In this blog we lay out some strategies when it comes to handling unpaid invoices.

94% of bookkeepers in the United States say they need to “chase down” clients to collect late payments. This is an unfortunate, and often stressful, part of running a business. Especially one in healthcare. Unpaid invoices, if left unaddressed, can result in a large sum of missing revenue. So, there’s no other choice in the matter but to follow up on them.
It is important to differentiate between something that is “common” and something that is “unavoidable”. Sure, late payments might be a common problem within your business, but that doesn’t mean they are entirely unavoidable. In fact, there are a few things you can incorporate into your daily tasks that can reduce your amount of outstanding payments.
In today’s blog, we will take a look at a few key factors when it comes to handling unpaid invoices.

These details include:
So get comfy, grab a snack or some tea, and let’s lay out some strategies when it comes to handling unpaid invoices.
Did you know that a 2022 study found that 49% of business invoices in the United States become overdue? Almost half! That is a huge chunk of incoming revenue going right out the door, if not followed up on properly. So what exactly are unpaid invoices? These are bills that businesses issue to customers after delivering a service or product, however they remain unpaid. Pretty straightforward! The more unpaid invoices your company has floating around out in the ether, the less revenue your company collects. Therefore, less funding for your business.
These invoices can otherwise go by the name “accounts receivable”. Meaning, this is your company’s expected cash inflow. Your business holds entitlement to this revenue. Cash flow is your business’s lifeblood which covers things such as rent, salaries, and more. If there is a delay in cash flow, you can expect cash flow gaps that challenge your business’s ability to maintain operations and financial obligations.

Here are a few more instances in which unpaid invoices can negatively affect your business:
At the end of the day, communication (or lack thereof) is the basis of unpaid invoices. After all, an invoice (at its most basic level) is about communication.
It’s a way for a business to signal to their customer that they offered them a service or product, and they now owe a balance. So when an invoice is not paid on time, we can rightfully assume that there is an issue with the communication.

Here are some of the most common reasons for unpaid invoices:
Now that we know some causes of unpaid invoices and late charges, it’s time to get into how to both prevent and respond to them. I’m going to outline some key strategies that will help keep your cash flow…flowing.
More specifically, this list will help you learn what processes work best, how to reach out to clients, and what to do if someone refuses to pay. Let’s get started!
Probably the most basic advice I would give is to make sure you have the right contact information for clear communication with your clients. This way, on the off chance your new patient doesn’t pay their bill, you will know how to contact them.
Reinforcing your billing policies and payment expectations with new patients so no misunderstandings going forward is also helpful.
Let’s expand on the idea of collection policies and procedures. Making sure you define your payment terms upfront helps to reduce the chance of a misunderstanding between you and your patient.
Outlining information such as due dates, payment methods, and late fees is vital before performing services.
It is best practice to also have the patient acknowledge these terms in writing. When sending invoices, make sure your client can easily find their itemized services. As well as detailed instructions on how to pay.
With your established line of communication now in place, you can utilize the patient’s preferred form of contact to send friendly payment reminders! This can either be through email, text message, phone call, or even through the mail.

You can begin with a friendly reminder, but as time goes on feel free to send more formal reminders if payment is still outstanding.
If you use billing software, streamline your process with automated reminders! This takes this rather tedious task away from your team and ensures timely follow-up.
Piggy-backing off of the last section, make sure to offer flexible means of communication. This includes access for patients to make payment plans, too.
Having the option to pay your bill in the way that is easiest to you takes the hassle out of an already… let’s say “not so fun” activity.
If your client is unable to make payments by the due date, consider offering payment plans. Not only does this guarantee some revenue paid, but builds trust with your clientele by showing that you empathize with their situation.
This strategy deals with healthcare only.
Make sure that before rendering any services, you check for your patient’s insurance coverage. This is a good way to prevent any misunderstandings about who is responsible for payment. By checking for insurance first, you ensure both you and the patient are on the same page.
Always make sure to confirm:
In healthcare, technology is vital when it comes to the billing and coding process. Using Electronic Health Records (EHR) systems helps to streamline your administrative tasks, tracking outstanding payments and managing accurate records.
You can also utilize patient portals to keep your clients in the loop when it comes to their overdue balances. They can also more easily make payments.
If none of the above works, you might have to send a final notice or a formal letter of demand. These both instill a sense of urgency while also explaining how to mitigate the situation.
To add even more of a sense of urgency, you can send this notice via certified mail. This way, you can also receive notification when the recipient receives the letter.

Charging interest or late fees is another way to instill some added urgency in making a payment on an overdue bill. This will also help incentivize paying the bill on time in the first place. If someone can avoid paying more for a service or product, why wouldn’t they? However, make sure you check legal guidelines before charging those interest rates. Different states have different limits when it comes to that sort of thing.
Be sure to have a discussion of late fees and interest charges with your patients beforehand. You want to avoid blindsiding them by not setting those expectations upfront. Excessive penalties can also leave your patients feeling punished, even if that isn’t your intent! Consider allowing them to take advantage of payment extensions to avoid unnecessary strain on your professional relationship.

Taking legal action is usually the next step if you still are not receiving payment from a client. If you can’t get a hold of them, consider turning to an organization such as the Better Business Bureau or BBB for help.
Navigate this action carefully by making sure to comply with local laws and regulations such as the Fair Debt Collection Practices Act (FDCPA). This sets the standard for the treatment of debtors and also prohibits any abusive collection practices.
Legal considerations to recover lost revenue may eventually involve courts and lawyers. This is usually a last resort, as going this route tends to take time and money. Although, if you are missing a large sum of money, it may be worth the effort.
You can also choose to take the client to small claims court. Or make a court claim for money. This way, you can settle the dispute without needing a lawyer. If all else fails, consider hiring a third-party collection agency.
While unpaid invoices are the reality of every healthcare organization, they don’t have to be the cornerstone. By implementing strong billing strategies such as clear communication and timely follow-ups, you can reduce the number of unpaid invoices.
Safeguarding your business from financial strain and uncertainty by defining your collection policies upfront. All while utilizing the best revenue cycle billing software to streamline your workflow. With the right practices, you can protect your financial health while still catering to your patients.
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