Starting a Medical Billing Business > Starting Your Own Medical Billing Business
Signed my 1st Client!!!!!!
PMRNC:
--- Quote --- I asked 3 times if he wanted me to send paper, he said no. He wants all "clean electronic" billing.
--- End quote ---
CONGRATS!!!!
I echo what Merry said.. interrupting the current claims flow can be a pain. You might want to tell him there is no advantage to holding them. Remember that Medicare has 14 hold anyway so you could look at long delay.
Merry:
But a 29 day hold for paper claims for Medicare. Of course this is his decision.
Merry
PMRNC:
Oh your right.. brain fart.. lack of sleep ::) :o
Michele:
--- Quote from: AllAboutU on April 16, 2014, 12:05:47 AM ---Medicare Part B: I need a submitter ID as a billing company in TX, he needs to apply for electronic billing privileges after my ID comes in.
--- End quote ---
It depends on how you plan to submit. If you use a clearinghouse then you use their submitter number. Yes he has to file (or you can prepare for him) EDI paperwork giving permission to submit claims electronically on his behalf.
--- Quote from: AllAboutU on April 16, 2014, 12:05:47 AM ---Aetna, BCBS, Humana and UHC I haven't contacted yet, I'm assuming it's the same deal. I have them on the calendar to call tomorrow.
--- End quote ---
Some insurance carriers do not require any EDI paperwork to submit claims. Aetna and UHC do not. BCBS usually does, have to check.
--- Quote from: AllAboutU on April 16, 2014, 12:05:47 AM ---He needs web access as well to all payers. Or can I sign up for that as a practice management company. I want to be able to see claims online and download the remits. Right now the agreement is his staff to fax or email to me.
--- End quote ---
Again, depends on the carrier. You can sometimes enroll as the billing service and get access on his behalf. Also, some companies like Navinet and Availity allow you access to multiple carriers in one location.
--- Quote from: AllAboutU on April 16, 2014, 12:05:47 AM ---I need copies of his contracts, he does not have any on file or can not find them, therefore no fee schedules available to me at this time. Can I call on his behalf to obtain these? Or will he need to?
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That will again, depend on the carrier. You can at least call and find out how the copy can be obtained.
--- Quote from: AllAboutU on April 16, 2014, 12:05:47 AM ---I'm using a software vender to submit claims, but I am not sure if I have to register with Availity for a submitter ID as well.
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I'm assuming the software vender is not Availity. You don't have to get an Availity number unless there are functions of Availity you wish to use.
Good luck and best wishes! You will be fine. We can tell by the types of questions you are asking. ;)
shanbull:
--- Quote from: AllAboutU on April 16, 2014, 02:30:56 AM ---Merry,
He's Chiro. I have not billed Chiro before, but I do have 7 years experience with PPO's and Medicaid. No Medicare experience though. I am about to buy Michelle and Alice's Chiro billing book so I can start reading and learning about billing for chiro And I've seen a lot of Chiro ?s here and on Linda's site, I plan to read and reread all of them lol. I asked 3 times if he wanted me to send paper, he said no. He wants all "clean electronic" billing. The company he was using is called Inception, I have not heard of them but they are still using the old paper cms1500 form, so his claims have all been kicked back. He's ready to take a loss on the billed claims and just submit April forward. Medicare stated I can submit for him on paper, just not electronically until my ID comes in. So far looking up BCBS, BlueLine, Humana, UHC, Aetna and Cigna it looks like I just have to register with availity. Hopefully that's all I have to do and I can get to helping him bring in cashflow. We bill Medicaid like that at the "real" job I have. Our smaller Medicaid payers do not have portals to direct bill, so we submit claims through TMHP (Texas Medicaid) and they transfer them, man if I could do that with Medicare lol
--- End quote ---
Let me know if you have any chiro billing questions, we have 6 chiropractors at our clinic and I think I might be an expert at this point. Especially with Medicare.
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