US Medical Billing

Fair Debt Collection Practices Act (FDCPA)

A federal statute governing how debts owed by consumers are collected. It applies principally to parties collecting debts owed to someone else, which is why a practice's own billing staff and a collection agency working the same balance are usually governed by different rules.

Updated

The Fair Debt Collection Practices Act regulates the conduct of debt collection where the debt is a consumer obligation. Its central definitional move, at 15 U.S.C. 1692a(6), is to define a debt collector as a person whose principal purpose is the collection of debts, or who regularly collects or attempts to collect debts owed or due another. The emphasis on debts owed another is what shapes everything else: the statute is aimed at third parties.

The definition carries express exclusions, including an officer or employee of a creditor who collects for that creditor in the creditor's own name. It also carries an exclusion for a person collecting a debt owed to another where the activity concerns a debt that was not in default at the time that person obtained it — a distinction that matters a great deal in health care, where accounts are frequently placed with an outside party before any default has occurred.

In practice

For a medical practice the practical consequence is that the practice's own staff, billing in the practice's name, are generally not debt collectors under the statute, while the agency the practice places an account with generally is. That does not leave the practice unregulated: state debt-collection and consumer-protection law reaches creditors directly, payer contracts frequently impose their own limits, and the practice remains the party whose records determine whether the balance was correct in the first place.

The exception most often triggered by accident is the one for names. A creditor that collects its own debts using any name other than its own, where that name would indicate a third person is collecting, is treated as a debt collector. A practice that sends late-stage statements under an official-sounding recovery or adjustment name it invented, without a real third party behind it, can bring itself inside the statute it believed it was outside of.

Commonly confused with

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