I'm pretty sure it wasn't you.. you are too smart for that! Linda WalkerPMRNCwww.billerswebsite.com
Thanks......I admit I have learned billing is waaaaaaaaay more than I thought it would be as far as starting your own business.
I used to provide a custom A/R report by carrier and patient balance, pending claims log, Monthly claim submission report, if needed a report with accounts (patient balances) over 90 days to refer to collections, and a claims summary report.I used to charge extra for custom reports unless they were reports already created.Linda WalkerPMRNCwww.billerswebsite.com
It's very true that an unknowledgable 'biller' can do serious damage, regardless of whether they are in house or part of a billing company. Some companies both billing and private practices hire an individual who isn't a biller/coder. The person is nothing more than a CSR doing data entry and calling it billing and the damage inflicted can be severe. I started working on our old A/R (the claims billed prior to things being outsourced) and found things that no competant biller would have done. Diagnosis codes that aren't reflected on the fee slip and services that shouldn't have been billed. For example, one dos showed the patient had an NCV and EMG, the diagnosis code billed with it was anxiety, depression and arthritis! I pulled the fee slip and saw that the correct diagnosis codes were on the fee slip but the biller had not bothered to enter them, simply billing the E & M codes along with the diagnostics. Each CPT code was generated on a separate CMS-1500 and billed out to Medicare! Found another where the pt was in an auto accident, hurt his back, the M.D. did an NCV on his wrist, fee slip had a dx of carpal tunnel and the 'biller' entered the ICD-9 code for migranes!! Alot of doctors, practices and billing companies think they are saving themselves money by hiring an individual willing to work for less money per hour but when it comes down to it, the money they lose in just a month due to cases like what I've mentioned above will cost them far more!