Author Topic: More than just billing  (Read 1060 times)

dfranklin

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More than just billing
« on: June 10, 2009, 08:07:27 PM »
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!

PMRNC

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Re: More than just billing
« Reply #1 on: June 11, 2009, 07:10:32 AM »
Why not go for your CPC through the AAPC?  Then you will have a well known certification, have the ability to code which you can choose to do or not or just use the knowledge to help the providers with coding issues, spot alternatives, etc.

Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

dfranklin

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Re: More than just billing
« Reply #2 on: June 11, 2009, 10:41:21 PM »
FANTASTIC!  Thank you  ;D I will look into that right away.