Medical Coders Are On Demand
Medical billing job is a field that is gaining popularity in a rapid phase nowadays. There are numerous opportunities when it comes to a professional medical coder or biller. The salary is also good and it only depends on a few things like your job location and previous experience in the sector.
When it comes to acquire a job in the medical billing segment, it is enough if you can convince that you are capable of doing this job, though of course, a basic idea of the course is mandatory. You can convince the employer by explaining your previous experiences in accounting field and the things you learnt out of it.
Nevertheless, if you look into other courses in the field of medicine, you would need to complete a professional course that would take around two to four years. Yet, when it comes to billing in medical field, the only requirement is to pass a national exam. The number of days of classroom training and the institution that you choose to study does not matter at all. It is enough that you study and pass the exam and become certified as a medical coder or biller.
However, if you are not able to prepare on your own or if you think that you need some guidance, you can choose training programs offered by institutions with medical billing courses. Alternatively, it would be a better option to choose a course online, so that you can quickly complete the basic course and then start looking for jobs at the earliest.
When you choose an institution, you will have to attend trimesters and semesters, and some of them might charge more than necessary fee. But when it comes to opting for an online course, you can save a lot of time along with a considerable amount of money.
Professional Medical Biller
Whatever be the type of class that you choose, see to that it has all those things required to train you as a professional medical coder. Jot down a list of schools, compare, and decide on a school. Make sure that the institutions do not over-charge you for the course.
You can save some money on the course with the financial aid that is provided by the Federal government. So it is advised to check if you are eligible for the financial aid as well.
The Benefits Of Medical Billing Job
There is no doubt that medical billing jobs are considered as one of the most lucrative career options that we have today. It is certainly because of the high salary that a medical biller gets. Though the pay is high, you can see that the job demands a high-level of responsibility and commitment. The below mentioned facts will provide you with a detailed picture regarding the job and its tremendous scope.
The benefits of the job
Optimal health care facilities are always in a rising demand. These advanced medical care departments help us lead a happy and healthy life. This is why the vast extended medical establishments are always in search for experienced medical billers. You can see that medical billers are required for almost all the sections of medical science.
Are you looking for a promising job in health care department and are ready to work with medical insurance companies? Then medical billing will certainly become your forte. Make sure that you are a person who has an eye for minute details. Then you can consider it as a preliminary criterion to be qualified for this profession. Nowadays, billing experts and medical coding specialists are an integral part of the medical services industry.
Medical billers should be able to enter all the precise data and the medical history of an individual, avoiding even the slightest of discrepancies. This is because even the slightest of error can result in disastrous after effects and serious legal problems. The important medical files and all relevant information should be saved and shared with the concerned officials in a highly professional manner.
Medical Billers And Coders
Many institutions provide exemplary training for medical billing jobs. You need to choose a reputed institution to get a flawless training in billing jobs. This certainly can make a huge difference. It is because many bogus institutions are out there that claim to be professional. People who are trained from such institutions will never be able to make it big in their career. The best thing to do is to search on the internet. You will get ample information about reliable schools that provide effective training.
Make sure that you are joining a reputed billing company once your training gets over. This is because experience matters a lot in this field. Medical billers with sufficient professional experience are easily employed by big and reputed companies.
Are you in search of a rewarding career? Then go ahead and become a successful medical biller!
Note On Medical Billing And Coding
Medical coding is an important step in the process of medical billing. The importance of these services comes in when a person receives a medical treatment from any hospitals, physicians or from any other medical centers. When a person gets the medical treatment, it is the duty of the service provider to document the services provided to the person. Finally, these documents are analyzed by the medical coders, appropriate code allocated for these services, and a claim that is to be paid for the person who received the medical treatment will be drafted.
Medical billing and coding is the area, which is getting popular these days because of the increase in the demand for health care services. Moreover, it provides a great opportunity to be employed in leading medical coding and billing firms, which will help you to earn a substantial amount of income, thereby facilitating a very good standard of living.
The stupendous growth in the demand for health care services resulted in this vast popularity of coding and billing services. If you are looking for a lucrative career in medical coding and billing, it is necessary to have a certification in this field. When you are certified, you will become more professional and will project the image that you are keen to get a serious job in this field.
If a person wants to become a professional in this field, it is necessary for them to pass two certification exams. One is RHIA Examination and the other is CMRS Examination. These certification exams will be conducted in the college where you are studying the medical coding and billing. Well, let us look into certain topics that one should consider before taking the certification exams in the medical coding and billing field.
- Human physiology and anatomy- A person should have a clear idea about the entire human anatomy and organs and about the different diseases that are affecting the human body.
- Medical Language and Terminology- Medical Language and Terminology involve knowledge in the medical language and a working experience and knowledge in medical terminologies.
About Medical Billing And Coding
- CPT and ICD-9 coding database-it is the important part that is involved in the medical billing and coding services. These codes are mainly used to describe the various health care services provided to the patients.
- Health insurance revenue cycle- This includes a fairly good idea and knowledge in the various processes included in the medical coding and billing industry, and about the forms used in these services.
Knowledge in these fields will help you to successfully pass the certification exams in the medical coding and billing industry, and will help you have a rewarding career in this field.
medical billing industry
Medical billing is a process in which people submit or manage follow-ups on claims given to health care insurance companies for getting their insurance. It is a vast and growing industry as more and more people are going to take health insurances every year. Below we discuss some important reasons that will make you go and select it as your career.
High Growth In Industry
Since more and more people are requiring health care services, the medical billing industry is in an all time high. Every medical service provided by health care centers include billing of the medical care they have got. The procedure also helps the companies to track the amount of money paid to the customers for paying their health care bills. According to the latest surveys by the US Department of Labor, 8 out of the 20 occupations projected to grow fastest are in the health care industry.
Training Required To Work
Another great reason urging you to pursue a career in this field is that you need to undergo only little training whatsoever for being familiarized with this field. You can also opt for getting an associate degree in medical insurance billing and coding in two years from a college for having a bright future in this field.
Work From Home
medical insurance billing
The best thing about pursuing a career in medical transcription or billing is that you do not need to go to an office and sit in the cubicle for a specified amount of time. You can do the job from the privacy of your home. Since there is no time frame for completing the work, you can finish the work whenever you feel like doing so.
Other Career options
Since professional medical billers have high a level of knowledge in hospital management and administration, depending on the base education they have, they have the option to move on to the following posts- Medical Billing Management, Medical Transcription, Health Care Administration, Data Collection, Medical Office Management, Health Information Technician etc.
Since the medical billers have great knowledge in this field, there is an option for starting a company of their own for providing medical transcription or billing services in their area. However, you must only resort to this option if you do have contacts with medical offices or insurance agencies and only if they agree to become your clients.
Lo, these many months now, practices have been ignoring ICD-10 and hoping it would go away.
CMS confirmed in March that the October 1, 2014 deadline was firm, so as of right now, you have approximately 1 year to get ready for the new code set.
Does that seem like a lot of time? It’s not.
I participated in a Tweet chat this morning with some leading experts on ICD-10, and one of them, Brad Justus, said that “Everyone should already have a budget and a detailed project plan and be well on their way to remediation.”
A Health Information Management Solutions Expert with significant expertise in ICD-10, Brad also said, “I am concerned that many are still not taking ICD-10 seriously and will have no resources available when they figure it out.”
Brad recommends that practices “have quality Project Management to make sure all tasks are completed by the right people at the right times.”
Another leading expert, Betsy Nicoletti, said in a recent blog post that “With the date for ICD-10 implementation a year away, it’s time to stop talking about ICD-10 and start learning ICD-10.” Appropriately, the title of her blog post was “A Little Less Conversation, a Little More Action, Please,” which most experts thoroughly agree with.
Among the points Betsy makes in her blog post are that practices should:
- Send two staff members to one or two day ICD-10 training program. A program with ICD-10 books. Larger practices and multi-specialty groups will need to adjust this recommendation up.
- Coders without training in Anatomy and Physiology should take an on line course or community college course right now.
- Plan to train your clinicians later in 2014.
- Buy an ICD-10 book.
- Print out your ten most frequently used diagnosis codes. Try to code those diagnoses in ICD-10. Can you?
- Select ten records that correspond to your most frequently reported diagnosis codes. Based on the medical record documentation, can you select ICD-10 codes?
- Show your providers a few diagnosis conversions each week, focusing on codes that don’t have a direct crosswalk.
- Use specific ICD-9 codes. The transition will be much easier.
- Have cash on hand for the transition.
You can read the full list in her blog post, along with other useful articles on ICD-10.
Another excellent resource for preparing for ICD-10 is the website ICD10Watch.com. This site features useful articles every week on different aspects of ICD-10 prep. An article published last week discussed “How to improve clinical documentation,” including these useful tips:
If you’re creating a formal plan, there are five key steps to improving clinical documentation:
1. “Assess documentation for ICD-10 readiness.”
2. “Analyze the impact on claims.”
3. “Implement early clinician education.”
4. “Establish a concurrent documentation review program.”
5. “Streamline clinical documentation workflow.”
There are any number of other resources, and CMS offers multiple resources on its website, including checklists and recently posted recorded webinars on how to get started.
Don’t wait until it’s too late and your revenue will be seriously affected by the transition. As Brad Justus added in the Tweet chat this morning, “Please don’t bet your job or your facility on not being fully prepared for ICD-10; Start Now If You Have Not!”
If you have concerns about whether your medical billing team can guarantee that your revenue cycle management will be ready for ICD-10, contact Medical-Billing.com today. We’ll be happy to help you with a smooth transition to ICD-10. Call us today at 800-966-9270 or email Sales@Medical-Billing.com
As of today, the new HIPAA requirements go into effect in less than 3 weeks. Are you ready?
If not, you have 20 days to get ready. That’s DAYS.
Time to prepare, folks.
As we have noted in previous blog posts, there are several steps that you need to take in order to protect your practice. In case you missed them, here are the highlights:
There are three relatively small changes that just about all offices will encounter:
- Patients can now ask for copies of their electronic medical information in electronic format. Also, with both paper and electronic record requests, the office has only 30 days to produce the information. There’s no more 30-day extension for records that are inaccessible or kept off site.
- When patients pay for services personally and in full, they can require that the office not share information about the treatment with their health plans.
- The office can give immunization information to a school if the school is required by law to have it and if the parent or guardian gives written permission.
A larger change that practices will encounter involves business associates, which are now required to comply with HIPAA just as providers are. They have to have safeguards and policies and procedures for keeping data secure. They are required to have business associate agreements with their own subcontractors. And they can get hit with penalties if they don’t.
What you need to do
Steps that providers need to take before the September deadline to protect their practices, provided by Holly Carnell, JD, and Meggan Bushee, JD, Attorneys at McGuireWoods on Becker’s ASC Review, include:
1. Update your internal policies.
Key changes that a practice will need to make to its internal privacy policies include (See the full list):
A. Breach standard response- the Omnibus Rule changed the standard for determining whether a breach of unsecured PHI has occurred; the new breach standard should be included in providers’ internal policies on responding to a potential breach. Who must be notified has remained unchanged.
B. Marketing and sale of PHI - marketing of third party products and services and sale of PHI is generally prohibited, unless the provider has received valid authorization from the patient.
C. Decedents’ PHI - providers may disclose only PHI that is relevant to the family member, relative or friend’s involvement in the deceased’s care, and cannot disclose PHI if the provider is aware that the deceased person expressed a prior preference for it not to be disclosed to the person in question.
D. Disclosures to schools - providers may disclose proof of immunization to schools if the school is required by state, or other, law to have proof of immunization prior to admitting the individual, and the provider obtains and documents the oral agreement to the disclosure by either a parent, guardian, or other person acting in loco parentis of the individual, or from the individual if he or she is an adult or emancipated minor.
E. Patient rights to limit disclosures - a provider must comply with a patient’s request that PHI regarding a specific healthcare item or service not be disclosed to a health plan for purposes of payment or healthcare operations if the patient paid out-of-pocket, in full, for that item or service.
F. Provision of electronic copies of medical records - providers complying with a patient’s request for an electronic copy of his or her PHI are required to provide access to such records in the electronic format requested by the patient if the records are maintained by the provider in an electronic designated record set and are readily producible in the requested format.
2. Provide staff training.
Make sure that your policies are both updated and implemented. Once your practice has updated your privacy policies, staff members should receive training on any new and revised policies.
3. Offer notice of privacy practices.
After you have updated your NPP, your practice must make the NPP readily available to existing patients who request a copy on or after the effective date of the revisions; must post the revised notice on its website, if applicable; and must post the notice in a prominent location on its premises.
4. Revise your business associate agreements.
Providers should revise their business associate agreement forms to reflect the new requirements under the Omnibus Rule. The deadline for this is September 23, 2013. However, existing BAAs that were entered into on or before January 25, 2013 and have not been modified after March 26, 2013 do not have to be updated until September 23, 2014.
You should note that the Final Rule broadened the definition of a business associate to include subcontractors, health information organizations, entities that offer a personal health record to individuals on behalf of a covered entity, and other entities that provide data transmission services for covered entities and that require access on a routine basis.
The Final Rule also provides a list of HIPAA Privacy and Security Rule requirements that apply directly to business associates, including requirements to:
A. Maintain detailed records of uses or disclosures of protected health information (“PHI”) to be produced upon request;
B. Provide an electronic copy of PHI to covered entities or individuals upon request;
C. Sign business associate agreements with subcontractors that create or receive PHI on their behalf; and
D. Make reasonable efforts to limit release or use of PHI to the minimum necessary to accomplish the intended purpose of the use or disclosure.
Many of these new requirements were not previously believed to apply to business associates, so business associate agreements will need to be amended to comply with the new provisions. For more information on your business associate agreements and what entities are covered under this definition, see this recent post on JD Supra Law News, which provided the BAA items above.
Once your practice has updated its BAA form, attorneys recommend conducting an inventory of all current BAAs (including BAAs in which the provider is the covered entity and BAAs in which the provider is a business associate or subcontractor). Each of these BAAs will need to be modified by an amendment or replaced with the practice’s revised BAA form. This may also be a good opportunity to consider whether the protections and restrictions in the form agreement go far enough in protecting patients and the practice.
You should review all your business relationships to ensure you have a BAA in place where one is required under HIPAA. Providers may have relationships that did not previously require a BAA, but which do now under the Omnibus Rule’s expansion of the definition of “business associate.” One key change to the definition of business associate is the inclusion of subcontractors of business associates that deal with PHI. However, covered entities are not required to enter into BAAs with downstream subcontractors. Rather, the business associate who contracts with the subcontractor must enter into a BAA with the subcontractor.
Remember that “business associate” includes such partners as:
- Medical billing service
- Marketing group
- IT support
If you’re unclear on whether a vendor is a “business associate” there are several good decision trees online developed by other groups that help define the term.
The penalties get higher
Finally, lest you think you can ignore these changes, remember that the penalties for noncompliance have gone up – significantly.
The amount depends on the level of negligence. Previously, the limit was $25,000 per violation; now it’s $50,000, with an annual limit of $1.5 million.
And the Office of Civil Rights, which enforces HIPAA, cautions that it’s looking hard for violations and plans to enforce HIPAA “vigorously.”
If you’re concerned about whether your medical billing service will be HIPAA compliant under the new rules, contact Medical-Billing.com at 800-966-9270. Medical-Billing.com maintains strict HIPAA compliance at each of its 5 nationwide branches, and we will help you bring more to the bottom line while keeping you in compliance.
HIPAA: What Your Medical Practice Needs to Do for the September 23, 2013 Deadline
HIPAA: Why Your Practice Needs to Worry About the September 23, 2013 Deadline
Be Prepared for the New HIPAA Rules — Coming Soon to Your Practice
Earlier this week, we shared a post entitled, “Physicians’ Top Concerns Include Financial Management: 5 Ways to Relieve Those Concerns,” which discussed several ways your practice can improve profitability, including expanding your schedule. We recommended adding hours before and after “normal” practice hours, as well as adding Saturday hours, in order to increase availability for patients and add revenue.
By coincidence, Physicians Practice published a related article just yesterday entitled, “How to Code, Negotiate After-Hours Reimbursement at Your Practice” which you will find extremely useful if you are considering expanding your schedule.
Among the useful tips the article provides:
- When negotiating with payers which are reluctant to pay additional reimbursement for after-hours services, you may succeed if you use savings potential as leverage. The author suggests that you “make it clear that you’ll willingly send patients to the emergency department instead of offering in-office after-hours services, but that ED services can cost as much as 10 times more than” comparable services you would provide. That’s a pretty powerful argument!
-To further demonstrate cost savings, the author advises that you could also start billing all applicable after-hours codes for your practice. Over time, he says, you will have compiled an archive of claimed charges, which you can use to show the insurer how often you provide these services. In this report to the insurer, consider adding data on the much higher price of ED visits for the same services.
Coding Correctly is Key
Another consideration, of course, is how to code and bill services in these added hours. We found useful information on this subject in an article on Supercoder Bolt (formerly Coding News), where the author detailed the differences between coding for services provided during your regularly scheduled expanded office hours and what is considered “after hours” (after your posted office hours).
The article advises that when your physician provides E/M service in your practice during regularly scheduled “evening, weekend, or holiday office hours,” you should bill 99051 (Service[s] provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service), according to AMA guidelines outlined in the CPT Assistant (Vol. 13, Issue 6, June 2003).
However, if you should decide not to expand your office hours, keep in mind that you can still receive additional reimbursement for patients seen after your normally posted office hours. If your physician sees a patient in the office during hours when the practice would normally be closed, such as on weekends or after 6 p.m., CPT guidelines allow you to bill 99050 (Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed [e.g., holidays, Saturday or Sunday], in addition to basic service) as long as the documentation supports the after hours service, according to Jetton Torix, CCS-P, CPC-H, course director of Knowledge Source Seminars in Star, Idaho, in the article.
An important note in the article: A patient is considered an after-hours patient only if they come to your office after your normal office hours end — not when they visit during normal office hours and the appointment runs past closing time.
Remember: The article also cautions that whether you select 99050 or 99051, you would report the after-hours code in addition to the appropriate E/M service code for the visit.
We hope you will consider some of these methods for improving your practice profitability. And remember, you don’t have to expand your hours necessarily; by hiring a part-time physician or non-physician, you can provide additional access to medical care for your patients when they need it.
If you are interested in improving your practice bottom line, a great way to start is to review your medical billing and insure that you are being reimbursed for all of your care, and getting paid in a timely fashion.
Medical-Billing.com will be happy to review your current levels of reimbursement and speed of payment and advise if there are ways they can be improved. Just contact us today at 800-966-9270 or at Sales@Medical-Billing.com.
Yet another recently released survey shows that physicians in the U.S. are struggling with financial management—90% report this as a concern, and it’s second in the list of top challenges second only to shifting reimbursement models (91%). The survey, conducted by Wolters Kluwer Health, revealed that the financial management challenges are coming from increased costs, healthcare IT adoption and the Affordable Care Act/increasing legislation.
When asked about their top focus areas for the next three to five years, physicians cite increasing their practice’s efficiency (48 percent), exploring different business models such as mergers, becoming part of a hospital system or patient-centered medical homes (34 percent) and adopting technology to improve clinical decision making or support evidence-based decision making (31 percent).
For those of us in the revenue cycle management field, the first item is key: increasing a practice’s efficiency.
This is something we have always encouraged, and continue to do so. Here are some things you should consider in terms of making your practice more efficient:
1. Make sure you’re getting paid for all of your care. I recently heard of a practice that hadn’t looked at their missed encounter reports for a year. When the reports were reviewed, the practice discovered that they had 15 missed encounter reports for just one code. That meant thousands of dollars of revenue lost! Don’t let this happen to your practice—missed encounter and other reports should be reviewed on a regular basis—weekly reviews are recommended.
2. Are you maximizing your schedule? Look at your no-show rate, and if you have a no-show rate of 25%, you should be double-booking 1 of 4 appointments. If you don’t, you could be losing up to $1.2 million per year, according to practice management consultant Rochelle Glassman. You should also keep a waiting list as many dentists do, says Glassman. That way when your schedule opens up, your staff can fill it quickly with patients who want to be seen—and will rarely be no-shows.
3. Are you expanding your schedule? As we mentioned in a recent blog post entitled Physicians: Are You Prepared to Compete with Retail Clinics?, you need to be aware that your competition now includes the Minute Clinics and Urgent Care Centers opening on nearly every corner. These centers are popular because many patients are no longer comfortable taking time off work, or they want to get help for their screaming baby first thing with a walk-in or same-day appointment. In order to compete, you need to take two steps according to Glassman:
A. Offer expanded hours before and after your current normal office hours, on Saturdays and during the lunch hours. You don’t have to cover these hours yourself; consider bringing on a part-time physician or non-physician provider to see these patients.
B. Review your schedule and arrange it to offer walk-in and same-day appointments. How can you do this while double-booking? Set specific times, and use your wait list to fill the appointments if needed. Don’t lose your long-time and new patients to the retail clinics.
4. Consider how you’re using your office space. Are you using valuable office footage for administrative functions when you could be using it to see patients? Functions like medical record storage and medical billing do not need to—and shouldn’t be—housed in your office when that office space could be generating revenue.
5. Is your medical billing team the right one for your practice today? The medical field is changing rapidly, and methods that once worked are no longer optimal for today’s medical practices. Hiring a front office person and teaching her to handle your medical billing is no longer sufficient with today’s more stringent—and complicated—requirements. Similarly, a one-person medical billing company is no longer the best choice to insure you are receiving maximum reimbursement.
In these challenging times, you need to choose the best, most cost-efficient means for insuring your practice profitability. That means the right medical billing team, and with the challenging reimbursement environment today, you need a top-notch team.
That’s why you should talk to a nationwide medical billing company with offices across the country. Medical-Billing.com is proud to say that we have experienced teams in cities across the country, providing a depth of experience and resources unmatched by most internal billing teams or medical billing companies.
To find out how we can help you improve your practice profitability, contact us today at 800-966-9270 or by email at Sales@Medical-Billing.com.
That’s right—my medical billing service beats your inhouse billing staff. Well, not literally—but in the things that matter, yes, our third party billing service can beat inhouse staff hands down on most points.
Here’s why I say that:
1. You only pay for our billing services when you’re actually using them. You don’t have to pay us whether or not you have claims to bill, whether or not we are sick or on vacation. And you only pay us when you get paid. That’s a pretty efficient way to run your medical billing.
2. Our medical billers are highly trained and expert in medical billing. Medical billing is what our billers do, every day, all day. We hire only highly trained billers, and we make sure they stay up to date on their training. Plus, they learn from each other—their colleagues in our offices across the country who are handling just about every specialty.
3. Our medical billers are up to speed on all the latest requirements and software. We make sure they’re up to date on HIPAA, CPT coding changes and other important legal issues. And they are trained on multiple software platforms. Because if we don’t, we are out of business.
4. Our medical billing staff will provide you with reports you can trust, and that have been proven to work for hundreds of other practices. We follow best practices across our multiple locations, and learn from what our experience managers throughout the company are doing. Reports are developed and refined to insure they are providing you with the information you need to manage your practice. And if you need different reports, tell us—we’ll work with you to get you what you need.
5. We save you all the hidden costs of hiring and maintaining a billing staff inhouse. Hiring and maintaining a billing staff has multiple hidden costs you probably don’t think about:
A. Medical Billing Specialist’s Employee salary
B. Medical Billing Specialist’s Employee benefits
C. Worker’s compensation
E. Healthcare insurance
F. Vacation, sick leave, etc.
G. Performance bonus
H. Computer hardware purchase & maintenance
I. Software purchase & renewal
Do what you do best. Let us handle the rest.
You didn’t go to medical school to learn how to manage medical billing staff; you wanted to treat patients. Why waste your valuable time on administrative details better outsourced and left to the experts?
Here’s what one of our customers said about making the change:
“Medical-Billing.com made all the difference for my practice. They eliminated all the frustrations associated with insurance reimbursements and increased my revenues by 100%.”
Why not find out how you can reduce your headaches and increase your bottom line? Contact Medical-Billing.com today at 800-966-9270 and talk to one of our practice revenue consultants about how we can improve your practice profitability.
We’d love to show you how we can beat the results your inhouse medical billing staff is getting.
When you search for “medical billing services” on Google, it may seem like you’re being deluged with information—and you may feel like you have no way to sort through what you’re seeing.
There are quite a few medical billing companies listed for any search—so how do you find the right one for your practice? Here are a couple of tips for looking at Google ads:
1. Look for reviews. As you can see from our listing, we have more than 30 reviews from customers linked to our Google listing. These reviews give you a good idea of how well we’ve performed for practices like yours.
2. Notice what the ad says. Our ad plainly states, “Every Claim Paid. Guaranteed.” We put our guarantee in print, right at the top of our ad, because we mean it. And we stand by it.
3. Placement matters. Being one of the top ads on the left side of the page says that the company is large enough to commit some significant dollars to advertising—and that’s a good thing if you want a medical billing service that will be around for a while (and you do). Having a medical billing service with resources and a commitment to the field will serve you in the long run.
Once you’ve called the number in the Google ad, notice a couple of things:
A. Does the representative on the phone seem to understand medical billing? If not, how can they match you with the service you need? If it’s a call center or the person just wants to close a sale without understanding your needs, beware. You want to deal with a medical billing service that understands and works to meet your requirements, and that starts with the first contact.
B. Does the representative give you a proposal in writing? Percentages and service level promises mean nothing unless they’re written down. Make sure you get all of your specified needs in writing in the proposal, so you know what the pricing includes.
C. Will the representative quote you real prices? In the beginning, of course, the rep needs to understand exactly what your needs are and how the medical billing service can meet them. But at some point the rep needs to be willing to quote you a price that includes what you’re looking for. And once you have a written proposal, you can compare that with what the services and price you are currently receiving. Otherwise, you don’t know what you’re comparing.
D. Can the representative answer your questions about denial rates, appeal success and other key performance indicators? Make sure you’ll be receiving the level of service that you need—a high denial rate and low appeals success rate will slow down your revenue stream significantly. And how soon after claims are received by the medical billing service are they submitted? Data will help you choose the best revenue cycle management partner for your practice.
When you’re looking for the best medical billing service for your practice, be sure to consider these questions.
And for more tips on when and how to select the right medical billing service for your practice, download our white paper with checklists and useful advice now.
Or, call Medical-Billing.com now at 800-966-9270 and we’ll be happy to answer your questions on improving your practice profitability.