Medical Billing Forum

General Category => General Questions => : dfranklin September 30, 2010, 11:59:25 PM

: Practice wants us to use their PM Software Remotely (Medisoft)
: dfranklin September 30, 2010, 11:59:25 PM
Does anyone provide billing services to practices using the providers software vs their own?  I have a prospect practice that I just received information on who wants to outsource to us.  This is a Chiropractor who contacted me to give them a proposal for doing their medical billing.  Their current biller is leaving at the end of October so they want to outsource their billing. All data entry will be done by them onsite.  They need someone to follow up on the claims, post eobs etc remotely.  Basically handle the insurance portion only.


The problem is they use Medisoft and recently upgraded.  So they do not want to use any other software.  They want us to go in remotely to their medisoft to do the billing.  I of course am not familar with medisoft and I use my own software (web based) for my other practices.  What do you suggest in a situation like this?  How do others deal with this scenario?  I would hate to turn them away and leave money on the table....they are a local practice too so they could potentially help me grow.  Looks like they are fairly big...they see almost a thousand patients with 3 providers...doing 350 claims. I don't want to bite of more then I can chew and provide poor service, but I don't want to just say no so quickly. I want to weigh all my options and see if and how I can service them.



My other question is since they are a chiro, I am thinking about the pricing...they currently have a full time employee at 16 an hour handling their insurance bililng so I was thinking of trying to charge them maybe a flat fee and work in the contract where I can up the fee as necessary if there are increases...percentages sometimes make it tough for me to make money on chiros...I have never charged on the flat rate and would have to figure out the whole wording and logistics for billing that way...thoughts?

 

Any help would be greatly appreciated. They are waiting for me to get back to them with a proposal...

Thanks!
 

Thank
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: PMRNC October 01, 2010, 09:40:20 AM
I do it all the time, it's actually my main marketing angle that I can work on any PM system.. though Ironically I try to avoid Medisoft like the plague  ::)  Regardless, it's very possible.. very doable. There are many ways to work remotely and I have actually used 3 or 4 methods. The one I like best is using logmein.com  That's my preference because of all the other remote access programs I can actually LOGIN/LOGOFF (to ensure HIPAA compliance) the host computer. With LogMeIn I can also actually REBOOT the host computer.  The ideal situation when working remotely is that the office/practice have a computer on their network that is commonly "free" and a schedule is setup. The practice MUST set your office up with your own login to both Windows and the PM software.  Windows Remote built into Windows is "ok" but in my opinion much SLOWER. 

Just to clarify this point again because it's important.. Since you said the office would be doing the data entry you want to be absolutely sure you have your OWN login's for both Windows and the PM Software so that the audit trail is accurate in case of any errors, questions, problems (CYA)  I try to encourage the client to let me do the claims entry/payment posting so I can maintain better control.
Another downside is that your relying on someone else's data and of course you need to know the other PM software. I always require clients that want me to work on their systems also to carry support for the software, that is their responsibility.

I've seen a lot of billing companies turn good potential clients away because they didn't want to work on or didn't know they could on other provider's software.
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: jcbilling October 02, 2010, 03:06:57 AM
I currently offer "Remote Access" features to my clients as well. We use logmein.com and the Remote Desktop Connection for several of our clients.

I agree with Linda about requiring support for the software vendor. It can be very frustrating other wise.

Often, you can request a Demo CD from the software vendor and play around in the software before actually working in it. I have done many times.
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: PMRNC October 02, 2010, 03:09:57 PM
Often, you can request a Demo CD from the software vendor and play around in the software before actually working in it. I have done many times.

Me too, many software demo's have even a dummy database setup and if not you can ask for one.  In my own account with Kareo I have a "dummy" database I use not just for trying to figure stuff out but for sample reports, sample access for potential clients..etc. 
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: dfranklin October 02, 2010, 04:28:18 PM
So you guys were able to handle Medisoft or any other software even though you didn't know it or ever played with it before?  Getting a demo is good idea, but you generally have to respond to the prospect and make a commitment before you really know if you can handle the unknown software.  Do you add any verbiage about needing software support or anything?  Do you let them know you don't have any experience with the software?  Or do you just work with the software vendor to learn what you need on the fly after you won the account? Kind of scary saying going into contract with a client when you don't have experience with their software.
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: jcbilling October 02, 2010, 05:36:07 PM
Truthfully, I have found that has an experienced biller you can figure out just about any software pretty quickly if you know the flow of the claim cycle. Yes - they're all different, but the process is still the same. So as long as you let your prospective client know upfront that you require software support, you shouldn't have a problem. If they ask if you have worked on their software, BE HONEST, but follow up with the fact that as an experienced biller you have the resources to learn their software quickly and get the job done. So far, I've never had them not sign a contract for that reason. Usually, on the initial meeting I have them show me around their software briefly and show me some of the reports they are used to looking at. As soon as I get call from a prospective client that asks for this setup, I contact the software vendor and request a demo CD. So by the time I give them a proposal or contract, I've already played around in the software. NOwadays, a lot of the software vendors have tutorials and snapshots on their website.
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: PMRNC October 03, 2010, 10:56:50 AM
I've always been honest with them.. I have worked on my software's but there are a couple I truly prefer never to work on and Medisoft is one of them.  But I agree with JC, if you are experienced you can pretty much figure out any PM software.
I do include provider's responsibility to maintain technical support and enable me to have access to that support should I need it.
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: Michele October 04, 2010, 10:54:45 AM
I agree with JC & Linda, once experienced, the software is just like driving a different car.  Takes a few minutes to find the headlights and windshield wipers, but after that - you're cruisin'.   ;D
: Re: Practice wants us to use their PM Software Remotely (Medisoft)
: dekenn October 04, 2010, 02:29:39 PM
but there are a couple I truly prefer never to work on and Medisoft is one of them.

Linda, I'm just curious, why not Medisoft?  I think it's fairly easy to use.  The only drawback I see is that they don't have a good selection of reports (I have haven't mastered report designer..... at all....). I do only bill for one provider, though.  Would love to hear your feedback, since I'm getting tired of constantly having to update, have toyed with the idea of switching.
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