Medical Billing Forum

Starting a Medical Billing Business => Starting Your Own Medical Billing Business => Topic started by: kimdc5 on August 04, 2009, 12:22:30 PM

Title: Managing Time
Post by: kimdc5 on August 04, 2009, 12:22:30 PM
What is an average amount of hours per week that it takes to manage each doctor's services?
Title: Re: Managing Time
Post by: PMRNC on August 04, 2009, 01:02:23 PM
That's impossible to tell you. It depends on the practice and a bunch of other variables.
Title: Re: Managing Time
Post by: Michele on August 04, 2009, 09:03:51 PM
Yes, you would have to give a lot more info for someone to give you an estimate of time.  What type of specialty, how many providers, how many patients per week average, what services you are providing, etc.

Michele
Title: Re: Managing Time
Post by: Pay_My_Claims on August 04, 2009, 09:23:44 PM
since we ask that, I want to know how many billers in here actually code?? I don't have my CPC, (nor want it) waaaaaaay too much work, but I'm curious.
Title: Re: Managing Time
Post by: PMRNC on August 04, 2009, 09:32:20 PM
CAN I code.. YES.. do I code... NO!!!

To me they are different specialities all together and I've never ever ever had a client challenge me.. or turn me down because I didn't code. I dont' want the liability.. plain and simple.   HOWEVER...   I can spot blatant problems, mis-matched diagnosis codes and misplaced/not used modifiers. Today's biller MUST be at least FAMILIAR with coding but does NOT have to be a coder.
Title: Re: Managing Time
Post by: midwifebiller on August 07, 2009, 12:32:37 AM
Our providers do not code, nor do they want to, so--yes--we code.  Gotta get that CPC!

~Kelli
Title: Re: Managing Time
Post by: Pay_My_Claims on August 07, 2009, 08:48:32 AM
CAN I code.. YES.. do I code... NO!!!

To me they are different specialities all together and I've never ever ever had a client challenge me.. or turn me down because I didn't code. I dont' want the liability.. plain and simple.   HOWEVER...   I can spot blatant problems, mis-matched diagnosis codes and misplaced/not used modifiers. Today's biller MUST be at least FAMILIAR with coding but does NOT have to be a coder.

Yes I agree...
Title: Re: Managing Time
Post by: Steve Verno CMBS, CEMCS on August 08, 2009, 01:09:53 PM
I average 60 hours per week for my client. 

Sometimes its more and sometimes its a little less

Meetings with insurance companies add 36 more hours per week.

Yes, I code and alot more.

Title: Re: Managing Time
Post by: Pay_My_Claims on August 08, 2009, 05:44:24 PM
If I EVER offer that as a service, I will hire me an experienced and educated...maybe I can hire you or Linda :-)
Title: Re: Managing Time
Post by: PMRNC on August 08, 2009, 09:00:30 PM
NOT me. I have NO intentions of becoming a coder, if I did I would have done it a long time ago. I have many reasons for this with one being that I refuse to be a slave to certification organizations who nickel and dime you to death to keep your certification. No thanks!
Title: Re: Managing Time
Post by: jcbilling on August 08, 2009, 11:10:18 PM
I'm curious where the line is drawn when billing for clients without doing any coding.

Without being a certified coder, is adding modifiers to codes when the visit notes permit us to do so considered coding?

~ Charity
Title: Re: Managing Time
Post by: PMRNC on August 09, 2009, 06:59:43 AM
Quote
Without being a certified coder, is adding modifiers to codes when the visit notes permit us to do so considered coding?

that would depend on the experience/knowledge of the biller. I will add modifier but I have the provider or the office sign off on any changes or additions, that's just to Cover my butt.
Title: Re: Managing Time
Post by: Pay_My_Claims on August 09, 2009, 08:52:12 AM
that's why I love DME :-)
Title: Re: Managing Time
Post by: Michele on August 09, 2009, 12:20:04 PM
You shouldn't change or add anything without clearing it with the provider, or provider's office staff (if they have someone there that has authority to do so).  Even just adding a modifier.

Michele
Title: Re: Managing Time
Post by: Pay_My_Claims on August 09, 2009, 03:44:44 PM
and that is the difference with DME. In order to Bill you have to know how to code the item, and the proper usage of modifiers. The manufacturer they order the custom chair from will have a spec sheet and it does lists the codes, however when you are billing out per sey a rental, you have to know which modifier to bill to justify which month they are paying. You have to know when to use the KX modifier, keep up with the changes in codes etc. Now like medical billing, I can't change or add a DX just to justify a cushion. If the dx does not warrant the person having the specific cushion that was ordered, i would contact the provider to see if the client signed an ABN or possibly paid up-front. Even checking with the MD to determine if he had a specific reason why he ordered the cushion. Additional documentation can justify to Medicare why they had to order a pressure-relieving cushion to someone who's primary dx just doesn't justify it according to medicare guidelines.
Title: Re: Managing Time
Post by: PMRNC on August 09, 2009, 04:16:54 PM
Good points Charlene..but reminds me why I don't Do DME.. ewwwww lol   :o :o