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81
Starting Your Own Medical Billing Business / Re: Phone/Fax Business Services
« Last post by PMRNC on October 31, 2017, 06:39:15 AM »
Quote
I'm also worried about hippa compliance with the ones I've research such as efax, google voice, skype.

Pet Peeve:  It's HIPAA. ;) 

In regards to phone, I would not use VOIP unless the company is compliant and will sign a BAA, and then I would be sure you have taken all the steps to maintain compliance as required. I have ONE landline through our local phone company and it's split line (old fashioned phone line :) ) it will double ring for clients calling my business line and single ring for my home line. I also have an OOMA line for my other business which I don't need to be HIPAA compliant.

Aside from that, I would NEVER ever ever ever, use my home phone for business. In fact No one would have this line except for clients or potential clients as most medical billing companies are responsible for answering questions from patients about their billing accounts. It's not a good idea to mix business with personal for that reason alone. Many phone companies do offer split lines like I have where you port a number and have a distinctive ring. My phone company only charges $49 a month and then I pay $20 for the added number. That $50 you mentioned is really a decent rate and if your a billing company that is figured into your costs with your clients so you really won't pay anything. When you charge your clients phone/fax should be included in your fees. Don't sacrifice compliance for cost or it's a sure way you'll sink the ship before it gets going. If you don't have any clients yet, that phone number is still a write-off as you include it in your marketing materials and budget.

82
General Questions / Re: I beg for your help! BCBS, GA Medicad, and deductibles
« Last post by PMRNC on October 31, 2017, 06:28:56 AM »
MOST states won't allow you to bill Medicaid patients, there are a few that you can OR if the patient has a Medicaid managed care plan.

There are still group plans that offer really high deductible/coinsurance to employees at a NON contributory rate (meaning the employee doesn't pay) and their income still falls low enough to qualify for Medicaid. So they get the plan for catastrophic coverage (doesn't cost them anything) and Medicaid will pick up the bills. That's the logic behind that, so if you think about it why would the patient have Medicaid only to have to meet the primary insurance's out-of-pocket in order to receive the benefit of Medicaid.

If you submit to Medicaid they will pay their portion and you will see on the EOB PR would be $0. (Unless it's a Medicaid Managed care Plan)

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General Questions / Re: I beg for your help! BCBS, GA Medicad, and deductibles
« Last post by Michele on October 30, 2017, 08:08:25 PM »
I bill GA Medicaid daily, and you cannot collect anything at the time of service, GA Medicaid most certainly does pick up deductibles and copays.

Thank you!   I was sure that it couldn't be right but I don't bill GA Medicaid so I'm so glad you confirmed it.  Lesa, is this new biller in house? 
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General Questions / Re: I beg for your help! BCBS, GA Medicad, and deductibles
« Last post by PsychBiller on October 30, 2017, 01:21:05 PM »
I bill GA Medicaid daily, and you cannot collect anything at the time of service, GA Medicaid most certainly does pick up deductibles and copays.
85
Coding / Re: 90791 and 90792 Procedure Code Question
« Last post by Michele on October 30, 2017, 11:54:19 AM »
There is no time specification for 90791 or 90792.  Is that what you mean?  Time spent with patient?

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Coding / 90791 and 90792 Procedure Code Question
« Last post by Jmojica on October 30, 2017, 09:31:42 AM »
Hello Everyone,

Does anyone know if there is a duration range for the intake codes 90791 and 90792?
87
Billing / Re: Does secondary Medicad pay for primary deductibles and copays?
« Last post by Michele on October 30, 2017, 07:31:29 AM »
answered on other post:

That definitely does not sound right to me.  I know for sure in NY you CANNOT bill a patient who is Medicaid eligible.  I'm not sure specifically with GA however, if the primary applied to the deductible and you are billing GA Medicaid as secondary then they will be paying so why would you collect from the patient before knowing what the secondary is going to do?  All of the Medicaids I am familiar with do not have a deductible so they will be making payment and since you are participating with Medicaid you have to accept their allowed amount so collecting from the patient before billing Medicaid will cause a financial nightmare.  And IF the patient did pay (which if they most likely cannot shell out that kind of money because if they could they wouldn't be Medicaid eligible!) there are going to be refunds galore!

Medicaid usually pays if secondary when the primary applies to the deductible.  They only pay up to their allowable, but they pay.  In NY they also pay copays.  From a quick search I see that GA Medicaid covers the Medicare deductible so it should also cover a commercial insurance deductible as well.

Does your biller think that Medicaid is not going to cover these and if so, why?

The whole thing just doesn't sound right to me at all.  Without knowing your biller's side it's hard to give a fair judgement but it sounds very strange. 

88
General Questions / Re: I beg for your help! BCBS, GA Medicad, and deductibles
« Last post by Michele on October 30, 2017, 07:31:00 AM »
That definitely does not sound right to me.  I know for sure in NY you CANNOT bill a patient who is Medicaid eligible.  I'm not sure specifically with GA however, if the primary applied to the deductible and you are billing GA Medicaid as secondary then they will be paying so why would you collect from the patient before knowing what the secondary is going to do?  All of the Medicaids I am familiar with do not have a deductible so they will be making payment and since you are participating with Medicaid you have to accept their allowed amount so collecting from the patient before billing Medicaid will cause a financial nightmare.  And IF the patient did pay (which if they most likely cannot shell out that kind of money because if they could they wouldn't be Medicaid eligible!) there are going to be refunds galore! 

Medicaid usually pays if secondary when the primary applies to the deductible.  They only pay up to their allowable, but they pay.  In NY they also pay copays.  From a quick search I see that GA Medicaid covers the Medicare deductible so it should also cover a commercial insurance deductible as well. 

Does your biller think that Medicaid is not going to cover these and if so, why?

The whole thing just doesn't sound right to me at all.  Without knowing your biller's side it's hard to give a fair judgement but it sounds very strange. 
89
Starting Your Own Medical Billing Business / Re: Phone/Fax Business Services
« Last post by Michele on October 30, 2017, 07:22:24 AM »
No problem!  But if you are conducting business out of your home make sure that is ok.  I have heard of people getting into deep trouble by conducting business out of their home when it was not allowed!

90
Billing / Does secondary Medicad pay for primary deductibles and copays?
« Last post by Lesa on October 29, 2017, 11:57:58 PM »
We are Psychiatric group (4 MD's) & we have hired a new biller that states if a pt has a commercial insurance as primary & Georgia Medicad as a secondary that you CAN collect deductibles and copays from the patient the day of the appointment. Is that true? We are in network with both. We just started taking GA Medicad so I am not the experienced with Medicad but I was always told you can not collect anything from a Medicaid pt.No missed appointment fees, etc..

Example... BCBS pt with a $6000 deductible that had not been met, Medicad as a secondary, and the biller told the pt she owed $300 for the visit since she hadn't met her deductible and " GA Medicaid doesn't pick up deductibles or copays"
Can someone please help me? I have exhausted all avenues trying to find the answer to this question.  It is literally tearing our office apart.

P.S. if you can NOT collect commercial deductibles  & Medicad doesn't pick up commercial copays and deductibles how can doctors possibly stay in business?
Thanks for any help
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