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starting a medical billing business

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Michele:
Sorry it took me so long to respond.  We had an unexpected death of someone in our church Sunday night, and it really knocked me out. 

Anyway, I will try to help you out, but I'm not familiar with EZ claim so it is hard for me to comment on that.  Also, I've not used Office Ally so again I'm not familiar with the way they work.  From the way you are explaining it, you need a software to prepare the claim file to be submitted to Office Ally, so it sounds like you may need both. 

As far as Box 33, that would be the practice that you are billing for's billing information.  For example, if you are billing for Middleville Family Practice and the checks go to you then you would have:

Middleville Family Practice
Your Street Address
Your City, State Zip

But if the checks still go to them then you would have:

Middleville Family Practice
Their Street Address
Their City, State Zip

And their tax ID goes in box 25, not yours.  Your tax ID should never be on a claim.  The money isn't being paid to you, but to the provider, even if the checks are mailed to you.

Michele

Pay_My_Claims:

--- Quote from: Michele on March 03, 2009, 09:37:02 AM ---Sorry it took me so long to respond.  We had an unexpected death of someone in our church Sunday night, and it really knocked me out. 

Anyway, I will try to help you out, but I'm not familiar with EZ claim so it is hard for me to comment on that.  Also, I've not used Office Ally so again I'm not familiar with the way they work.  From the way you are explaining it, you need a software to prepare the claim file to be submitted to Office Ally, so it sounds like you may need both. 

As far as Box 33, that would be the practice that you are billing for's billing information.  For example, if you are billing for Middleville Family Practice and the checks go to you then you would have:

Middleville Family Practice
Your Street Address
Your City, State Zip

But if the checks still go to them then you would have:

Middleville Family Practice
Their Street Address
Their City, State Zip

And their tax ID goes in box 25, not yours.  Your tax ID should never be on a claim.  The money isn't being paid to you, but to the provider, even if the checks are mailed to you.

Michele


--- End quote ---

You were right about officeally, you can use your own, or practice mate (who they partner up with)

PMRNC:
What is reason behind purchasing EZClaim?

When you are just starting out.. I like to recommend one important thing.. DO NOT fix/price your services. instead (and it's a marketing edge) base your charges/fees on each practice and doing a thorough practice analysis first. As a new billing company you could lose big time by creating a price/fee schedule too early. Too many variables are involved when you are a third party billing company. You want to be competitive and you also want to base your services on the type of practice, volume, current A/R ..etc. In all the years I've been doing this I've noticed that doctors take you more seriously when you tell them you need to examine the practice first before you give them a quote.

Linda Walker
PMRNC
www.billerswebsite.com

PURPLELADY:
Thanks for the info.  I want to purchase ezclaim to print self-pay statements, reports for dr, and claims (540.00). Office Ally has a fee for everything that they have to print to paper and send.   

I am also offering pre-collection services.  What should I charge for that service? It includes mailing stmts,
phone calls, researching bad addresses and then referring accts to collection agency (dr choice). Should it be 20% like the collection agencies?

When I get my first client, Along with the contract, I need to have all the dr credentials, what insurance are they par with, facility info, tax id, etc so I can set it up on my software and clearinghouse.  Is there a form established for that or do I have to create one?  Thanks

Michele:
I've never been involved in pre-collections or collections so I really can't comment on what to charge, although it sounds as if the 20% would be in line.

I'm not aware of a form out there for gathering all the info from the provider.  We made our own, that way we know that we are getting exactly what we need.  It's not a lot of info so it's an easy form to create, and you can make changes easily as things arise (i.e. NPI number!).

Good luck with that first client!

Michele

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