With escalating costs, competition eating into the bottom line and new regulations affecting profitability, new methods are necessary for creating cost effective needs for payment processing.  Reducing or eliminating paper payments would seem like an easy and natural place to look for cost reductions.

Understanding ACH Inefficiencies

Key to understanding ACH adoption is understanding the business make up of a typical Provider’s office and how they reconcile payments today.

What Providers like most about paper checks and Explanation of Payments (EOP) is they are easy to reconcile because they are delivered together – same envelope, same time.   If a provider opts for ACH and Electronic Remittance Advice (835), they are faced with a number of challenges.  The most serious is the disconnection between their money and the remittance data.   First, the money and ERA don’t show up at the same time and are delivered through 2 different channels; money through the banking system and; even the Affordable Care Acts allows for a three day window.  Second, it is extremely rare that a bank would provide electronic deposit reports that can be uploaded into the Provider’s billing system.   So the Provider has to check their bank accounts daily to see what ACH deposits have been made.  Then they have to manually reconcile against the ERA’s that have been delivered.

A Payer can’t force a Provider to enroll in ACH and accept an ERA, but they can be proactice and offer an alternative payment – virtual cards. Virtual cards offer the ability for the ACH and Electronic Remittance Advice (835) to be included in one communication.

Imagine your mailing room…empty

The cost savings you realize of virtual cards go far beyond the cost of paper, ink, printing, and postage. There are also significant savings on bank-related costs; stop-pay/re-issues, positive pay charges and item charges are eliminated and reconciliation is greatly simplified.  With no provider or vendor printing, or mailing required, you can refocus your team on other tasks, or pass those savings on to your customers.

Provider Acceptance of Virtual cards

With over 95% of Providers accepting credit/debit cards for payment, there is a significant opportunity to leverage that “card” connectivity.  Provider adoption ranges from 50-70%, as opposed to 10% for ACH.  The reasons for such high adoption are in contrast to the reasons ACH/ERA doesn’t work: no enrollment, easy reconciliation, money and data delivered together, fraud protection, and quicker, more reliable delivery over mail.  While not every Provider recognizes the value of virtual card payments, many do, especially for those payers that represent a small percentage of their patient traffic.

Virtual cards  – simple implementation

Virtual cards require no changes or special integration with your claim system. No special payment files are required since most virtual card providers will use your current output file. A simple implementation means minimal  IT department involvement and an immediate ROI measured in weeks, not months or years.