Starting a Medical Billing Business > Starting Your Own Medical Billing Business
starting a medical billing business
PURPLELADY:
Thanks Michelle. What about the superbills or charge slips? Do we provide the office with them? Also, what about the diagnosis and procedure codes? We just bill what the Docs put on the charge slip right? What about rejections? I plan to contact the office for them to send me a corrected charge opposed to taking the correction over the phone. Am I correct in doing that? Another thing, when seeking approval from the payors to bill them, is it better that I call and get the applications myself or should I allow the clearinghouse to do it? We are doing A/R "soft" collections. I plan to make calls and send 4 statements to patients and return the A/R to the Dr for possible referral to a collection agency. Do you think I should show the Dr what letters I'm sending?
Michele:
If a dr doesn't have one they are using sometimes we offer to provide one. Sometimes we use them as a tool to get the provider to sign. The provider should give you all dx's and procedure codes and you should bill them as given. If you see a problem with something you should notify the provider. Rejections depend on the level of service you are providing. We handle rejections for any provider that we do full insurance billing for. If we take info from a provider's office over the phone we document it in the computer. We send out 3 pt bills, then refer them back to the provider for hard collections. As far as getting set up to bill with a payer you will have to follow the rules of the payer/clearinghouse.
Michele
PURPLELADY:
Thanks Michelle, you are wonderful!!!!
When doing the soft collections how should the process go? Am I setting it up on excel? Also, if payments are going to the Dr, how would we know if they were pd? Can I really rely on them faxing me a copy of the eob? If i wanted the payors to pay me instead, what would i put on the hcfa form to have it done?
Michele:
We keep track of our patient billing right in the practice management system that we use. Yes, the dr must notify you of all payments. If he doesn't then his patient gets another bill and patient's don't like that. They call the dr and they aren't happy, so the dr learns quickly that they must notify you of payments. If you want payments to go directly to you it has to be set up with the insurance carriers as the correspondence/pay to address. You can't just enter it on the CMS form.
Michele
Pay_My_Claims:
Superbills-most of the providers I know generate 1 with the check in process. ( I deal with most family physicians, and some specialty clinics). They are generally 2-3 copy encounters, 1 for the phy, 1 for the patient, and the 3rd for referrals/labs.
EOB's A lot of the software that you can choose has it where you can sign up to view the EOB's online. There are some billing services that will make the deposits etc for the physician, but most prefer to keep the cks themselves. This way the MD see's his money, sees the eob' and has a copy in his office.
Good Blessings.
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