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Question regarding your books...?

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kwardbilling:
Hello Michele:  I am a newbie and have been looking at the books that you and your mother wrote.  I would like to order one to see how they work for me.  Unfortunately right now funds are a little tight.  I have three clients right now and have been doing mental health billing for 3 years part time from home.  I have recently lost a client, as he called my bluff.  I know I was taking in a lot of money for him and he also had several other incomes, and he was paying me late (behind by 1-2 months), I told him we needed to set a goal to get caught up and I would be willing to let him make payments, but he called my bluff and dropped the service .....upsetting, but I was being taken advantage of.  He kept telling me how he'll be lost without hte servie that I brought him in so much more money that he had collected on his own, but that he will be doing his own billing again.  Now I am in need of picking up at least one to two more clients to fill his voice.  I need some advice on which book to start with as I can't afford them all right now. I was thinking of geting the Mental Health billing Pack, or Taking your Mental Health Billing to the Next Level.  I feel like I have a pretty good handle on the claims process, however, I liked the idea of the information on medicare and medicaid, not to mention just having a resource handy.  After hearing a little bit about my background which book would you suggest I start with?  Thanks for any info.  Also I am from MA I don't know if that makes a difference.

Karen

Pay_My_Claims:
obtaining training material is great and helpful, but I also think you have some other issues you need to look into as well. did you have a contract #1? no matter how knowledgeable you are with the billing, providers will SCREW you. They know that there are more and more "at home" billing services and they will rotate us like whores in a brothel. I never allow them to go 2 months without payment. We always bill a month behind, but if payment has not been received by the 15th of the month, you are suspended. I don't do payment arrangements. If the provider is having financial issues, and I am bringing in his revenue, he needs a financial analyst to evaluate his practice. I only deal with how he can improve his revenue based upon how he files, and how he receives full reimbursement (correct coding, obtaining auths, up front collections etc) I also do flat fee billing as I don't have the patience for % fee, plus all the grey area laws about fee splitting. Also have you thought about broadening your horizons? Don't just do the mental health, unless that is the only thing you want to do. I personally love DME billing, but I have and will do general practice. I like podiatry and neuro as well since they both have moved over into doing DME billing as well. Podiatry is my new market as I am looking to show them how they can benefit by billing for AFO's as well. The reimbursement is great. Neuro's can do the CPAP's and make great profit if they dispense themselves.  I need to get a couple of training books on some different specialties I haven't billed for as well

Good blessings to you

kwardbilling:
Thanks for your response.  I am working on a contract, as someone from this site just suggested that, up until now I wasn't too concerned, but I see it's necessary.  Any suggestions of what I should put in the contract are always welcomed.  I have been charging by the session, not by %, I like it that way, it's much easier to keep track of and also lets the counselors know exactly what they owe me so they have no surprises.  It seems to be working well for me over the past three years.  The software I own is for mental health, (Therapist Helper), so I hadn't thought about branching out yet.  My contract isn't up on the software, and also I feel like I'm getting a good handle on the mental health.  I had no background in billing before I started this, so I don't know a whole lot about coding etc.  I don't know if you've seen any of my other posts, but I kind of fell in to this as I work at our local high school as an administrative assistant and one of the counselors asked me to learn billing and do it for him.....that's how this all come about.  I am really enjoying it, love the independence, and I have that detailed personality! :)  I am pretty sure that you can do chiropractic and physical therapy billing with my software, maybe something I should think about.....?  Anyway,thanks for the response.

Karen 

Pay_My_Claims:
what do you mean charge by the session? Do you mean you charge them a fee for each session you bill? This would be similar to my flat fee billing. Well as far as your contract is concerned, there are plenty of "sample" contracts on the web. I would still advise that a lawyer look over it for you. Remember whatever can happen will, so you want to cover all bases. You should include termination clause in your contract as well. I don't do yearly contracts myself. I charge a start-up fee (non-refundable) and bill a flat fee, so as long as either of us gives 30 day notice we can terminate the contract, which is basically a month to month.

kwardbilling:
Thanks for the info.  That's exactly what I do right now, a 30 termination notice is asked, although I hadn't had it in a contract.  I am definitely doing that now.  And yes, I charge so much for each session I charge.  Same Idea as a flat rate. 

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