Since I am a newbie (less than 2 years old) and have primarily been billing for a couple of chiros how can I or what can I study to improve my ability to provide excellent benefits for my clients? I currently am able to take my providers daysheets and enter the patients data and the Diag. & Proc. codes (provided by the Docs) and bill out to to insurance carriers. I post the EOB's, send patient statments and provide reporsts. To me it seems like the basics.
But I can't determine if there are better codes that I could recommend to the providers for better payments. Or know if a carrier is underpaying, or if I should be filing disputes on lower payments or advise about bundling/unbundling or applying modifiers to maximize reimbursement etc. I would like to be able to provide them with monthly feedback or suggestions to increase revenues and decrease insurance payment denials.
I would like to be able to educate you on coding issues, front-office procedures, and carrier policies that affect income.
I think you see where I am going with this. I want to be excellent at what I do and want to do more then just submitting claims, reconciling and submitting patient statements. How can I go about doing this? What can I do to learn more? Where can I turn to learn this much needed info as it is needed not only to provide a good service but it is necessary in this competitive market to get a doctor to even look at using you.
Thanks!
