General Category > General Questions
Can you make a profit by charging 4%?
PMRNC:
--- Quote ---How do I develop a compliance plan?
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Take a look at the link I provided above for the OIG's compliance plan for the third party billing company.
--- Quote ---You are correct what do I do when a provider insists on using his own software?
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With technology today there are just so many ways to access the provider's system remotely. The most reliable I have researched was using logmein.com Each of my clients has an account. For every client that I utilize THEIR PM System I have my OWN login to both the Administrator's access on the computer (windows login) and there are 2 more layers of security using LogmeIn So long as the process you use is HIPAA compliant you are fine. Having my OWN login is also good for audit trail purposes in addition to being compliant.
--- Quote ---If he has no EHR, and does not want to use one, I would pass on him.
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Why? I've never turned down a client for software, their business is medicine. If it's something I can't work with, I'll find a way, in this industry turning down a client is NOT a good idea. JMHO
--- Quote ---What happens if he has PM but not web based? Some providers have spent big money on software and don't want to change, even though it may be obsolete.
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As long as their PM solution is HIPAA compliant, 5010 ready, there's no reason it can't be utilized. There are plenty of remote options like I mentioned above. The challenge is of course if your not experienced there's a learning curve of the PM software. With my experience so far, I've never found a PM system I couldn't find my way around.
--- Quote ---I asked elsewhere, there are middle to large companies doing most of this business who outsource most of their work within USA or offshore. These companies handle 80% of all the medical billing business. How do they do compliance?
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With offshore companies they are NOT required to adhere to US laws, therefore full compliance and liability falls on the provider. This is how I usually get a potential client to turn away from offshore, by simply explaining the money they are saving with the billing they will spend twice as much in their FREQUENT but NECESSARY trips to these facilities. That is the ONLY assurance of compliance you have. I'm constantly amazed at these doctors who offshore outsource and have never visited the place, and have just taken these companies at their word!!
rdmoore2003:
i need a drink after this. hipaa should be the first thing, IMO, that a person should learn about in its entirety before even starting in any part of the medical field. and never ever go by something you were told by another person just because they do some sort of webinars or training. most people will tell you that psychologists cant write rx, but that is false.
PMRNC:
--- Quote ---i need a drink after this. hipaa should be the first thing, IMO, that a person should learn about in its entirety before even starting in any part of the medical field. and never ever go by something you were told by another person just because they do some sort of webinars or training. most people will tell you that psychologists cant write rx, but that is false.
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A glass of wine to Regina from me :) I totally agree. You have to remember you have NO way of knowing the company your speaking with IS adhering to compliance. Something simple like an unlock able filing cabinet! I mostly see the problems with the ones that hire outside help and don't maintain the proper insurance or check and make sure they are compliant themselves since it's their liability.
tallmanusa:
There are dozens of companies who collectively service the vast majority of providers. I will give one example of athenahealth.com, because this is a public company symbol ATHN. What they do is public information. They claim to have 39,000 providers as clients. They outsource most of their billing. They are not the only ones, almost all companies public and private outsource their billing services, some within USA, some offshore. That is how this business is run, at that level.
And yes, they don't take anyone who does not have EHR, like most of these companies.
I am at a loss, if that is how the business is done, then where is the problem?
rdmoore2003:
Linda, thanks for the wine. :)
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