Author Topic: Starting a billing co for my own business  (Read 3446 times)

horizon

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Starting a billing co for my own business
« on: December 04, 2013, 02:59:20 PM »
I have used several billing companies for my medical business but am tired of all the time I need to spend doing follow up.  Any advice on starting to submit our own claims.  I am familiar with codes and forms.  We could probable use electronic forms.  Not sure what software or if we even need software.  thanks

RichardP

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Re: Starting a billing co for my own business
« Reply #1 on: December 05, 2013, 09:02:35 PM »
Any advice on starting to submit our own claims.

Are you doing follow-up on insurance claims and patient billing, because your billing company does not do that?  Or are you doing follow-up on your billing company because they are not doing a good job and can't be trusted?

Calculate the time you are spending on doing follow-up, whatever follow-up is.  Then, as a separate figure, calculate the time you will spend learning all the things you say you don't know in your post.  Then add in all of the time you will spend doing your own billing.  Then figure if that time will be less time or more time than what you are currently spending on follow up.

You should do your own billing only if it will take less time than you are currently spending on follow-up.

shanbull

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Re: Starting a billing co for my own business
« Reply #2 on: December 09, 2013, 11:16:22 AM »
It's also a good idea to review your state's laws on claim forms. Here we are only allowed to submit paper claims in limited circumstances, so software is required for all but the smallest practices. Also, how many claims do you send out per month? Just trying to gauge the workload/size of your practice because that will dictate what your best software options are. Also, what specialty are you billing for? Some specialties have more frequent policy and coding changes than others, which will impact how much time you need to spend researching and updating your information.

Merry

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Re: Starting a billing co for my own business
« Reply #3 on: December 09, 2013, 09:26:37 PM »
Horizon..what is your specialty?

PMRNC

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Re: Starting a billing co for my own business
« Reply #4 on: December 10, 2013, 07:25:08 PM »

Quote
I have used several billing companies for my medical business but am tired of all the time I need to spend doing follow up.  Any advice on starting to submit our own claims.  I am familiar with codes and forms.  We could probable use electronic forms.  Not sure what software or if we even need software.  thanks

I'm confused as well. MOST practice management companies should be doing both the billing and follow up, if not your going to lose business to the ones that do. If you are just doing follow up for a billing company, they could easily take back that part of the business and you would have none. If you are are billing company providing only follow up your also losing money because again, this should be done by the same service.
Linda Walker
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atwmedbilling

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Re: Starting a billing co for my own business
« Reply #5 on: November 01, 2014, 10:49:20 PM »
Hello , I have a few questions I have about 7 year experience billing but I 'm just now starting my own business my first question is . Do you have the EOB and Checks ,denials ,etc sent to you or the doctor ? When you first started what was the services you provided ? At what point did you start marketing . I just finished the legal things and now I 'm in the process of setting up the office should I was thinking of start marketing after I get the basic office items done .

kristin

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Re: Starting a billing co for my own business
« Reply #6 on: November 01, 2014, 11:31:49 PM »
For the providers I bill for, they already have an EMR/PM software in place, so they get the ERA's sent to that software. They get their checks sent to their practice and/or billing address, although the major payers are on EFT. I have never heard of the billing company getting the checks and EOB's directly sent to their location. If you are billing for a doctor across the country, how are you supposed to deposit their checks, if they use a local bank to their state, for instance?

While I don't own a billing company, the ones I work for provide all services related to billing a claim. From demo entry if needed, all the way to follow-up on claim denials, and everything in between.

Marketing should start when you are ready to provide all your services to a provider, in my opinion. You don't want to market a service you aren't ready to provide.

« Last Edit: November 02, 2014, 06:00:57 PM by kristin »