Author Topic: chosing specialty to bill  (Read 3423 times)

MBP

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chosing specialty to bill
« on: November 02, 2009, 08:58:35 AM »
I have only billed for a general surgeon so far and it took me quite some time to "get it". if i wanted to find a new provider, what is a good specialty to bill for? where do i learn specifics about each provider type? for my provider i searched internet for hours and days to get an answer to all billion of my questions.. are there courses or books for billing different specialties? i know Michele and Alice have some books that would help, but lets say i wanted to learn how to do billing for a obgyn or internal medicine, is research of these specialties specifics entirely on me and my googling abilities?  :P should i learn first and then do my marketing and try to get a client or should i get one first and then figure it out along the way?

PMRNC

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Re: chosing specialty to bill
« Reply #1 on: November 02, 2009, 10:05:07 AM »
Personally let the specialty find you. That's what happened to me. I specialized in mental health and then later pediatrics.
Get your feet wet so that you can lend credibility to the specialty you lean towards, best to do that by keeping your marketing out there and diversified.
Linda Walker
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Pay_My_Claims

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Re: chosing specialty to bill
« Reply #2 on: November 02, 2009, 11:17:22 AM »
YaY DME... ;D Yes I didn't chose it, it chose me.

PMRNC

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Re: chosing specialty to bill
« Reply #3 on: November 02, 2009, 11:23:01 AM »
Quote
Yes I didn't chose it, it chose me.

That's how it usually works. Think of it this way.. If you were to decide to specialize how would you gain credibility without having had done that specialty for a while in ADDITION to general practice or other specialties. You need the basics, and as you build the specialty will find you and they will "click"
Linda Walker
Practice Managers Resource & Networking Community
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MBP

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Re: chosing specialty to bill
« Reply #4 on: November 02, 2009, 11:58:14 AM »
so i should just go ahead and market to all specialties and once i land a provider learn the differences on my own? i guess i am just a little worried if i can handle that because i havent billed for anyone but my provider (gen sur). i mean.. someone will code it all for me so.. i guess i need to know if the differences between the specialties are "easy to get" for someone who only ever billed for one provider..

Pay_My_Claims

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Re: chosing specialty to bill
« Reply #5 on: November 02, 2009, 02:52:20 PM »
so i should just go ahead and market to all specialties and once i land a provider learn the differences on my own? i guess i am just a little worried if i can handle that because i havent billed for anyone but my provider (gen sur). i mean.. someone will code it all for me so.. i guess i need to know if the differences between the specialties are "easy to get" for someone who only ever billed for one provider..

Gen surg...you should be able to do gen med, and other sub specialties. If you feel queery do some research on other specialties (Medicare/medicaid) guidelines in your state will help you get familiar with DX and billing issues. When you stumble on something just ask ...everyone is here to help, but also research it as well. Learn from a denial. We all get them. There is no cut out for billing. You will always have a scenario that you never encountered before.

MBP

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Re: chosing specialty to bill
« Reply #6 on: November 02, 2009, 03:31:58 PM »
:) Thank you Charlene!

PMRNC

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Re: chosing specialty to bill
« Reply #7 on: November 02, 2009, 04:47:22 PM »
Charlene is right on the money, to add to that. You will still have someone continue to code. Do not offer coding services unless you are certified and/or have extensive experience.
Linda Walker
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www.billerswebsite.com

Pay_My_Claims

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Re: chosing specialty to bill
« Reply #8 on: November 02, 2009, 08:28:31 PM »
Charlene is right on the money, to add to that. You will still have someone continue to code. Do not offer coding services unless you are certified and/or have extensive experience.

Amen!!

Pay_My_Claims

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Re: chosing specialty to bill
« Reply #9 on: November 02, 2009, 08:28:55 PM »
:) Thank you Charlene!

You are welcome and good blessings 2 u

gderilus

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Re: chosing specialty to bill
« Reply #10 on: November 06, 2009, 05:55:58 PM »
I know it would be easier for a new biller to bill for Mental Health Provider. what about pediatricians ? I would think they would be easy to bill also. Any advice please, I've been billing for a Mental Health provider and I would like to start billing for pediatricians and beside I think the income would be nice. I'm also thinking about Chiropractors, is it complicated to bill for them also.

Pay_My_Claims

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Re: chosing specialty to bill
« Reply #11 on: November 07, 2009, 04:38:20 PM »
Not necessarily. I know one of the hardest parts of billing for peds in NC is dealing with health check ups (medicaid) and vaccinations. the dental cleanings. Also when your Ped delivers at a hospital, keeping up with that billing can be difficult for new billers.

Michele

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Re: chosing specialty to bill
« Reply #12 on: November 07, 2009, 09:03:51 PM »
Mental health is pretty easy, chiros I don't mind but many run away from them.  As for peds, I think the money is good, and they aren't too bad, except like Charlene said the well checks and immunizations can get tough for Medicaid in some states.

Michele
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MBP

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Re: chosing specialty to bill
« Reply #13 on: November 07, 2009, 09:33:18 PM »
what would be the hardest provider type to bill for and the easiest one for the new billers?

Pay_My_Claims

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Re: chosing specialty to bill
« Reply #14 on: November 08, 2009, 07:16:38 AM »
what would be the hardest provider type to bill for and the easiest one for the new billers?

For me that isn't an easy answer. It very much depends on the level of retention for each biller. I took to gen med/peds pretty well because I retain knowledge very well (back then) but I also kept cheat notes. Right now I enjoy DME, but the rules and codes change often in DME. DME to me is good for a new biller, but its limiting. Also it depends on what end of DME you want to work. Custom Rehab (power chairs etc) isn't for the new biller in my opinion if you get into DME. Podiatry may work for some since you can get a overview of both medical and dme billing in that field. Neurology you can do the same, but it can be more complex with neurology on the medical side.