Medical Billing Forum

Starting a Medical Billing Business => Starting Your Own Medical Billing Business => Topic started by: TKay on October 11, 2013, 01:20:26 PM

Title: Ambulance Billing
Post by: TKay on October 11, 2013, 01:20:26 PM
I have been billing for an ambulance company since 2007.  Now I am starting my own billing company. I will be billing for several different companies with different NPI numbers. I know how to bill for them, what I need to know is what is different about billing as a billing company and just billing under that one company's NPI.  What do I need to do differently? 

TKay
Title: Re: Ambulance Billing
Post by: RichardP on October 11, 2013, 10:47:42 PM
TKay - you haven't told us how you have been doing your billing.  So how can we know what you need to do differently?

1.  What documents did you use to bill as an employee?  What documents will you need, and how will you get them, to bill as an independent biller?

2.  What equipment did you use to bill as an employee?  What equipment will you need to bill as an independent biller?

3.  What software did you use to bill as an employee?  What software will you need to bill as an independent biller?

4.  What paper products did you use / will you use?

5.  What educational material did you use / will you use?

6.  How did you get paid as an employee?  How will you get paid as an indendent biller?

7.  Who was legally responsible, under HIPPA, for any mistakes you made as an employee?  Who will be responsible, under HIPPA, for any mistakes you make as an independent biller?  That is, will you become a business associate as an independent biller?  If yes, how will you handle that, and the contracts involved?

8.  At a minimum, you could simply be moving from employee to independent contractor.  You could go the the offices of your clients and use all of their resources to do their billing, just as you do as an employee.  It's just that you would get paid differently as a contractor, and would be responsible for your own taxes and liability insurance and business associate contracts, etc.  But, since the client would be paying for all of the business expenses involved in the billing, you would not get paid for those expenses.  Or:

9.  At a maximum, you could move all the work to your own office, using your own equipment, supplies, and other resources to conduct their billing.  Since you have assumed these expenses necessary to do your client's billing, you should charge them for that - in addition to charging for your labor.  As in Point #8, you would be responsible for your own taxes and liability insurance and business associate contracts, etc.

Now - what was your question?

P.S. - have you read through this thread?

http://www.medicalbillinglive.com/members/index.php?topic=7480.0
Title: Re: Ambulance Billing
Post by: TKay on October 12, 2013, 10:51:33 PM
RichardP - Thank you for answering my question.  What I meant was, how do I let Medicare or the insurance companies know that I am billing as a billing company. After researching I have found that I need to fill out a 8291JH for Medicare and possibly a 8292 per client, the appropriate 855 form and maybe an EDI Submitter Update Form. Does each client need to give the insurance company permission for me to do their billing?  The three clients that I am starting with are all using another billing company right now, do I need to update with the insurance companies that I will now be doing their billing?  Or just start billing for them. 

I have my BAA's and contracts that I will have the client sign.
I have my own office, the liability and business insurance and the HIPPA compliance program and the HIPPA responsibility will be mine.

TKay

Title: Re: Ambulance Billing
Post by: RichardP on October 15, 2013, 02:42:18 PM
The three clients that I am starting with are all using another billing company right now, do I need to update with the insurance companies that I will now be doing their billing?  Or just start billing for them.

Use Form CMS855i.

Scroll to Page 5 of this pdf file (but it is Page 4 of the actual Medicare document, shown at bottom of page).  Look for Billing Agency Information at the bottom of the list.

http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms855i.pdf

You can do this on paper, or use PECOS:

http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/InternetbasedPECOS.html

With the government shut-down, there may be no one to process whatever you submit.
Title: Re: Ambulance Billing
Post by: PMRNC on October 15, 2013, 05:02:00 PM
Quote
I have my own office, the liability and business insurance and the HIPPA compliance program and the HIPPA responsibility will be mine.

Just an FYI.. it's HIPAA... you might want to check and double check all your marketing materials. I've seen where this happens a lot. :)
Title: Re: Ambulance Billing
Post by: RichardP on October 16, 2013, 02:13:40 PM
No - I never get it right, and always check before I type it.  I was in a hurry and didn't check this time, cause I was sure I was remembering right.

Thanks for the heads-up for those I might have led astray with my spelling.