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Ins. Co. Stall Tactics

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tallmanusa:
We bill for over one hundred Chiropractors, so we know a thing or two about Chiropractic billing.
We sign up one new every day.
We are not business or marketing geniuses, far from that.
There is NO major billing company in the United States that I know of, that would take them.
The reason is simple, insurance companies would simply not pay them.
How do we make any money?
We charge them a flat monthly fee as a minimum. They do pay; some of them don't collect enough from the insurers even to cover our monthly fee. If they don't pay we terminate their contract real quick.
For some of them it does not make sense to hire a biller, but they do hire us.

shanbull:
I work for 3 chiropractors, they all make money. They bring in the 2nd highest amount of revenue on their claims behind physical therapy. It's pretty straightforward, either it's covered or not. If it's not covered, we don't bill for it in the first place, because we verify benefits before seeing patients. Also at least half of our chiropractic patients are injury cases anyways, and the reimbursement for that is very high. It pays much better than health insurance. So if a chiropractor isn't making money, the problem is not necessarily the specialty. It's that the chiropractor isn't seeing the right patients and isn't paying attention to policies and coding/documentation requirements. There's no mystery involved in it, at least here. Maybe it's different in other states.

3 months for change of address sounds a bit long but still within the "standard" time frame. Call every week and bug them and they'll process it more quickly so they don't have to keep hearing from you  ;)

PMRNC:

--- Quote ---There is NO major billing company in the United States that I know of, that would take them.
--- End quote ---

BINGO.. nuff said there.


--- Quote ---The reason is simple, insurance companies would simply not pay them.
--- End quote ---

Incorrect. You bill properly, you get paid according to plan benefits.


--- Quote ---We charge them a flat monthly fee as a minimum. They do pay; some of them don't collect enough from the insurers even to cover our monthly fee. If they don't pay we terminate their contract real quick.
For some of them it does not make sense to hire a biller, but they do hire us.
--- End quote ---

That should be the way it is for any provider.. why target chiropractors? In one instance you say it's because insurance companies don't pay.. so they think they hire an OFFSHORE company they will get paid?

sorry, probably turning this into a discussion that doesn't belong.

Again, as someone who has processed claims for 3 of the top 5 carriers in the US.. Chiropractors rank 2nd in fraud/abuse.. (second to DME) #3 is laboratories.

Michele:
We do bill for chiropractors.  They all do get paid by insurance carriers.  The problem that we see is that with deductibles and copays going up the patient out of pocket is higher and the insurance reimbursement is lower.  But they are still getting paid.  That is why percentage billing is not so good.  But flat fee billing works for them and depending on the provider, they can bring in a good income. 

Michele:

--- Quote from: PMRNC on October 03, 2014, 09:24:32 PM ---
Again, as someone who has processed claims for 3 of the top 5 carriers in the US.. Chiropractors rank 2nd in fraud/abuse.. (second to DME) #3 is laboratories.

--- End quote ---

Just curious, podiatrists first?

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