Starting a Medical Billing Business > Starting Your Own Medical Billing Business
Help!
carnilent:
I started with my first client in May of 09. ( family practice )
Since the beginning it started off on the wrong foot. The girls at the office ( 2 of them) are totally
uncooperative. they fax over the superbills, with little or no patient demographics.
which causes us to produce a list of patient names that need complete demographic info. when this list is faxed over we are told she already faxed the info to us. ( which we have not received anything )
On July 17, we had a meeting with the Dr. and her staff ( 2 ), we advised that we needed for them to send us complete demo. information on every patient.
They don't even tell us when payments have come in so that we can post them.
( we get reports from ins co. saying they are paying) All payments started coming in August.
I have spoken with the Dr. and she says that her staff is trying their best,
but she is aware that they are not giving us the appropriate information that we need.
What can we do at this point? I have superbills in folders that can't be billed because of no demographics info. If I fax a list of the names to the client's office they get all bent out of shape because they have to pull the chart.
Any suggestions will be apreciated.
carnilent :-\
Pay_My_Claims:
They may feel threatened. You need to convey your position is to assist. Ask for their input on implementing a plan of action that will help them be able to get you the information you need without interfering too much with thier daily routine.
Do you have the insurance information??? Often you can get all the information you need from the insurance carriers system when you verify the plans (if you are doing that). I'm not suggesting that this should be the answer to your problem, but it can be a way to assist you until you can iron out the issues you are having. Being it is family practice you should start seeing a lot more of repeat clients who are already loaded in your system
If they are using a system generated SuperBill that doesn't include client demographics you should have all that included. If it does have it on the superbill and it is an issue of not updating the system, that is where you will need to get some direct assistance from as well.
The superbills that I get have the ins. info, demo, and all pertinent info on it, so I guess I'm blessed
carnilent:
thank you. Their superbills are hand written and they have to fax us a copy of the patient's face sheet
along with copy of the ins. card ( which we don't get all the time. )
thanks for helping.
carnilent :)
PMRNC:
I have had unorganized clients with unorganized staff and this is where you become the "educator". What I usually do is go in for a meeting with a complete description of the problems AND solutions. For example one of your problems is receiving the EOB's. For this I would actually go into the office and create a work flow which would guide the office staff every step of the way.. an Out box next to the fax machine with a coversheet all ready to go works well, they put the EOB's after being opened, check being detached and deposit logged into the "out" box face down. The daily coversheet is first in the box. Another problem they have are the handwritten superbills. Offer to create them one or point them to a reference where they can order them. Organize everything in easy to implement steps and then set up your meeting. Fax over a copy of what you will be going over with them ahead of time to let them prepare. Use your judgement on whether you should charge for this as a consult. I usually offer them the consult with a 10 day clause that if they don't get their act together the consult fee will be charged. If after all of that they are still not compliant, refer to your contract and act accordingly, some practices are just so resistant and they are not willing to be taught and you just have to let them go.
carnilent:
thank you. their staff is very reluctant to any ideas, we haven't even been able to send them our first invoice. Because we do not have the EOBs. I might be setting them up with a monthly flat fee for billing services. ( I wasn't aware of the florida split fee law. )
carnilent :-\
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