Author Topic: Billing Services  (Read 2740 times)

Michelle1965

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Billing Services
« on: October 15, 2014, 07:34:45 PM »
I was wondering if anyone just starting out only did claims processing, and patient billing?  I am currently working as a full-time employee for a specialists doing all aspects of billing & coding. I am considering just starting off marketing as a claims processor and patient billing to get started, because that is something that I can do in the evenings when I get home from my full-time job.  I only want to do that until I can build up enough cash flow to quit my current job, and take on all aspects of billing & coding.  Any suggestions would be a big help!  ;D

Merry

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Re: Billing Services
« Reply #1 on: October 15, 2014, 07:39:01 PM »
How would you do patient statements if you didn't follow up on the claims? Not sure that I understand.

kristin

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Re: Billing Services
« Reply #2 on: October 16, 2014, 07:55:12 PM »
I am with Merry...who will do follow-up on denied claims? And who will be doing insurance eligibility/verification?

PMRNC

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Re: Billing Services
« Reply #3 on: October 18, 2014, 04:48:11 PM »
If you are going to start a billing company and only do claims only processing, you will have a very very difficult time in marketing. It makes no sense for a provider to hire an outsourced billing company to just process claims anymore.. 15 years ago, maybe.. It's just not cost effective anymore.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Michelle1965

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Re: Billing Services
« Reply #4 on: October 18, 2014, 07:18:15 PM »
From all of the comments here, it doesn't look like its going to be easy for someone like me who struggles financially to start off slow while keeping my full-time job with a guaranteed income. I will figure something out though, because I'm a fighter, and I will not give up on my goals.
On another note does anyone of you know what billing companies in Florida charge?  Do they charge a flat fee for all of the services they provide or just a percentage of what revenue is collected for the provider?  If I could just get 1 practice with maybe 3 doctor's I could probably replace my income that I'm making now at my full-time job and quit.
 I really haven't a clue though, so any advice on this would help me make a better decision of the type of game plan I need to come up with.

Thank you! :)
« Last Edit: October 18, 2014, 07:20:48 PM by Michelle1965 »

PMRNC

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Re: Billing Services
« Reply #5 on: October 18, 2014, 10:11:18 PM »
In Florida providers are prohibited from entering into a contract basis of fee splitting.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

kristin

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Re: Billing Services
« Reply #6 on: October 18, 2014, 11:13:59 PM »
In theory, you could do claim follow-up and insurance verification after hours, using IVR's and by signing up with Navinet, Availity, Medicare, Medicaid, and other individual insurance websites to check claim status, benefits, and eligibility. But there will always be those instances where you need to talk to a human to solve a claims issue, and that is potentially where a problem could arise, if you aren't available to make those calls. And, if you are sending out patient statements, you need to be available to take calls from patients asking questions about their bill. Because there are always questions.

I guess what I am trying to say is that while you could do this while also having a full time job, you would need to have some way to handle these things when you aren't available.

Michelle1965

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Re: Billing Services
« Reply #7 on: October 20, 2014, 06:00:06 AM »
Linda do you mean you can't charge a percentage of what is collected? The only legal way for me to charge in Florida would be a flat rate, right?

Kristin thank you for your advice.  I will have to just try calling insurance companies on my lunch hour, and maybe patient's after 5 pm, because I have done that here before when I have had to work until 6pm.


roxdione

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Re: Billing Services
« Reply #8 on: October 20, 2014, 10:21:36 AM »
Hi Michelle..

The obstacle I am running into is when working full time and trying to market your services gets complicated as the follow up process tends to get neglected.  I've been marketing and have had a few clients reach out about consulting services rather than billing services, which is fine, as I also am wanting to do consulting.  Follow up with the physicians/office managers that you've sent information to needs to correlate with their work schedule which when working full time it becomes complicated, dependent on the job you're currently doing.  I too am working full time and trying to get myself off of the ground so I can quit my current position and be a stand alone.  I've had several bouts of being discouraged but am staying focused on what I am striving for.  I also am funding my current marketing myself with the hope of gaining some clientele, which I find can become costly, when utilizing a printing company.  I'm looking at working on producing my own marketing materials, but I want them to look professional, as this could be a make or break when sending to physicians/office managers.

I find this site to be very resourceful and creative when doing one's own marketing, cost effective, that is. 

Roxanne

PMRNC

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Re: Billing Services
« Reply #9 on: October 21, 2014, 09:01:14 AM »
Quote
Linda do you mean you can't charge a percentage of what is collected? The only legal way for me to charge in Florida would be a flat rate, right?

There are states where it is illegal for a physician/healthcare provider to enter into any fee-splitting arrangement/contract, I'm in NY which is one of them, Florida is another. You'll find many billing companies do it anyway with total disregard for protecting the clients medical license  ::)
You can price your services in any way that doesn't emulate a "fee/revenue" splitting. Flat fee, hourly rate, per claim, per service is a few. Michele and Alice have a book that goes over the various types of pricing your services. http://www.medicalbillinglive.com/pricing-your-medical-billing-service.shtml
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com