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need some tips

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margemib:
Thanks again, you guy's are so funny!
margemib

PMRNC:
I've been at this since 1996 and I have never TAKEN a job from a practice. Yes there are some people that will be so truly threatened they won't put your call through but on the other hand .. it means you have not made them comfortable. Charlene I understand you have that side working within an office but I have spoken to many office managers and billers just like you, however a GOOD medical billing / practice management company WILL utilize the staff, increase production, increase cash flow and most importantly that staff in turn is more productive helping the doctor with PATIENT care. I have a pediatric group who has 8 office staff, I sat with all of them and in one hour they were comfortable, we met again and did job flow studies.. it's 5 months later and the owner of the group told me that their cash flow has almost tripled, they have not had patients stacked up in the waiting room on top of each other like they did in the past, they have missed ZERO referrals, and now they are able to call in scripts to get the patient out the door faster. 2 of the 8 were JUST answering patient phone calls, now they are able to prepare the rooms faster, check patients in and out quicker, even their patients have seen a difference and asked what has changed..   They will all tell you they felt threatened in the beginning but once I met with them they were actually excited.   To those trying to get around the gatekeeper I have to ask as Dr. Phil would.. "How's that working for you?"  It's all in the technique and attitude.  IF you should happen to get a client by bypassing the office staff you are in for a real treat .. NOT because it's not pretty to have someone as the gatekeeper who is resentful of you before you even get to know them, they will make your job twice as difficult, and for what?  ANY office can increase cash flow and run more efficiently without letting staff go, if they can't it means they are not putting patient care first as they should, so outsourcing is NOT just about money, it's about bottom line, efficiency.

Pay_My_Claims:
Yes, but its a DEMOTION. If you are now taking over the billing part of the practice, what does the medical biller do??? Check out?? Check in? Medical Records. They may still work there, but they are NOT doing the billing.

PMRNC:

--- Quote ---Yes, but its a DEMOTION. If you are now taking over the billing part of the practice, what does the medical biller do??? Check out?? Check in? Medical Records. They may still work there, but they are NOT doing the billing.
--- End quote ---

Charlene, again, I disagree and it might be your way of thinking because your view is from only one office, there is no demotion, no cuts in pay, the tasks have changed, but everything in the office is relevant to the practice, it's about increasing efficiency and ultimately patient care.. you have to think outside the box, if you focus on trying to be THE only one running the practice you won't get anywhere, the office staff is vital and again, I have not taken anyone's job NOR have any of them received demotions, decreased pay, hours, etc.  If you go in to an office and you are successful in what your goal is the office/practice WILL run smoother...that's not an opinion, that's a fact. If done right the office will gain MORE financial stability, increased cash flow, decreased overhead and again ..most important.. Increased efficiency and patient care... EVEN if they keep their current staff.  But of course, only if it's done right. This is not just an opinion, it's fact.. I've done it and I know MANY other billing companies that will agree with me because they are approaching their marketing the same way.. why? because it works. Of course it doesn't work sometimes but most times that's because the right approach hasn't been taken, or quite simply you have someone that is automatically threatened and won't budge or give you a chance, it's a numbers game but the general and overall consensus of what works is NOT to go around the gatekeeper, not only won't it get you in their office, if you do get lucky to talk with the provider you will have to work with that person you pushed aside... and believe me that's not fun.

Pay_My_Claims:
Yes, I do think outside the box, one of the reason's that I do DME. I don't focus on just medical billing. My opinion isn't on just ONE  office, but I made reference to the one that started it to me I can mention others, but it would be a mute point. Again you can tell me from your experience when you went in to do the billing for a practice, what did the biller in that practice do??? If they are not demoted........what are they doing??? I do the AR/Billing now for a DME company. If you take over this business, what would be my job? You will be doing the posting, billing, and reconciliation. What do I do other than fax you information???

puzzled, dazed and confused.

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