Starting a Medical Billing Business > Starting Your Own Medical Billing Business

Follow Up

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PMRNC:
No matter what PM software you use, good data in is good data out. The software will not have ESP (yet anyway)
In most softwares I use you have the capability of marking the claim status (paid, pending, rejected (patient resp), incomplete,) the better the software (IMO) the better the status codes. I can pull a report of rejected claims, claims waiting for info (incomplete), claims pending, etc weekly, daily, monthly etc.

But again, you have to have the data in there to pull any report. Unless the previous biller has reports for you, I see no other alternative. Look on the bright-side, your not loading someone else's headache. I prefer manual conversions anyway and I wouldn't rely on another billing companies reports for that reason. I like to setup my database how I like it.

Michele:
Dodo in dodo out!

Sorry couldn't resist.   :)

Pay_My_Claims:

--- Quote from: Erika on October 28, 2009, 07:21:42 PM ---thanks Charlene! i am doing some reading and research on these OA reports trying to figure it out. i understand the AR now and i can see how to get a report for claims filed 30+ days ago (although it doesnt tell me which one are still open and which ones have been paid). my questions is.... am i doing it the right way, trying to put in all these old visits for 2009 for the time i wasnt even billing for her or is there a better way to find out if there is anything what havent been billed or what the pt balances are? this is so time consuming.

--- End quote ---

It depends on what you need to do. Like Linda, I keep a spread sheet as well. Now old billings unless I am rebilling them I see no reason to enter them in. What are you doing with those claims. I received back billings that had to be corrected. All of them were logged because I send them that spread sheet to go against what they keep when they send me charges. It makes sure all claims are billed out. Those that I had to refile are loaded into my PM system, while others that can be corrected via a reopening, or a copy of a RX or something of that nature, isn't entered. Its just on the log. My log has info such as

Patient, insurance, amount of claim, date billed, refile date if applicable, status etc etc.
I really try to not include old claims in my system. I will work an old claim, and have them post the payments and send out the final bill to the client if applicable.

MBP:
what do you both mean by a spread sheet? something what you can copy out of your PM or are you saying you just type all the info into e.g. an excel sheet manually? talking about this, another questions is popping out - what is the best way of keeping hard copies of billing?? at the beginning i kept all routers at one locations, then after billing attached a claim to them and put them in another "waiting" drawer, when i received an eob i would make a copy for each claim and attach that to the router and the claim.. that is a lot of filing work and A LOT of trees... is that a waste of my time? i know i need to keep the routers and the eobs  ???obviously.. but is there a reason to print all the claims if they are all in office ally? maybe i could only print a summary with all of them instead of each one.. and eobs/ra.. maybe i can just keep those separatelly organized by insurance carrier and date instead of doing all this copying and stapling and filing.. any suggestions on how to stay organized, how to save paper and time and how to still have a backup for each case?? thank you all...

NuBiker:
I use Office Ally, and I keep a spreadsheet in each patient's chart.
I use a spreadsheet because it gives me the big picture of the work flow.
It has columns - visit number, Authorized visit number (visit 1 of 6, 2 of 6, etc.), Date of Service, patient Copay, Amt Patient Paid, Date Claim Sent, Date Claim Rec'd, Amt Billed, Amount Discounted by Insurance company, Amount Paid, Amount Patient Copay.
But then, my boss (The Wife!!!) only sees 6 to 11 patients per day, probably far less patients that what you folks deal with. The average patient she sees for 6 visits, once a week, but she has a few that have been seeing her for years.
Then I have a Daily Schedule Spreadsheet that lists along with the patient's name, their insurance company name, and how much that insurance pays for that specific patient, the CPT code, and the patients copay. The Daily Schedule becomes my bank deposit slip. I try to bill all insurance companies before I go home, and deposit all copays the following day.
I am probably doing double work, but I am comfortable tracking work flow that way.
I am happy with Office Ally, and know most of the features, but I never like to put all of my eggs in one basket, ya know?

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