Author Topic: experience biller starting a billing service  (Read 2363 times)

atwmedbilling

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experience biller starting a billing service
« on: November 01, 2014, 10:56:57 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 .

PMRNC

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Re: experience biller starting a billing service
« Reply #1 on: November 03, 2014, 01:10:15 PM »

Quote
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 .

Your contracts will be with each provider so whatever setup you include in your contract will stand. I have clients who scan and put in folders and I login and obtain them and then I have clients that fax. Of course both options have to be fully HIPAA compliant. In regards to services, it's a very highly competitive industry so the more services you provide the better. FULL practice management is in much more demand than single service such as claims only.  You should only start marketing when you are absolutely ready to accept and contract with a client. Make sure you have everything setup and ready to go including contracts, BAA Agreements, compliance plan, policies/procedures, pricing structure, etc.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Kimberly35

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Re: experience biller starting a billing service
« Reply #2 on: February 05, 2015, 10:11:50 AM »
Linda,
Is there a certain type of compliance plans, agreements, contracts that must be followed prior to starting your own medical billing company? In other words, do you need to get some type of legal agreements in place prior to providing any type of services?

PMRNC

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Re: experience biller starting a billing service
« Reply #3 on: February 05, 2015, 11:01:05 AM »
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Is there a certain type of compliance plans, agreements, contracts that must be followed prior to starting your own medical billing company? In other words, do you need to get some type of legal agreements in place prior to providing any type of services?

If you are a billing company you do want to have a compliance plan, but it's also understood that it's much easier to do a compliance plan while actively working with a client or two, so the compliance plan is really a work in progress and tailored to each business. Yes YOU need to have contracts ready to go. Never work without one! It's also recommended to have Errors and Omissions insurance as well. Minimum coverage prices are much lower now than they were 10 years ago, actually it's affordable now. Your contract can be a general one and then you can tailor it to fit each potential client. If you get an attorney a lot of times the attorney will modify it for each contractual arrangement. There are also even pre-paid legal companies you can hire that are affordable and can help with contracts. The attorney does NOT NEED to be a healthcare attorney, a contract lawyer works.. it should also be your responsibility to know the laws in the state you reside in and research any states you will work in.
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: experience biller starting a billing service
« Reply #4 on: February 16, 2015, 05:04:52 AM »
Regarding the contracts, BAA Agreements, compliance plan, policies/procedures, pricing structure, etc.,who could I hire to type all of this up for a reasonable price, because I'm really not good at that part of the spectrum?  Any advice on this would be greatly appreciated.  :) 

PMRNC

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Re: experience biller starting a billing service
« Reply #5 on: February 16, 2015, 05:23:57 PM »
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Regarding the contracts, BAA Agreements, compliance plan, policies/procedures, pricing structure, etc.,who could I hire to type all of this up for a reasonable price, because I'm really not good at that part of the spectrum?  Any advice on this would be greatly appreciated.  :)

I don't recommend hiring out for this at all. This is your business, meaning your compliance, your policies/procedures, contracts, agreements, etc. Yes, it is all overwhelming but putting these together is only making the actual compliance "official".. just typing them up is a formality that comes last.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Tameka79

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Re: experience biller starting a billing service
« Reply #6 on: September 08, 2016, 12:00:02 PM »
I understand that we would need a contract signed from each provider that we are working with, but I was wondering if someone could clarify who would sign the BAA.  Would this include let's say cleaning staff, if we have an office or let's say if we use Office Ally's Practice Mate, they would have to sign a BAA?

Michele

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Re: experience biller starting a billing service
« Reply #7 on: September 09, 2016, 07:54:07 AM »
Anyone with access to your office would need to sign a BAA.  Cleaning staff would fall into that category.  Office Ally has a BAA that they have you sign when you initially set up with them.
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PMRNC

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Re: experience biller starting a billing service
« Reply #8 on: September 09, 2016, 05:03:13 PM »
It's actually anone with access to any PHI. Covered entity's hold the BAA of the BA.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com