Medical Billing Software > Medical Billing Software Reviews
Congrats to Kareo!
gurumedbill:
--- Quote from: RobertJ on March 20, 2013, 04:06:10 AM ---
--- Quote from: PMRNC on March 19, 2013, 05:51:31 PM ---I believe it's only their billing service, not their providers claims info. Believe me I already made that inquiry ::) >:(
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I am pretty sure that if these companies had to let their clients know while signing the contract that the billing is actually processed in India, many of the doctors would say NO.
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I am sure you are right. Some would still do it to save money but just about all of them would be upset they were not aware of what was happening.
RichardP:
RobertJ - Software as a Service (SaaS) companies provide Billing software and storage space on their own servers. For a fee, you can log onto the billing software (using the Internet) and use that software just like it was installed on your own computer wherever you are. Any data you input is stored on a server belonging to the company you are leasing the software from. Once all of the billing data has been processed, you send the data off to whatever clearinghouse you are using. The clearinghouse formats and forwards the data to the appropriate Insurance Carriers for payment. Maybe you know this already?
This service is what Kareo provided in the beginning. You do the actual billing work. You send the results of your billing work off to a clearinghouse. Kareo is only providing the billing software and hard drive storage space, for a fee. It shouldn't matter where in the world the software and servers are physically located (aside from security issues). You are the one who actually posts the DX and CPT codes and hook them together in the proper sequence.
What Kareo has offered recently is a billing service. Doctor forwards appropriate paperwork, or grants access to data in his EMR, and Kareo's hired billers do the actual posting of the DX and CPT codes into the billing software and hook them together in the proper sequence. Then they forward the completed billing work to the clearinghouse. The concern is that the people doing the actual billing in this instance are offshore - compared to the first instance where you were doing the actual billing, you were just using Kareo's software and storage space (located wherever).
For those who are not clear on the distinction: In the first instance, you do the actual billing, using software and storage space leased from Kareo; in the second instance, people hired by Kareo do the actual billing, presumeably using Kareo's software and storage space. The offshore concern would apply only to this second instance.
RobertJ:
Richard, I am pretty clear with the concept. My question is actually on the second instance. is it acceptable for a company here to hire offshore guys without letting the doctors know about it?
PMRNC:
--- Quote ---Richard, I am pretty clear with the concept. My question is actually on the second instance. is it acceptable for a company here to hire offshore guys without letting the doctors know about it?
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I have providers with contracts with Kareo, so I am looking further into it myself now.. FROM my understanding there are no limitations with HIPAA in regards to sharing PHI overseas.. ASIDE from that, I'm looking into whether IF it is happening as I have discussed with a few of my clients and they would like me to look into it further. I can tell you that in starting to research the legalities of offshore outsourcing private medial records overseas IN GENERAL, I have found out that there are actually state laws pending and enacted in 26 states in regards to offshore outsourcing. I have 5 pages of state laws to research and this fell on my plate right in the middle of it. I WILL have a problem if the work I AM DOING on kareo and on behalf of my clients is being sent offshore AND without disclosure of such, legal or not. If you find anything out further, let me know and I will do the same. In an email i sent I just got a canned response, not even worth mentioning. I also deal with someone else over there occasionally and they are unaware of offshore instances on their end, but I'm still looking because I was always taught..where there is smoke there is fire.
RichardP:
Linda, I think this is an important issue - and I want to be sure I am understanding you correctly.
--- Quote from: PMRNC on March 20, 2013, 05:18:53 PM ---... if the work I AM DOING on kareo and on behalf of my clients is being sent offshore ...
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The work you refer to in that quote - 1.) do you mean when you put in the DX and CPT codes and link them up and then send them to the clearinghouse? That work? 2.) Are you concerned about whether the software / servers / clearinghouse(s) that you are using, through Kareo, are located offshore?
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