One of the most challenging and difficult tasks in this business is POSTING payments.
It is challenging, yet absolutely imperative that you request and receive every last EOB that comes into a practice that you bill for.
Without the EOB's, claims seem to linger, and YOU CANNOT BILL YOUR CLIENTS.
What is the most encouraging way to ensure that you get those EOB's?
You may need to consider a fee if you don't receive them and if you THEN are required to spend time on the phones CHASING info regarding your clients payments...something to think about.
Wednesday, June 3, 2009
Tuesday, May 12, 2009
Medical billing basics - medical billing news!
When a physician or healthcare provider renders medical services to a patient they are entitled to be reimbursed. Collecting these moneys due is the medical biller's job.After each healthcare appointment the medical biller reviews the superbill or encounter forms attached to the patient's record to establish which services were provided. Next they re-check the patient's insurance coverage and note the name of the health insurance company. Then they prepare proper invoices and submit the claim.
Saturday, May 9, 2009
What is a medical biller and coder? medical billing news!
Medical billers and coders play an important behind-the-scenes role in the health care system. For example, imagine a patient who makes an appointment to visit his doctor because he’s feeling excessively tired. The doctor examines him and orders several tests.
The biller or coder who works in the doctor’s office must assign a code to each test. Thanks to these codes, the process of communication between the doctor and the patient’s insurance company goes smoothly. Why is that so important? If the codes are wrong, the insurance company might not pay the patient’s bill.
The biller or coder who works in the doctor’s office must assign a code to each test. Thanks to these codes, the process of communication between the doctor and the patient’s insurance company goes smoothly. Why is that so important? If the codes are wrong, the insurance company might not pay the patient’s bill.
Monday, May 4, 2009
Top ten reasons to become a medical billing specialist - medical billing news!
There is no better time than now to begin a career in medical billing. This industry is basically recession-proof. It is also quite challenging, yet rewarding at the same time and it is extremely lucrative.
Here are the top ten reasons to become a professional medical biller:
What the advantages are of outsource medical billing services?
1. One of the most significant advantages is Cost Benefit up to 60% with competitive pricing.
2. Medical billers are professionals who deliver satisfactory results to the client.
3. Medical billing professionals create maximum reimbursement and fewer denials
4. Most medical billers offer 24 / 7 customer support.
5. Medical billers can perform remotely, using a client’s specified software.
6. Medical billers offer accuracy and also comply with all Government Regulation.
7. Offer complete transparency with client is our policy.
8. Medical billing Services will help a client to save on expensive hardware and software.
9. Medical practices have no need to hire any specialized employee to do medical billing.
10. Medical billing services assist clients to overcome the obstacle such as under pricing, under coding and missed charges.
Here are the top ten reasons to become a professional medical biller:
What the advantages are of outsource medical billing services?
1. One of the most significant advantages is Cost Benefit up to 60% with competitive pricing.
2. Medical billers are professionals who deliver satisfactory results to the client.
3. Medical billing professionals create maximum reimbursement and fewer denials
4. Most medical billers offer 24 / 7 customer support.
5. Medical billers can perform remotely, using a client’s specified software.
6. Medical billers offer accuracy and also comply with all Government Regulation.
7. Offer complete transparency with client is our policy.
8. Medical billing Services will help a client to save on expensive hardware and software.
9. Medical practices have no need to hire any specialized employee to do medical billing.
10. Medical billing services assist clients to overcome the obstacle such as under pricing, under coding and missed charges.
Thursday, April 30, 2009
A career in medical billing - is it right for you? Medical Billing News!
The medical billing career is perfect for those who enjoy dealing with people because much of the time can be dedicated to talking with insurance companies and patients. The goal is to help make sure the medical billing process runs smoothly. Medical billing jobs can be held within a health care facility, or in an agency-type setting away from patients and doctors.
Even though there are two distinct medical billing career paths, some professionals can choose to work in a blended job - where they spend some time performing the functions of a medical biller and coder. Graduates of a good medical billing and coding school will have the skills to perform either function. It's really depends on what types of jobs are available in the area.
Please make sure to investigate your local market to make sure there is demand for medical billing jobs prior to joining a school. You want to make sure the skills you learn are applicable to the area you live in. Just because the medical billing career field might be booming in some area, it can very slow in others. Do the research, and you'll be much happier. We wish you the best in your medical billing career field.
Even though there are two distinct medical billing career paths, some professionals can choose to work in a blended job - where they spend some time performing the functions of a medical biller and coder. Graduates of a good medical billing and coding school will have the skills to perform either function. It's really depends on what types of jobs are available in the area.
Please make sure to investigate your local market to make sure there is demand for medical billing jobs prior to joining a school. You want to make sure the skills you learn are applicable to the area you live in. Just because the medical billing career field might be booming in some area, it can very slow in others. Do the research, and you'll be much happier. We wish you the best in your medical billing career field.
Tuesday, April 21, 2009
The perks of becoming a medical billing specialist - medical billing news!
In these unpredictable economic times, it can be a difficult decision to approach a career in a new field. How can you be sure that you’re making a smart decision? When you select a career in medical billing, you can rest assured that you’ve chosen wisely. There are a number of job perks associated with working in this industry.
Medical billing is a growing industry with real staying power. People will always be in need of medical care, particularly as the Baby Boomer generation continues to age, and the increasing digitization of medical records and insurance claims means even more work for skilled medical billers. Medical billing has even been referred to as a “recession-proof” career choice: Even as other jobs are diminishing or even disappearing altogether, the demand for medical billers is on the rise.
Medical billing allows you the flexibility of setting your own hours. Who doesn’t dream of being their own boss? With the right training, experience and connections, you can establish a successful medical billing business in your own home. This makes medical billing perfect for stay-at-home parents, anyone in a caregiver position, people with medical conditions or physical disabilities, or simply those individuals who want the freedom that comes with working from home.
Medical billing is a growing industry with real staying power. People will always be in need of medical care, particularly as the Baby Boomer generation continues to age, and the increasing digitization of medical records and insurance claims means even more work for skilled medical billers. Medical billing has even been referred to as a “recession-proof” career choice: Even as other jobs are diminishing or even disappearing altogether, the demand for medical billers is on the rise.
Medical billing allows you the flexibility of setting your own hours. Who doesn’t dream of being their own boss? With the right training, experience and connections, you can establish a successful medical billing business in your own home. This makes medical billing perfect for stay-at-home parents, anyone in a caregiver position, people with medical conditions or physical disabilities, or simply those individuals who want the freedom that comes with working from home.
Monday, April 20, 2009
Why becoming a medical biller NOW cna be a great decision - medical billing news!
It was said at one time that there are three industries that won't ever go away; real estate, education, and medical.
Well, we all know how the real estate market is these days - I don't envy real estate brokers and agents at this time. Those folks work at 100% commission and it is extremely difficult to move houses in this market!
Education and medical are still standing strong! So, becoming a medical biller or coder right now is the best business decision that you could make. And, NOW is the best time BEFORE this industry becomes heavily regulated, which seems inevitable to those of us already in the industry.
Government regulates MOST industries now-a-days that they didn't at one time. For example, at one time, a person could just start an appraisal business, remember? NOW if someone wants to open such a business, they need to take tests and work a certain number of hours shadowing another appraiser for free, etc.
Same with the accident and life insurance industry.
So, it is more than likely to happen to medical billing also. Right now ANYONE can open a medical billing business. It is not governmentally regulated and NO CERTIFICATION IS REQUIRED. There are a lot of courses out there that claim that you need a certification and this is not the case. Do a little research and you will find the same. But, the point is that there is NO better time than now to open your own medical billing firm!
Well, we all know how the real estate market is these days - I don't envy real estate brokers and agents at this time. Those folks work at 100% commission and it is extremely difficult to move houses in this market!
Education and medical are still standing strong! So, becoming a medical biller or coder right now is the best business decision that you could make. And, NOW is the best time BEFORE this industry becomes heavily regulated, which seems inevitable to those of us already in the industry.
Government regulates MOST industries now-a-days that they didn't at one time. For example, at one time, a person could just start an appraisal business, remember? NOW if someone wants to open such a business, they need to take tests and work a certain number of hours shadowing another appraiser for free, etc.
Same with the accident and life insurance industry.
So, it is more than likely to happen to medical billing also. Right now ANYONE can open a medical billing business. It is not governmentally regulated and NO CERTIFICATION IS REQUIRED. There are a lot of courses out there that claim that you need a certification and this is not the case. Do a little research and you will find the same. But, the point is that there is NO better time than now to open your own medical billing firm!
Thursday, April 16, 2009
Are you the medical billing business owner type? medical billing news!
It takes a certain person(s) to consider owning their own business.
It takes yet another TYPE of person to consider owning a medical billing business.
The rewards can be life-changing, but the hours and level of commitment, intense.
I wish that the "get rich in 30 days" types of hype would go away for good.
I'd also like to see the "get certified" adds go away too.
ANYONE can open a medical billing firm.
You need the know-how, the courage, the strength to ride the wave, the endurance to ride the monetary commitment and outpooring, and just the guts.
A medical billing business can be such a lucrative choice, there is no doubt, but you need to be business savvy to get it off the ground.
Point yourself in the right direction.
Find a "how to" resource like www.MedicalBillingFoundation.com which provides you with all of the street-smarts that you need.
The only thing that it does not promise is A) a certification and B) YOUR gusto to make it happen.
It takes yet another TYPE of person to consider owning a medical billing business.
The rewards can be life-changing, but the hours and level of commitment, intense.
I wish that the "get rich in 30 days" types of hype would go away for good.
I'd also like to see the "get certified" adds go away too.
ANYONE can open a medical billing firm.
You need the know-how, the courage, the strength to ride the wave, the endurance to ride the monetary commitment and outpooring, and just the guts.
A medical billing business can be such a lucrative choice, there is no doubt, but you need to be business savvy to get it off the ground.
Point yourself in the right direction.
Find a "how to" resource like www.MedicalBillingFoundation.com which provides you with all of the street-smarts that you need.
The only thing that it does not promise is A) a certification and B) YOUR gusto to make it happen.
Friday, April 10, 2009
What is a medical biller? - medical billing news
What is a Medical Billing Specialist?
A medical billing specialist is someone who works with a medical office and is in charge of the companys medical billing. If you desire to be a medical billing specialist then accuracy and attention to detail is a must as you will most likely be in charge of claims processing, charge entry, and billing and collections. However, most medical offices will hire someone to do more than just be in charge of medical collections. They will want someone to be more of a medical assistant as well. Job duties will then expand to include things like:
Accounts payable, payroll and banking tasks
Prepare and maintain patient charts
Schedule appointments
Receive and make phone calls
Perform insurance verification, pre-authorize and referral duties
Is it worth it to become a medical billing specialist?
The medical industry is experiencing a tremendous demand for individuals knowledgeable in medical office operations. Medical billing specialists are one of the fastest growing professions and are currently a very high demand job. According to the American Medical Association, there are over 1.2 million Medical Specialists in the United States . If you are interested in this kind of profession, it would be to your advantage to learn more about it.
What about outsourcing?
Because of the time and meticulous accuracy that medical billing requires, there are some companies that only specialize in being a medical billing specialist. Medical offices outsource all of their medical billing practices out to these companies rather than hiring an in-house specialist to manage their medical billing needs.
A medical billing specialist is someone who works with a medical office and is in charge of the companys medical billing. If you desire to be a medical billing specialist then accuracy and attention to detail is a must as you will most likely be in charge of claims processing, charge entry, and billing and collections. However, most medical offices will hire someone to do more than just be in charge of medical collections. They will want someone to be more of a medical assistant as well. Job duties will then expand to include things like:
Accounts payable, payroll and banking tasks
Prepare and maintain patient charts
Schedule appointments
Receive and make phone calls
Perform insurance verification, pre-authorize and referral duties
Is it worth it to become a medical billing specialist?
The medical industry is experiencing a tremendous demand for individuals knowledgeable in medical office operations. Medical billing specialists are one of the fastest growing professions and are currently a very high demand job. According to the American Medical Association, there are over 1.2 million Medical Specialists in the United States . If you are interested in this kind of profession, it would be to your advantage to learn more about it.
What about outsourcing?
Because of the time and meticulous accuracy that medical billing requires, there are some companies that only specialize in being a medical billing specialist. Medical offices outsource all of their medical billing practices out to these companies rather than hiring an in-house specialist to manage their medical billing needs.
Tuesday, April 7, 2009
Rapidly changing healthcare industry - medical billing news
In the rapidly changing health care industry, technological advances have made many new procedures and methods of diagnosis and treatment possible. Clinical developments, such as infection control, less invasive surgical techniques, advances in reproductive technology, and gene therapy for cancer treatment, continue to increase the longevity and improve the quality of life of many Americans. Advances in medical technology also have improved the survival rates of trauma victims and the severely ill, who need extensive care from therapists and social workers as well as other support personnel.
In addition, advances in information technology continue to improve patient care and worker efficiency with devices such as hand-held computers that record notes on each patient. Information on vital signs and orders for tests are transferred electronically to a main database; this process eliminates the need for paper and reduces recordkeeping errors.
Cost containment also is shaping the health care industry, as shown by the growing emphasis on providing services on an outpatient, ambulatory basis; limiting unnecessary or low-priority services; and stressing preventive care, which reduces the potential cost of undiagnosed, untreated medical conditions. Enrollment in managed care programs—predominantly preferred provider organizations, health maintenance organizations, and hybrid plans such as point-of-service programs—continues to grow. These prepaid plans provide comprehensive coverage to members and control health insurance costs by emphasizing preventive care. Cost effectiveness also is improved with the increased use of integrated delivery systems, which combine two or more segments of the industry to increase efficiency through the streamlining of functions, primarily financial and managerial. These changes will continue to reshape not only the nature of the health care workforce, but also the manner in which health care is provided
In addition, advances in information technology continue to improve patient care and worker efficiency with devices such as hand-held computers that record notes on each patient. Information on vital signs and orders for tests are transferred electronically to a main database; this process eliminates the need for paper and reduces recordkeeping errors.
Cost containment also is shaping the health care industry, as shown by the growing emphasis on providing services on an outpatient, ambulatory basis; limiting unnecessary or low-priority services; and stressing preventive care, which reduces the potential cost of undiagnosed, untreated medical conditions. Enrollment in managed care programs—predominantly preferred provider organizations, health maintenance organizations, and hybrid plans such as point-of-service programs—continues to grow. These prepaid plans provide comprehensive coverage to members and control health insurance costs by emphasizing preventive care. Cost effectiveness also is improved with the increased use of integrated delivery systems, which combine two or more segments of the industry to increase efficiency through the streamlining of functions, primarily financial and managerial. These changes will continue to reshape not only the nature of the health care workforce, but also the manner in which health care is provided
Sunday, April 5, 2009
Medical Billing Contract Content
It is absolutely 100% necessry that you offer a servicing agreement to your clients.
There are some things to consider in the service agreement or medical billing contract:
Name of the billing company and the name of client.
Effective date of contract and expiration date - you should try to contract for a minimum of one yeer which is auto renewable.
Where will the insurance payments go to? I recommend having the payments go to the physician's office to avoid any legal matters. There should be a contract stating the provider will send copies of EOB's of all payments.
Who will do the coding? If you own a medical billing firm, it is best to have the practice code, themselves. OR you could hire a coder to take on that responsibility. DO NOT claim to know how to code, if you do not.
All claims, paperwork, and patient information belong to and are the property of the client. The billing firm is only using it while contracted with the client.
There are some things to consider in the service agreement or medical billing contract:
Name of the billing company and the name of client.
Effective date of contract and expiration date - you should try to contract for a minimum of one yeer which is auto renewable.
Where will the insurance payments go to? I recommend having the payments go to the physician's office to avoid any legal matters. There should be a contract stating the provider will send copies of EOB's of all payments.
Who will do the coding? If you own a medical billing firm, it is best to have the practice code, themselves. OR you could hire a coder to take on that responsibility. DO NOT claim to know how to code, if you do not.
All claims, paperwork, and patient information belong to and are the property of the client. The billing firm is only using it while contracted with the client.
Thursday, April 2, 2009
Become a Medical Biller - no better time than now!
Don't have the money to take a "course"?
Tired of having different Medical Billing "opportunities" shoved down your throat?
Did you know that a course will ONLY give you a certification?
There is nothing REQUIRED to start your very own medical billing firm OTHER THAN the street smarts that you will need.
Medical Billing is actually VERY do-able.
You just have to get in front of the right audience and we can help you.
Visit www.MedicalBillingFoundation.com for the RIGHT tools for success.
Tired of having different Medical Billing "opportunities" shoved down your throat?
Did you know that a course will ONLY give you a certification?
There is nothing REQUIRED to start your very own medical billing firm OTHER THAN the street smarts that you will need.
Medical Billing is actually VERY do-able.
You just have to get in front of the right audience and we can help you.
Visit www.MedicalBillingFoundation.com for the RIGHT tools for success.
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