Author Topic: cash recovery only/another billing company  (Read 1735 times)

MBP

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cash recovery only/another billing company
« on: April 03, 2010, 02:09:28 AM »
i am doing a cash recovery for a psych.. i have been gathering the data for several days now and although i told the dr that i will find out what wasnt submitted or what was rejected and resubmit it, i wanted to do it from the software in her office, because i didnt want to go through all the trouble setting up my submitter id with all insurance co for past billing. especially when i knew someone else was going to handle her current billing. so i thought i would just go to her office and send it from there. well, she got a new biller that is out of state and she set up her system and gave her submitter id to all insurances.. so i cant bill from dr's software or from my software.. the other biller suggested i mail out paper claims, but what about mdr and bcbs who only accept electronic? i wrote in my contract that i want to use my software for everything billing related, because 1. didnt want to learn hers (not web based and VERY outdated), 2. didnt want to do it frm her office (hers is not web based). that was when i thought we were doing past AND current billing, she informed me at the meeting where we signed the contract that she has someone else for current billing.. what can i do?? i am on a flat fee and the current claim biller is on a percentage. if i figure out what needs to be sent out and she bills it, that would be double dipping.. if i cant send the claims out electronically because i dont have the submitter id, what can i do?  ???

PMRNC

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Re: cash recovery only/another billing company
« Reply #1 on: April 03, 2010, 04:12:54 PM »
Well for one, I wouldn't force the hand in regards to the contract, that will just create bad blood. I would first take a deep look at what you were hired to do. Yes it's true, there cannot be more than one submitter ID..it's not good practice anyway for you to bill while another is also billing. If you were hired to just do clean up, that's what I would do. Anything needed to be re-billed should be sent back to the office/biller for rebilling. Work only on accounts that can be cleaned up w/out needing to be rebilled. Software shouldn't be an issue, if you didn't sign on for billing, you could get away with working off reports and/or using spread sheets. Again, I really wouldn't push the issue with software and examine only the duties for which you signed on for.
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Re: cash recovery only/another billing company
« Reply #1 on: April 03, 2010, 04:12:54 PM »