight, book the amount the client doesn't pay in cash at time of visit as a receivable, then have a huge allowance for collectible accounts based on historic factors.

So they might book 1,000 as income, but write off 800 down the road.

Not really a difference between that, and just booking 200 as income.
Posted by DWaginHTown
Houston, TX
Member since Jan 2006
9856 posts
Posted on 9/13/15 at 4:36 pm to
For hospitals, if they have contracts with the insurance company, they write off the difference between what their charges are and what they actually get paid per their contract. It is called a contractual allowance and is basically a reduction in revenue.

Posted by nelatf
NELA
Member since Jan 2011
2296 posts
Posted on 9/15/15 at 1:58 am to





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