General Category > New!

* Urgent Response * First Client

(1/4) > >>

RCC:
I have a possible new client. Dr of internal medicine. I will meet with him next Tuesday. New practice and all. Please tell me what it is that I need to ask of him. He says he going to be out of network, does he need to be credential for any insurances like at least Medicaid & Medicare? He says he looking into using Kareo, does that have a PM and EMR? How would you charge a new practice. I am in NY so we can't do percentage.

Thanks in advance for anyone response.

Excited and nervous. I want to do this right.  :'( ;D

Merry:
Congrats.  Happy for you.  Yes,  he has to be credentialed for Medicare and Medicaid.  Why is he not joining any networks?  I certainly would ask him
because you may help him see this in a different way. Sonetimes they are misinformed.  Going to let others chime in here.  Assume you are set up with a contract,  HIPAA requirements and that he is also HIPAA compliant with Policies and Procedures etc. 
And please tell us about you.  We love it when new billers find us.  If you need additionsl resources,  please check out medicalbillingstudycourse.com where you can purchase individual courses if you need help in certain areas. 
A big welcome!!

Merry

RichardP:
I'm going to be blunt.  Teaching you to fish, rather than just giving you a fish, and all.

You have posted here multiple times, so I assume that means you have an internet connection.  Yet you are asking us about Kareo.  Why do you not just go to Kareo's website and discover the answers for yourself?  Also, you ask about Medicare and Medicaid.  Why would the provider need to be credentialed with these if s/he is not going to see Medicare and Medicaid patients.  And if s/he is going to see these patients, why have you not told us that?

If you actually want to be responsible for the financial well-being of another (cash flow for provider), you really need to buy into the "figure it out for yourself if you can" mentality.  With the questions you are asking here, it looks like you want others to do the work for you.

For example:  go to this link and type in the terms you want to learn about in the upper right-hand corner of the page.

http://www.medicalbillinglive.com/members/index.php

If you type in "credentialing, you will get many links to posts here about that subject.  The very first link is to a post by HeidiK yesterday (4-24-14).  Her post contains the first link below.  The third entry on the "credentialing" page contains a post by Linda.  Her post contains the second link below.

http://www.mcres.com/mcrmm08.htm
http://www.caqh.org/ucd.php

I am all for helping folks learn.  I am not at all in favor of helping someone get in over their head.  If this is a provider new to private practice, they need a biller who knows what they are doing.  You are not coming across as that person.  If you are going to be useful for a new doctor, you need to have an intellectual curiousity that will drive you to find your own answers.  There are plenty of resources in the database of posts here.  It sounds like you have not yet made good use of those resources.  I've pointed you in a direction that can be very useful for you if you want it to be.

We have established quite a few providers in their own practices for the first time.  I know all that is involved in doing that when the doctor doesn't know what he needs and doesn't even know the right questions to ask.  So I know the problems that can be caused by such a doctor relying on a biller who also doesn't know what they are doing.  Hence, my bluntness here.

PMRNC:

--- Quote ---I have a possible new client. Dr of internal medicine. I will meet with him next Tuesday. New practice and all. Please tell me what it is that I need to ask of him. He says he going to be out of network, does he need to be credential for any insurances like at least Medicaid & Medicare? He says he looking into using Kareo, does that have a PM and EMR? How would you charge a new practice. I am in NY so we can't do percentage.
--- End quote ---

He doesn't NEED to be credentialed with any carrier, nor does he HAVE to be enrolled in Medicare or Medicaid. I'm assuming you have billing knowledge so you know the requirements if you plan to be non par with all carriers, Medicare, Medicaid etc? If he does plan to enroll then yes of course he will need to get enrolled with Medicare/Medicaid. If not, sounds like he'll be almost a cash based practice and your goal would probably be to help him become an all cash provider. Focus on efficiency in the office with collecting all fees up front. I have had a few clients GO cash and it's not easy, so if this is a NEW practice you want to start off on the right foot.

Kareo has both PM and EMR, I use Kareo but I will warn you they are NOT for the new medical biller. Unless you have experience you will need more training, Kareo's support is only so-so but I think it's because many sign up with them having no experience and expect full medical billing training. They won't do it..  I love their system it's one of the best ones out there I've ever worked on. My clients on Kareo hold their own subscriptions so the cost is not built into my fees (I'm in NY also ..upstate) This helps me keep my fees competitive yet allow me to still make money. I bill a flat fee which is "based" on an hourly rate I expect with all costs added in.

RCC:
Thanks to all, I said Kareo, because the physician said thats what he wants to use. I have brought many of the books and have read them all. I was just asking as a new biller and you have to start somewhere. Everyone was a new something. Your bluntness was well taken, but you will not discourage me in asking questions. He stated that he doesn't want to work with insurance companies, he wants to do all out of network. I use office ally and I claim. This forum was for us to ask questions. I have 30 years experience in the medical field, but I only did the superbill end, I was a medical secretary. But I appreciate all the input whether you are critical or not. I rather ask, then not ask. Why should he participate in insurance, I didn't see any of your books on that.

Thanks to all, really appreciate it.

Navigation

[0] Message Index

[#] Next page