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Doctor billing pass Filing limit
mbspecialsit:
Hello all! I'm looking for some advice and/or suggestion.
I work for a primary care physican and we see an average of 25 patients a day. Lately he's been
slacking on signing off notes so that I can bill the visit. (I'm not a coder just a biller.) As you all
know most insurance have a filing limit and we have been getting a lot of denials for filing limit.
I have given him a list of the insurnace with the filing limit days. And every Friday I give him a list
of the patient that need to have their notes signed off so they can be billed, but that doesn't help.
I have even talked to him about it but he just shruggs it off. What can I do to make him see how
much money he is losing?
Thanks!!
Pay_My_Claims:
nothing....wait for them to shut off the lights and lock the door.
I personally would be seeking another job
blhoffman:
My suggestion would be to run a report on patient balances past timely filing and the $ amount for each insurer.
I would then X that by each month and show him the total $ figure he will have lost in income by the end of the year if he continues to sign off late.
Sometimes people don't see the big picture. It will take an overall projection of what the bottom line is down the road. Then let him decide if those numbers aren't worth worrying about.
Michele:
I would also try to figure out why he doesn't make the time to do it. Is there something that can be done to make it simpler/less time consuming for him. Have the charts all ready in a pile? Also, suggest that he block off a section of time specifically to do this, maybe around lunch time once a week, and order out. Incentive (the money) and ease (giving him a plan to accomplish it) are the key. I know it almost sounds like babysitting, but if you show him how you took charge, figured out a plan, and implemented it he MAY give you credit. Or he may not really care. :( Sorry could go either way. Personally as a boss I would appreciate your concern for the situation and efforts to rectify it, but not all drs recognize they are also businessmen.
DMK:
I have been where you are before and it's so frustrating! Especially when, as a biller, your job is to process and complete your work, and you can't do that until they process and complete their work.
blhoffman's suggestion is what I did. Unfortunately, my doctor didn't seem to be too motivated by money. I finally sat down and asked what was going on. It turned out that he was having trouble at home and he felt like he was only "Daddy bringing home the bacon". It made him angry and made him want to "show them". I told him I understood, but that when he didn't finish his work, I couldn't finish my work and that made me very uncomfortable because I only paid for myself by doing my job.
We figured out a way to organize what files were incomplete each day, at the end of the day. I stressed how important it was to complete the files while it was fresh in his mind since an audit would financially decimate him. It wasn't just a visit he wouldn't get paid for, he'd get fined!
Ultimately, I was always a day or two behind. It was still not the way I prefer to work, but it got better.
I wish you the best of luck, but understand that when it gets too difficult to work that way you may need to find an alternative.
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