Author Topic: Certification  (Read 2262 times)

fludderby

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Certification
« on: June 04, 2012, 09:50:56 PM »
Hi my name is Hope and I am starting my own medical billing company. A little about my history is I have no healthcare experience but I have an Associates Degree in Medical Billing and Coding with Colorado Technical University, they gave me a certificate in CPT and ICD-9. I am working on my Bachelors Degree in Healthcare Administration.
My question is what certification do I need above and beyond this that I have already and would it be better if I have someone locally to help me with the hands on training? Another question is how do I do the analysis of the clinic to determine how much to charge? Which of the book that you offer would answer this questions? I want to make sure that other medical billers don't have to fix my messes and I want to do a good job with this.
I do have my business license and business insurance but that is all I have so fare.

Thank you very much for any help that you can offer.

Hope

Michele

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Re: Certification
« Reply #1 on: June 05, 2012, 06:43:35 AM »
1.  Personally and this is JMO, certification is not needed.  It doesn't hurt you by any means but I don't feel it's a requirement.  In my 19 yrs I have never had any (NOT ONE) provider EVER ask me what certifications I have.  Hands on training is truly the best experience you can ever have, whether it's working for someone or doing your work, that is where you truly learn.

2.  Determining how to charge is a hard part of this business.  Most want to go with the %, but in some states it's illegal, and it doesn't truly pay you for your work.  Flat fees really usually end up working out better.  But how to determine  your flat fee can be tricky.  There is a lot you need to consider, overhead costs (office), PM System, postage, office supplies, your time, clearing house fees, etc.  We do have a book on "Pricing Your Medical Billing Service".  You can read about it at http://www.medicalbillinglive.com/pricing-your-medical-billing-service.shtml

Good luck
Michele
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fludderby

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Re: Certification
« Reply #2 on: June 05, 2012, 12:51:43 PM »
Thank you very much, I am going to use a flat rate being that everyone has told me that is the best way to go. The only thing is, I do not know how to do the analysis on a clinic or is that in the book pricing your medical billing services?
 Hope

Michele

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Re: Certification
« Reply #3 on: June 06, 2012, 06:45:35 AM »
The pricing book does contain detailed information on calculating a flat fee.   
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fludderby

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Re: Certification
« Reply #4 on: June 08, 2012, 07:07:12 PM »
How do you do an analysis of a company?

PMRNC

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Re: Certification
« Reply #5 on: June 09, 2012, 12:15:37 PM »
Quote
How do you do an analysis of a company?

This involves looking at reports such as the A/R, any problem claims, coding issues, patient receivables, managed care plans, etc. You want to have an idea of not only what you are in for with a client but how to set up your fees.  I also like to review the practice policies / procedures and managed care contracts.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

fludderby

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Re: Certification
« Reply #6 on: June 12, 2012, 09:24:26 PM »
Thank you very much, is this information in one of the books.

PMRNC

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Re: Certification
« Reply #7 on: June 13, 2012, 07:30:22 AM »
Really the only course I've seen that is for starting a medical billing company is medicalbillingcourse.com   Most of the other courses are for medical billing. The books by Alice and Michelle however are great for the medical billing company. Much of what you will be doing outside of the billing such as analyzing practices will come from hands on experience and it's hard to put things like that into a book. Once you are ready to do billing you will know what to look at in analyzing a practice so you know what to charge.  Analyzing the practice also gives you the opportunity to problem solve their current problems.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com