General Category > New!
Breakdown of Doctos
shanbull:
Mental health can have low comparative reimbursement for the providers (although it's really not too bad), but it's one of the easier specialties to bill for. I am employed full time by one clinic, and the specialties I bill for are:
- Chiropractic (easy once you know all the rules)
- Acupuncture (a bit harder, more rules than chiropractic)
- Physical Therapy (harder now that functional limitation reporting is required, lots of mutually exclusive procedure rules)
- Internal medicine (usually not hard but once in a while a real conundrum)
- Psychotherapy (easy)
- State Medical Home program (awful, it took a software patch and 6 months to get this billed properly)
- Cardiology assessments (tricky due to diagnosis requirements for Medicare)
Mental health billing is a good specialty to get some experience in. It's not likely to overwhelm you with technicalities. I get paid the same amount per hour regardless of what happens, so I would highly recommend charging a flat hourly or per claim fee. That way what you make isn't directly tied to how much or how little the provider makes.
--- Quote from: PMRNC on January 29, 2014, 03:24:04 PM --- only one specialty I won't touch is chiropractic. No amount of money will get me to touch that specialty.
--- End quote ---
:P Curious to know why? There are so many potential reasons why someone would not go near it.
PMRNC:
--- Quote --- :P Curious to know why? There are so many potential reasons why someone would not go near it.
--- End quote ---
It's my own opinion based on experience talking with many billers and chiropractors, the risks are higher of fraud.. may seem like a stereo type but this is just what I've seen. Knowing the rules is one thing.. getting chiropractors to play by them seems to always be a headache. JUST MY OPINION!!!
shanbull:
--- Quote from: PMRNC on January 30, 2014, 02:02:28 PM ---
--- Quote --- :P Curious to know why? There are so many potential reasons why someone would not go near it.
--- End quote ---
It's my own opinion based on experience talking with many billers and chiropractors, the risks are higher of fraud.. may seem like a stereo type but this is just what I've seen. Knowing the rules is one thing.. getting chiropractors to play by them seems to always be a headache. JUST MY OPINION!!!
--- End quote ---
Actually I agree, we just received another letter today getting yelled at for billing too many 3-4 region adjustments compared to 1-2 region adjustments (by a ratio of 9:1). Of course they also just gave this provider their highest rating and don't even make him request prior authorization. So they're both threatening to kick him out and giving him the highest rating they have within the same month ::)
PMRNC:
I can honestly say I've NEVER had the privileged of speaking to an HONEST chiropractor! My insurance guy even told me that malpractice and E/O for chiropractors are higher.. gee wonder why?
cflorez:
Thank you all for that dialogue. Your right, when your first starting out there are so many questions whirling in your head. It's hard to know which one to solve know or later. But, you have no idea how helpful these forums are. You all are appreciated. Thanks
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