Author Topic: Starting a new medical billing and collections company  (Read 6939 times)

ruthie72

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Re: Starting a new medical billing and collections company
« Reply #15 on: November 02, 2011, 09:40:31 AM »
Thanks so much, and AGAIN you ladies are so helpful..i really hope to be able to sign at least one provider soon.  I was wondering, do you make up your own forms or is there a website that you get your forms from? I really appreciate you taking time out of your busy day to help me..Have a wonderful day and i will try to not big a pig pain in the butt.... ::)

PMRNC

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Re: Starting a new medical billing and collections company
« Reply #16 on: November 02, 2011, 09:50:47 AM »
If the office needs forms designed, I usually do them. In our members only area we have a huge array of forms also that can be downloaded and used as well.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

midwifebiller

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Re: Starting a new medical billing and collections company
« Reply #17 on: November 02, 2011, 05:56:26 PM »
Nice touch, Linda!

We've never been "used" that way before, but we have had a lot of trouble with new providers.  They don't seem to understand that it takes time to get them set up in an insurance system, it takes time for claims to grind their way through that system for the first time, it takes time before they actually start making a profit.  We actually had a 3-midwife practice ask us after three months in business, "Why aren't we making a profit yet? It's been three months!" (Their Medicare contract was pending, their Medicaid contract was pending, and their UHC contract was pending, so all of those claims were on hold.) Have you ever noticed that when anything goes wrong in the insurance world, it's always the biller's fault?  Anyway, we lost several clients after spending  several months getting them all set up (including the practice above). They weren't making enough money and decided it was our fault.  We now have a clause in the Agreement for any new practice that they must stay with us for one year.  It has helped quite a bit.

Live and learn...
Kelli Sugihara, CPMB
Midwife Billing & Business, LLC
www.midwifebilling.com

midwifebiller

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Re: Starting a new medical billing and collections company
« Reply #18 on: November 02, 2011, 05:58:52 PM »
We also create our own forms.  I love excel and have several templates that I have created over the years.  Using the templates, it only takes me (or an associate) a few minutes to customize the form for the client.
Kelli Sugihara, CPMB
Midwife Billing & Business, LLC
www.midwifebilling.com

PMRNC

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Re: Starting a new medical billing and collections company
« Reply #19 on: November 03, 2011, 09:18:41 AM »
Kelli, I had a minimum of 6 month's in my contract, however, you cannot enforce it if a client wants out and as long as they provide the notice necessary as stated in your out clause they can. My attorney has seen companies go to court and lose trying to enforce the terms, if a client is not happy they should have that "out" available or it's just going to cost you more in time/money anyway.  That's why my setup fee is also my security deposit and is NON refundable.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

midwifebiller

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Re: Starting a new medical billing and collections company
« Reply #20 on: November 03, 2011, 02:14:36 PM »
I assumed it would be non-enforceable if it got right down to brass tacks (thank you for confirming this), but it has helped nonetheless. 
Kelli Sugihara, CPMB
Midwife Billing & Business, LLC
www.midwifebilling.com

TLH

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Re: Starting a new medical billing and collections company
« Reply #21 on: December 19, 2011, 05:15:41 PM »
Can you zero out an account in Medisoft v12.

I have a provider that wants to start over in their software but want to zero out the patience account before the new year.

How can we zero it out?
Big Apple Claim Service
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PMRNC

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Re: Starting a new medical billing and collections company
« Reply #22 on: December 19, 2011, 05:59:45 PM »
You have to protect the integrity of the audit trail so you really don't just want to wipe it.  If there are balances to write off, the correct way is to write them off as per your office policy/compliance policy.  You never want to just wipe the file, if your audited that spells big trouble.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

TLH

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Re: Starting a new medical billing and collections company
« Reply #23 on: December 19, 2011, 07:41:43 PM »
Okay, Thank You...That's what I told the provider but he insisted on doing it that way. I told him that he's responsible if he wants to do it that way and I'm not going to do that. How do I make him understand the importance of the audit trail.
Big Apple Claim Service
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PMRNC

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Re: Starting a new medical billing and collections company
« Reply #24 on: December 19, 2011, 07:57:23 PM »
Quote
Okay, Thank You...That's what I told the provider but he insisted on doing it that way. I told him that he's responsible if he wants to do it that way and I'm not going to do that. How do I make him understand the importance of the audit trail.

Is this a "client" or an "employer" makes a difference .. sort of.   I'll explain.   first of all, he should know the importance of all record keeping in his business and he should know that it's a potential catastrophe to mess with the audit trail.  The word "AUDIT" should be enough.   Now whether this is a client or not, anything YOU do "knowingly" (since you know it's wrong this applies) you are JUST as responsible, so if he's insistent and he's your "employer" you have him Log on to HIS account in the software and make changes himself to protect your self. Hopefully you have separate login's according to HIPAA compliance and for the sake of the audit trail  The audit trail is NOT only there to protect the integrity of the data, but to protect you for this very reason. Each user with the "need to know" access should log in with their own username/password. The reason is so that IF there is a problem, the problem can be traced back to the person entering it.   My best advice if you can't get him to do it the right way is to log off and let him assume responsibility and liability.  If this were my client I would flat out tell him I'm not making that kind of change period.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

TLH

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Re: Starting a new medical billing and collections company
« Reply #25 on: December 19, 2011, 08:25:35 PM »
Thanks...It's a new client and I just told him we are going to do it the correct way or he needs to find someone else to do.

Thanks again
Big Apple Claim Service
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PMRNC

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Re: Starting a new medical billing and collections company
« Reply #26 on: December 19, 2011, 09:36:43 PM »
Always try and educate them first.. though most times I think they know it's just a test to see if they can pull your strings <g>  Seize the opportunity to educate him which he will appreciate in the long run... and if not, then he wasn't interested in doing things the right way anyway.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com