Coding > Coding
Bundling?
Pay_My_Claims:
LOL, only U
Steve Verno CMBS, CEMCS:
I keep forgetting to tuck the cape in and put on the glasses. ::)
Pay_My_Claims:
Those that know U will still know you. You can't hide from us..:-)
MBP:
Hi, i am very new at this forum and after my first 1 hour and 14 minutes i am already loving it!!! :-* i have a comment towards blueskyportland mainly, because i am partially in the same situation. started working at the doctors office, started coding a bit (with supervision of course) and now i am doing the billing. i am loving it so far and i am thinking about starting my own living doing this, but i am still very confused and scared about only knowing the basics. i want to take a course (or read a book/books) to learn as much as i can and be good at this. what do you recommend? is it a doable dream to become a medical biller "from scratch" on my own? would you recommend any special reading, dos and donts.. anything.. i am buying at least a book or two from this website, but will that be enough? you scared me a little with your comments on blueskyportals coding experience, i feel like i am swimming in same waters, testing what goes and what doesnt, testing modifiers, procedure codes.. just because there is so many resources out there that it is really difficult to find one solid answer to a question. and there is sooo many questions now!! thank you!!
Steve Verno CMBS, CEMCS:
Erika
please wait and gain some more experience. YOu said something fantastic. It is difficult to find one solid answer. How true. This is because there are so many outside factors:
1) Patient Benefits per patient
2) Provider Contracts per doctor per insurance company
3) State Laws (50) (HMO, COMMERCIAL,WORKERS COMP, AUTO, PATIENT BENEFITS, RECORDS)
4) Federal Laws (COBRA, ERISA, HIPAA, TRICARE, SOCIAL SECURITY, FEDERAL EMPLOYEES)
5) Provider Specialty
6) Insured v Uninsured patient
7) Type of patient (ADULT, CHILD, ELDERLY, PREGNANT)
8) Type of Visit (Office, Emegency, Urgent, Inpatient, Surgery, Diagnostic)
9) Medicaid, Medicare and appropriate HMOs
10) Class Action lawsuits
11) Patient lawsuits
12) Claims adjudication or nonadjudication
13) Billing Agent training, nontraining, and experience
14) Use of Debt Collection Agency
15) Provider Financial Plan
16) Insurance Company Policies
17) Coding rules and guidelines
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