Enhancing Your Early Out Collection Strategy

Enhancing Your Early Out Collections Strategy

As accounts receivable professionals know, early out collection (also known as pre-collection) is a typical practice to resolve healthcare bills and other late customer payments. It helps organizations shorten the revenue cycle and settle accounts as quickly as possible.

Extended business offices also reduce overhead expenses for the companies your EBO is working with. EBO tactics help companies intervene before and during pre-collection and enhance the early-out process.

Some common tactics include encouraging self-pay debt recovery, sending letters, and making telephone calls on your client’s behalf. Your EBO may also provide staffing medical offices and other creditors typically can’t provide themselves.

What is Early Out Services?

An early-out program identifies ways to prompt patients to pay on their account balances, through communication, education, and the development of flexible payment plans.
Source: https://assistentcy.com/how-is-early-out-billing-different-from-collections/
What are the benefits of performing early out collection and why is this the best time to enhance the traditional early out collection model?

Early Out Collection Services

Managing administrative staff and chasing down payments can be a big job for a hospital system or other healthcare practice. Their primary concern is patient care and often don’t want to use (or can’t spare) the resources it takes to effectively manage late paying patients.

This is why many turn to debt recovery professionals to help manage the revenue cycle. This collaboration helps healthcare clients settle as many accounts as possible before they turn into bad debt.

“There may be opportunities for companies to re-envision typical collection services to be earlier in the revenue life cycle and to be more in the nature of risk or loss prevention,” says Leslie Bender, Senior Attorney and Health Privacy Expert.

“For example, particularly as state legislatures propose laws that delay when medical accounts can either be placed for collections or be credit reported – there may be opportunities to reach out to consumers via those folks who were traditional collection agencies to see what call center or customer service activities could be conducted to prevent losses.”

What is Early Out Collection?

The basic elements of early out billing are often the same, no matter the clients. Pre-collection usually contains the following elements:

  • 30 days past due - Healthcare facilities want to recover as much revenue as possible for the services they provide. Employing a company to collect bills that are 30 days past due (but not late enough to be classified as bad debt) will help to both close more accounts and recover more per patient.

  • Performed under the client’s name and logo - Pre-collection services are performed not as a third party, but on behalf of the client, using their name. This makes good communication with your clients essential.

  • Agents trained to use empathy - Medical facilities may not have the expertise to execute AR strategies with the same level of success as an outside agency. However, anytime a company hires debt collection specialists they are putting their reputation in your hands. They need to trust your agency will treat their patients with respect and show empathy for the circumstances they may be going through.
Top 5 Reasons Extended Business Offices Fail to Collect Past Due Payments


Early out collection services can be a benefit for both you and your clients. Offering a diversity of services is a good way to appeal to a wider range of companies and increase the avenues your agency has for taking in more money.

When discussing with clients whether early out collection is right for them, there are plenty of benefits they will also experience:

  • Recovering more revenue - Clients recover more of the original bill than they would if they did not intervene with the patient before collections.

  • Fewer resources - Clients spend fewer internal resources on the collection process and can redirect to other areas of patient care.

  • Professional expertise - Using a professional ARM company provides clients with years of experience and knowledge on the latest industry strategies and techniques.


The increasing popularity of high deductible healthcare plans offered by workplaces has caused patients to be responsible for more of their healthcare costs than ever before. This, in turn, has created more need for consumers to interact with provider accounts receivable departments.

Greater emphasis on the patient financial experience is something many facilities haven’t fully adjusted to. This is why many operations prefer to use AR professionals to intervene and help patients pay bills.

Complex billing has also added to this problem. Many consumers don’t understand how to read medical bills. This confusion can mislead patients about what they owe, increase disputes, and create roadblocks to quick payment resolution.

Using early out collection methods and other extended business office services will help patients understand their payment responsibility. Not only this, but disputes will be detected earlier in the process and dealt with in-house, rather than through surprise online reviews.

Cameron Karem, Assistentcy LLC
Assistentcy LLC
Cameron Karim, President & Director of Operations
“Flow has made it more convenient for consumers to pay the bill because they have the link right there. There was no need to go to the website. There was no account number, no PIN number. They used one of the identification forms offered within the Flow product. They type that in, make the payment, and they get a receipt."

3 Strategies to Enhance Medical Early Out Services

With a greater number of collection agencies offering early out programs and the wider need for administrative help among healthcare providers, this is the perfect time to expand beyond simple pre-collection.

If you already offer more extended business office services in your own collection agency, evaluate your marketing. Do current clients understand everything you offer? Are you using these services as a selling point to potential clients?

Here are three strategic areas of early intervention where you can help healthcare clients better serve patients while resolving more bills, faster.


Does your call center training program focus on the customer experience? Clients are looking for agencies that can show empathy to consumers, relate to the hardships they may be going through and provide financial aid or benefit counseling, according to facility policy.


Just as in every other type of business, patients expect convenience. Offering the payment options they prefer will increase patient satisfaction and resolve more accounts earlier in the revenue cycle.

Sending email and text payment reminders to patients who have opted in can significantly increase the number of payments captured.

If you offer text message and email reminders for patients on recurring payment plans, software (like PDCflow’s Flow Technology) can be a big advantage to your medical clients.


Along with offering other early intervention services to clients, in the coming year and beyond, it will be essential to incorporate technology into your collection strategy.

PDCflow lets agencies cater to consumer preferences through a variety of self-serve and digital communication payment features:

  • Secure, convenient digital payment options - PDCflow’s Flow Technology allows consumers to view a bill instantly through email or text while speaking to an agent. They can enter their own payment information for enhanced payment security while letting agents confirm payment before hanging up.

  • Flexible recurring payment options - PDCflow offers flexible recurring payments to line up with paydays, letting your admin determine minimum amounts or payment schedule length. Recurring payments are even available through your online payment page, so customers can set up a schedule without the help of an agent.

  • Secure document transfer - With healthcare clients, HIPAA compliance is essential. PDCflow’s HIPAA compliance facilitates secure digital document transfers. Securely interact with patients or transfer records between facilities while speeding up the payment resolution process.
Give your Extended Business Office a competitive advantage. Make it easy for consumers to self-pay.
PDCflow can help. Our platform lets you reach patients and collect secure payments through the digital channels they prefer – email, SMS, and online.
👉  Learn More

Impact of Regulation F on Early Out Collection Services

Along with advancing technology and consumer preference, there are other reasons to shift to early out and EBO services. Regulation F has made it clear that The Consumer Financial Protection Bureau (CFPB) is making an effort to push both consumers and AR companies toward self-servicing and electronic communications during payment.

“Regulation F, especially in a healthcare collections context and then when combined with some of the proposed state law initiatives this year, could cause both collection agencies AND creditors to re-think collection and other revenue cycle activities.”

- Leslie Bender

Because of this, early out collections will naturally become more successful for engaging consumers. Pre-collection and EBO strategies are more directly linked with a better patient financial experience because they encourage companies to proactively reach out to patients. This helps service their past due accounts and work with consumers to avoid bad debt.

“Creditors may find they have accounts in their inventory longer, which may drive opportunities for third-party collection agencies to provide a helping hand earlier,” says Bender.

“A traditional debt collector may now find they can offer healthcare providers assistance reaching out to their customers to seek alternatives: getting them into payment arrangements, applying for financial assistance, or other loss prevention options."

This loss-mitigation approach requires the skills, knowledge, and technology of an EBO to work on behalf of healthcare organizations or other creditors.

Bender leaves ARM professionals with a word of caution:

“The CFPB has from time to time seen those debt collection activities in need of oversight to include first party as well as third party activities – so stay tuned for potentially more regulatory oversight of first party work.”

Talk with a PDCflow digital communication and payment expert to find out if using email and SMS can help you with your early out program.

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Hannah Huerta - PDCflow Marketing Specialist
Hannah Huerta, Marketing Specialist

Hannah Huerta is a Marketing Specialist at PDCflow. She creates content for the accounts receivable and payment industry.

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