Author Topic: Current Market Situation  (Read 591 times)

chandru_2k15

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Current Market Situation
« on: May 22, 2017, 09:58:28 AM »
Hello There!

Is it true that, getting new business is very competitive than never before ever since the advent of SAAS..The companies used to produce software also got into providing medical billing services as well under the package Software as services?

Your insights are greatly appreciated!

Thank You,
Chandru J.

kristin

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Re: Current Market Situation
« Reply #1 on: May 22, 2017, 04:32:06 PM »
There are several software companies that also offer billing services as part of their package. Kareo, Athena, and Medisoft come to mind, I am sure there are more. How robust/all-encompassing those services are, I don't know.

I think that just from what I have read on this forum, and other forums, that getting new clients for an existing billing company that is not well established yet, and getting any clients for a completely new billing company is quite difficult.


Michele

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Re: Current Market Situation
« Reply #2 on: May 22, 2017, 08:16:29 PM »
Just to add on to Kristin's answer, we also have heard that the quality of these services offered by the software companies is not very good.  Hard to reach someone by phone, and not good follow up.  We have heard many people who are not very satisfied.  There is so much more to billing than simply submitting the claims.  I believe a lot of them have off shore services and that is how they can offer their services for a much lower fee.

I don't find that it makes it any more difficult for us to obtain new business however we are established.  The key is to explain to the provider that they get what they pay for.
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kristin

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Re: Current Market Situation
« Reply #3 on: May 23, 2017, 08:31:51 PM »
You are right, Michele, they get what they pay for. Anecdotally, I know of a doctor who had to use Athena for EMR/billing, because it was what was in place when he joined a practice, shortly after the practice signed up with Athena. Long story short, he ended up as the only doctor at the practice, and had to close the doors after less than a year because of the horrible service provided by Athena as the billing company. Personally, I would never allow an EMR company to do billing if I was the doctor. But so many get sucked in, because of the price.

chandru_2k15

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Re: Current Market Situation
« Reply #4 on: May 24, 2017, 06:35:07 AM »
Hello Kristn & Michele,

Thanks for your insights!!

Thank You,
Chandru J.


Michele

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Re: Current Market Situation
« Reply #5 on: May 24, 2017, 12:39:35 PM »
They present it to the doctor as if it is nothing to do the billing.  They basically say that since they are doing the EMR/EHR the billing is automated.  They don't realize there is so much more to billing than simply sending out claims.  Many doctors don't know and lose a ton of money.  Very sad.
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RichardP

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Re: Current Market Situation
« Reply #6 on: June 07, 2017, 03:35:33 PM »
... I would never allow an EMR company to do billing ...

You cannot use Athena unless you agree to them doing the billing.  But they do very little, if any, follow-up.  Rejected claims are placed into a bucket that is the responsibility of the provider's office to clean up.  Since the provider's office staff are not billers, the stuff mostly just sits there and never gets paid.  We have several clients for whom we provide clean-up billing services after Athena first does their thing.  The providers did not know all of this stuff was sitting unpaid in the bucket that Athena places rejected claims into - until we pointed it out to them.  They were appalled.  Athena can rightly claim that the providers were informed of this practice somewhere in the mountains of information that the providers have no time to read through.

Obviously, this is more of an issue for those providers who do complicated billing.

Michele

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Re: Current Market Situation
« Reply #7 on: June 08, 2017, 08:19:01 AM »
Thanks for sharing that information.  We knew they didn't do much for follow up or work the denials but it's nice to educate people with the specifics.  I always tell providers that they get what they pay for.  If they are paying a low (extremely) percentage they are most likely losing money.  A billing service cannot go after all of the claims, or do things to the detail that they should be done for a ridiculous price.  I see that even locally.  There are a couple of other local (in my area) services that charge less than we do, but when clients come to us from them we end up doing major cleanup.  Even though our fee is higher, they bring in more money which covers the difference in fees by far.  Billing is an important job that requires an experienced person or team of people to ensure that the doctor or practice collects what they are supposed to.
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