Omega Revenue Care ("Omega Revenue Care," "we," "us," or "our") recognizes the importance of promptly addressing issues involving returned patient payments, returned billing statements, payment reversals, and refunds.
Because Omega Revenue Care provides medical billing and revenue cycle management services on behalf of healthcare providers, certain financial responsibilities remain with the healthcare provider or client. The following policies describe the general responsibilities of Omega Revenue Care and its clients.
1. Patient Check Returns
If a patient payment is returned by a bank due to insufficient funds or another payment-related issue:
- The patient may be responsible for applicable returned-payment fees and any legally permitted postage or processing charges.
- Omega Revenue Care may contact the patient on behalf of the healthcare provider regarding the outstanding balance.
- Where authorized, Omega Revenue Care may request updated payment information or arrange an alternative payment method.
- Omega Revenue Care may send billing notices or other communications regarding the outstanding balance in accordance with the client's billing procedures.
- If the account remains unresolved after reasonable collection attempts, Omega Revenue Care may return the account to the healthcare provider or client for further action.
Any returned-payment fees must comply with applicable federal and state laws and the provider's applicable policies.
2. Returned Billing Statements
Omega Revenue Care may assist healthcare providers with preparing and mailing patient billing statements as part of its billing services.
If a statement is returned because the address is incorrect, incomplete, or otherwise undeliverable:
- Omega Revenue Care may attempt to identify or update the patient's billing information when authorized to do so.
- Repeatedly returned statements may be referred back to the healthcare provider or client for additional instructions.
- The healthcare provider or client may be responsible for applicable postage, mailing, or other costs associated with returned or re-mailed statements.
- Omega Revenue Care is not responsible for delays caused by incorrect or incomplete information supplied by a patient or client.
3. Patient Refunds and Overpayments
Patient refunds and insurance overpayments are generally the responsibility of the healthcare provider or applicable client.
Omega Revenue Care may assist with identifying and documenting:
- Patient overpayments
- Insurance overpayments
- Duplicate payments
- Payment reversals
- Credit balances
- Refund requests
Where authorized, Omega Revenue Care may process or coordinate refund-related administrative activities on behalf of the client.
However, Omega Revenue Care does not independently assume financial responsibility for refunds owed by the healthcare provider.
4. Insurance Refunds and Overpayments
If an insurance payer determines that an overpayment has occurred, the healthcare provider or client remains responsible for satisfying the payer's applicable repayment requirements.
Omega Revenue Care may assist the client with:
- Reviewing payment information
- Identifying overpayments
- Updating billing records
- Documenting adjustments
- Coordinating appropriate administrative follow-up
The client remains responsible for the actual repayment unless otherwise agreed upon in a separate written agreement.
5. Processing Refunds
Where refund processing is included within the client's contracted services, Omega Revenue Care may update applicable billing and financial records to reflect an approved refund, reversal, or adjustment.
Refunds will generally be processed according to the healthcare provider's authorization, applicable payer requirements, contractual arrangements, and applicable law.
6. Refund Processing Time
Refund processing times may vary depending on:
- The reason for the refund
- Required client authorization
- Payment method
- Insurance payer requirements
- Banking or payment-processing procedures
- Verification requirements
- Applicable laws and regulations
Submitting a refund request does not guarantee immediate processing.
7. Client Responsibilities
Healthcare providers and clients are responsible for:
- Providing accurate patient and account information
- Authorizing appropriate refunds
- Providing necessary documentation
- Funding refunds when required
- Complying with applicable payer requirements
- Maintaining appropriate financial records
- Providing timely instructions to Omega Revenue Care when action is required
8. Contact Us
If you have questions regarding returned payments, billing statements, overpayments, or refunds, please contact Omega Revenue Care:
Omega Revenue Care
Harrisonville, MO 64701
Phone: (307) 310-4231
Email: contact@omegarevenuecare.com