General Category > General Questions
Can you make a profit by charging 4%?
tallmanusa:
I believe compliance issue is addressed by the Kareo/ Practice Fusion software.
supertaz93:
There is a lot more to "compliance" than just your software.
tallmanusa:
I am not sure how much HIPAA effects the medical billing companies. From what I can gather it does not, as long as your software complies with certain requirements; Kareo advertises that theirs does.
www.athenahealth.com is a public company and they claim to have over 39,000 providers they service, I believe most of their work is outsourced to India. ( By the way they charge an average of 6%). If HIPAA was such a big deal, these mega companies would not exist.
PMRNC:
--- Quote ---I am not sure how much HIPAA effects the medical billing companies. From what I can gather it does not, as long as your software complies with certain requirements; Kareo advertises that theirs does.
www.athenahealth.com is a public company and they claim to have over 39,000 providers they service, I believe most of their work is outsourced to India. ( By the way they charge an average of 6%). If HIPAA was such a big deal, these mega companies would not exist.
--- End quote ---
I think my blood pressure went up a bit here.. I mean no disrespect but this is why physicians need us. You've been misled, mis taught or received mis information. Billing companies are INDEED subject to compliance issues. You are a business associate under HIPAA however carry the same penalties, fines and liabilities as the doctor himself, in regards to fraud/abuse. Your software and software company are merely "tools". That doesn't even scratch the surface.
tallmanusa:
Pray tell me, how do so many medium to large sized companies outsource all their work?
There is a consultant Rochelle Glassman of Phoenix Physician Services
http://www.pps247.net/index.php?option=com_content&view=article&id=13
She gives webinars for Kareo: https://www.kareo.com/resources/webinars
Her next webinar is on November 15.
She has completely different views than yours, that it is completely doable with Kareo software.
Regarding outsourcing our only trade organization hbma.org provides guidance for outsourcing including resources; they have a compliance conference on March 15, 2013. In my conversation with them, they informed me that HIPAA does not
" materially " effect medical billers, caveat that they use a software that has built in compliance.
If you could kindly give us a link where it describes that HIPAA is onerous specifically for medical billers I would appreciate it. It may be onerous for providers just not for the billers.
I don't plan to do any business with any provider that is not on EHR and PM web base platform.
Physicians do need us, but only if we add some value to their business and increase their revenues; the first step for them to increase their revenue is not us, but to implement EHR and PM.
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