Author Topic: starting a medical billing business  (Read 22938 times)

gderilus

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Re: starting a medical billing business
« Reply #75 on: May 25, 2009, 06:30:39 PM »
This is very nice. Can you give me an example of a program that has this kind of modules. This would be very helpful

Michele

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Re: starting a medical billing business
« Reply #76 on: May 25, 2009, 07:23:39 PM »
I'm not sure what you are asking.  Can you be more specific?

Thanks
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PMRNC

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Re: starting a medical billing business
« Reply #77 on: May 25, 2009, 07:38:15 PM »
Quote
Use should have a claim management module with reports name outstanding/aging insurance or pending claims report.

She meant the PM software should have a reporting module.. if you are wanting to pull reports your PM software has to have the capability of producing the reports from the data.
Linda Walker
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Michele

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Re: starting a medical billing business
« Reply #78 on: May 26, 2009, 06:35:26 AM »
Thanks Linda,  For some reason when I went to answer her question the rest of this post wasn't showing and I had no idea what she was referring to.  Or maybe I should know better than to check the forum after a long day and having a holiday get together!  LOL

Anyway, most PM systems come with some form of report capabilities.  Unless you are using a fill and print, or some of the free softwares.  But here are a few examples:

Xena
Lytec
Medisoft
PerfectCare
Advanded MD
Ingenix

Many more, but that gives you the idea.

Michele
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gderilus

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Re: starting a medical billing business
« Reply #79 on: May 27, 2009, 06:04:32 PM »

One of the member mentioned that there are programs that have modules to create a "workflow". After the claim is not paid in a week, two weeks or 30 days, it will show up in your workflow.

I was wondering what kind of programs have that kind of modules.

PMRNC

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Re: starting a medical billing business
« Reply #80 on: May 27, 2009, 08:31:29 PM »
I'm not sure of the terminology but doing follow-up can be derived from a few different types of reports.  Also you keep mentioning modules and I would just like to point out that MOST of your PM software's (practice management) do at least the "basic" reports and you should not "need" a module unless you want more complex reporting, in which case some software's will have an "export" feature or like you mentioned an added "module".  If you are looking for software you might want to look for one that includes everything w/out the need for modules. If you have a software and maybe you are seeking to strengthen it with a module, it might help us to help you in knowing which PM software you have.
Like Michelle mentioned there are also basic claim only softwares but I wouldn't recommend them to anyone.
Linda Walker
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Michele

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Re: starting a medical billing business
« Reply #81 on: May 27, 2009, 08:42:44 PM »
As Linda said, most programs come with the basic reporting capabilities.  As far as ones that allow you to set a workflow where you can specify when claims should be checked, the only one I'm familiar with is Xena.  I'm sure there are others, but I don't know which ones.

Michele
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DavidZ

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Re: starting a medical billing business
« Reply #82 on: May 28, 2009, 11:14:42 AM »
From what I see in most cases the patiens call the biller with questions and problems and not the provider.

PMRNC

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Re: starting a medical billing business
« Reply #83 on: May 28, 2009, 12:16:42 PM »
Well, that's not entirely true.. it depends on what you agree to with each provider. Some Billers do it all and whether they do or don't take patient inquiries..the doctor is always going to the biller wanting to know "where's the money?"  ;D
If you intend on opening a billing company you have to realize there is no "out of the box" way to run it..you have to be flexible and competitive and at the same time not undercut yourself. What services you do or don't do will depend on what you plan to offer, each practice's needs and most importantly ..what you outline in each contract.
Linda Walker
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Cindy

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Re: starting a medical billing business
« Reply #84 on: May 28, 2009, 04:04:52 PM »
To everyone starting a new billing business.    DON'T FORGET ERRORS AND OMISSIONS INSURANCE... IT COULD SAVE YOUR BUSINESS,,,,, ALSO FOR AN LLP OR LLC

Michele

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Re: starting a medical billing business
« Reply #85 on: May 29, 2009, 05:58:04 AM »
As Linda said, you need to clarify with the provider if you will or will not be handling patient inquiries when you start their account.  If we are handling them we put our phone number on all statements.

Michele
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vchere6535

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Re: starting a medical billing business
« Reply #86 on: January 10, 2010, 04:38:26 PM »
I just prefer having my own software, and transferring the data from his pc to mines. I do plan to utilize the Iphone for urgent issues (he calls, i am away and he needs me to look at something). I want to have access to all my information should we terminate. I can clean up the files and send his final reports. Also what happens is you are using gotomypc and he terminates your service and you have outstanding claims that you proccessed and need to get paid for???

omg, do you really transfer everything from Dr's PC on to yours? what id he has a different software, do you do it manually?

Steve Verno CMBS, CEMCS

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Re: starting a medical billing business
« Reply #87 on: January 10, 2010, 06:19:06 PM »
a billing company that worked for one of my providers used expensive software that was timed.  At 4 weeks it went into review mode so someone from the billing company followed through on the claim.  If no one worked the claim, it converted the account from insurance responsibility to patient responsibility.  If the patient didnt respond with payment it keyed the account to go to the collection agency. This was embarrassing with Medicaid patients and HMO accounts.  If they appealed an HMO account, they had to write off the balance resulting in tons of lost money especially because they never followed through with any appeals.

the software ran the billing company. The other problem was the laziness of the billing staff. 
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DME biller

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Re: starting a medical billing business
« Reply #88 on: January 10, 2010, 08:03:29 PM »
Hello Everyone,

Recently a friend at a DME supplier asked me if I could fill out claims for them & send to their clients insurance.  My experience is not in billing, it is in health insurance claims for many yrs.    Being a non par DME supplier most of his clients pay in full up front.   I would be sending HCFA's to grp health insurance, Medicare, Medicaid etc..., if anything is allowed payment would go to the client, and any insurance questions/EOBs would come to me.  I will not be getting into billing the patient, just sending clms to insurance and monitoring EOB's.

Questioning if I need a license for this, doing business from home after work.

Thanks Much
DME

kwardbilling

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Re: starting a medical billing business
« Reply #89 on: January 11, 2010, 07:13:12 AM »
Thanks so much  for all of this information.  I am finding this forum so helpful.  I am encouraged as I seem to be doing things correctly, if nothing else it's given me much more self confidence.  Thanks!!