Starting a Medical Billing Business > Starting Your Own Medical Billing Business
Employees working at home
medco:
I don't have to spend $20,000 on computer software? I can just use theirs? If a doctor always used a clearinghouse does that mean the his computer isn't capable of doing his billing? Does he have to get it upgraded? Any help would be great.
midwifebiller:
Chiming in here. ALL of our contractors work at home. This has been a few billers, then grew to over 30 billers, AR specialists, benefits specialists, etc. Paying them per work (instead of per hour), solves the padded time card problem. Visiting their home office to check the set-up and compliance helps, too. Not everyone can work from home. We screen carefully when hiring and find out about kids at home, other family members at home, schedules, basically as much as we legally can. If there is too much drama in her life, working at home will not work. We have had to let people go during their probation period when there was just too much drama or they couldn't stay on task. For the most part, I love having contractors with their own home offices. Instant Messaging, weekly team meetings and monthly face-to-face gatherings help hold things together and create an atmosphere of cooperation. I did have one biller come to my home office to work on the extra computer--and I didn't like it! I guess I just like my space.
PMRNC:
Anyone with "access" must adhere to HIPAA regulations which do require login's to both the PM software AND that remote computer. So you can't just go sign on using doctors login. This is not just required for HIPAA but it's also a lifesaver for Audit trail. Suppose there is an audit, that person's login will be on the hook for any problems, and you can catch errors made by each person BEFORE it gets to a bad point. For my clients I bill remotely for and logging into their system, I have not only a login for the PM software but I must first login with my OWN logmein credentials and then to their Windows, I have my own login as well. All of that detail has to be outlined in your compliance plan.
midwifebiller:
We use our own web-based billing program, not the midwife's, and each person has their own login. HealthPac has good audit reports which help keep track of when people log in, how much work they get done, etc. It *would* be a nightmare if we could not keep track of each person!
Michele:
Wow you are the first positive case we've heard from. Nice to hear it can be done. :)
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