Author Topic: NEW To BILLING  (Read 2870 times)

JParrish

  • Newbie
  • *
  • Posts: 3
NEW To BILLING
« on: August 18, 2012, 08:35:45 PM »
Hello, I am new to the "medical billing" world! I recently got hired from my ex ternship site as the biller for a pediatric clinic; however, I do have  both my billing and coding certifications. This is nothing like I have learned in school. My question is how do I know what to charge a patient by looking at their E.O.B's? also, when do i need to call an insurance besides for eligibility? :o

PMRNC

  • Hero Member
  • *****
  • Posts: 4254
    • One Stop Resources & Networking for Medical Billers
Re: NEW To BILLING
« Reply #1 on: August 19, 2012, 10:05:02 AM »
When you post your payment and adjustments in your PM software you should come out with a patient balance when you print statements. Not sure about your second question, there are different types of reasons you would need to call, an error on an EOB, to check claim status if you have outstanding claims not paid/processed, etc. many different reasons.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4770
    • Solutions Medical Billing
Re: NEW To BILLING
« Reply #2 on: August 20, 2012, 06:38:36 AM »
IMO that is the problem with most schools, they don't teach 'real life'.  They only teach text book.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

PMRNC

  • Hero Member
  • *****
  • Posts: 4254
    • One Stop Resources & Networking for Medical Billers
Re: NEW To BILLING
« Reply #3 on: August 21, 2012, 09:49:45 AM »
Yeah exactly, the exception I think is Medical Billing Course, they actually give you practice claims and payment posting. I also think these courses need to go WAY more into depth about policies/procedures and compliance!
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

QueenAlicia

  • Sr. Member
  • ****
  • Posts: 347
Re: NEW To BILLING
« Reply #4 on: August 21, 2012, 12:59:55 PM »
I agree they don't teach real world situations. 

DMK

  • Hero Member
  • *****
  • Posts: 680
Re: NEW To BILLING
« Reply #5 on: August 21, 2012, 01:38:24 PM »
I took a great 3 part medical billing course at our local community college years ago.  I was already doing the billing, but wanted to add the course to my resume.

I was ASTOUNDED at the impression the students (most of whom had never worked in a doctor's office) had about billing.

The first time the teacher showed an eob, she explained "allowed amount" "patient portion" and "write off".  All the students could ask over, and over is "where does the write off go?".  The teacher finally got a little harsh (and rightly so) and said "The doctor can CHARGE whatever they want, the insurance company tells them what they get and the rest goes in the trash!".  Talk about shock and awe..... Those students all looked at their personal eob's a little differently.

I actually (surprised? no?) mouthed off to one of the women who was griping about how much her doctor charged for a B-12 shot (it was $9).  I made her aware of the cost of having the doors open, the lights on, the insurance in case she slipped and fell, or the needle broke, disposing of the needle, the person who answered the phone, the nurse who took her in, etc etc etc.  She was a little ashamed that she didn't think about the cost of doing business.  She was so focused on the doctor being a doctor and automatically making a boat load of money just because he was a doctor.....

I firmly believe that ALL schools should start teaching real life stuff, from junior high on.  Real life catches up in a hurry!

Allied

  • Newbie
  • *
  • Posts: 1
    • Medical Billing Courses
Re: NEW To BILLING
« Reply #6 on: September 26, 2012, 11:03:54 AM »
Maybe there is a way to mix the text books with some real life samples from the "real world" This is something we will be looking into for sure.
www.medicalbillingcourses.com for all your medical billing training needs

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4770
    • Solutions Medical Billing
Re: NEW To BILLING
« Reply #7 on: September 27, 2012, 09:13:14 AM »
Actually we are currently working on a training program/textbook for that specific reason.  We find that most instruction manuals and textbooks are very out of touch with the real billing world.  It will be some time before we complete it.  VERY involved project!
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

RoVeada

  • Newbie
  • *
  • Posts: 17
  • ...collections warrior
    • RoVeada Accounts Receivable
Re: NEW To BILLING
« Reply #8 on: October 24, 2012, 04:04:04 PM »
I think it depends on the instructor as well. The Instructor  better well know whats really going on out there and incorporate that into the lesson plans. I instructed MB&C at a private vocational school for a short time and I taught, the book to cover the curriculum requirements, and then "what really happens" with whatever time I had left to spare.
...if you can find a path with no obstacles, it probably doesn't lead anywhere.