... for inviting Infrahealth team.

Infrahealth really reduces the taxes and gets a bigger reimbursement. How come I have never heard of this before? Thanks a lot for pointing out the existence of this application.

I was recently asked by the Dr. of our clinic to take over the billing completely.

I have very little experience, and would be doing it for all three clinics.  Can someone give me some advice.  How many people should be involved.  Does the main biller also handle the EOB"s?  Where would I get the best help on the internet?

We are a medical billing outsource company.   I would be happy to answer/address any of your questions or concerns about medical billing to see if we can be of service.  With out the right software and support this could be a big undertaking for just you.

Hi Kelly,

I am sure you are deep in the billing trenches! I thought of you when I picked up the September 2008 issue of Physician's Practice (www.physicianspractice.com), specifically the article "Billing: Getting the Process Right". Written by a consultant in the industry, it provides useful information. Please feel free to connect with me at any time.

Medical billing blogs are a great idea. For another blog about medical billing software and medical practice management software visit the Nuesoft Technologies blog.

Coming from over 15 years of billing and collections background, I have a good understanding of receivables management - - however, admittedly know little about "Medical Billing"....

 As I am currently looking to acquire a Medical Billing company, I have concerns where the industry is or may go with never-ending changes the insurance world.  Especially with the new Changing of the Guard - - Obama- - soon coming to office, I expect there will be many changes in many different areas.

 More specifically, my question is to all of the BLOGGERS.... what are the downfalls that may soon come to the Medical Billing industry that can dramatically change the climate of the business (for example, what SUB PRIME ultimately did to the Mortgage industry).  I am trying to further ensure this business is here to STAY and/or what risks there are with what may soon come down the pike interms of technology, Insurance carriers, government, etc...

Thanks,

Peter.

Hi Everyone........I am looking at the opportunity to start a medical billing business.  I already have a home based buiness and have been in business for 14 years now with that business.  That business is with the Home Building Industry. So......I have been researching the opportunity with this company to start my own medical billing company.   

 I have performed a limited background check on this company listed above as Health Professionals Medical Billing Company out of New York.  But I don't know allot more than that.  I have spoken to a few of their established Billing Centers as they are called.  And it has been all positive.

 I would like to ask this of anyone who is willing to answer?  Do you know anything about this company you can share with me before I invest some up front money with these people. 

 And would you reccommend this industry as an industry to go into right now.  All the research I have done says yes.  What say you out there?  Please elaborate.

 Cajun

Yes....I read your blog and you may want to contact the company I am currently working with to establish my own medical billing company.  Their name is Health Professional Medical Billing and they have a nice websiite.  They are very professional and on top of thier game.  This may be helpful to you anyway in looking at your options rigfht now.  Good Luck.

Cajun

Hello Peter,

 WE are a small start up company fast upcoming in
this field and are looking for partners in the US to stimulate our
growth, if you do not want to take the risk of acquiring the company we
can join hand so that you are risk free, and then to reap fruits of
shaping your dream of owing a company and the cost of running the
company will also be very less as compared to US, nearly less than 50%
so you can imagine the profits we can share, if you feel this is good
and take it as a initial proposal then please do contact me by email at
rana.dhiraj@spsoftindia.com, dhirajrr@hotmail.com my contact no is
415-839-2137 available only in the early mornings.

Thanks & regards

Dhiraj Rana

Have you checked the practices (clients)  that they are having the contracts with ? Do they have collectible AR and what is the average AR collection percentage ?

I'm very interested in exchanging ideas about medical coding and HIPAA transactions. 

Thanks for the blog - some useful info.

He Shazia, my name is Melanie, I was wondering do you have a medical billing business?

I am looking to network with positive people who have their business established and willing to share ideas.  

I have used a wonderful  collection agency to help with our overflow. of delinquent accounts Great turn around time and they give personal attention.The name is Mandalay Financial Recovery. The contactis516 851-9161.very willing to negotiate fees

Select Collect: A novel and cost-effective approach for patient collection. The client designs their own collection process by selecting the activities that they would like to be performed on their accounts. Interestingly, these are most of the same techniques that may have been used on their accounts in the past by a conventional collection agency. However, in this program, the client retains 100% of the money collected and is only billed for the activities selected.

I have 17 years of Medical billing experience with 14 years of management.  I am the ower of a  medical billing organization for the last 3 wonderful years; if anyone is looking for advise on starting there own organization or is looking to find out information on or business and services please contact us.  Our website is www.phrsinc.net, my direct email is clee@phrsinc.net.

I was laid off by my previous employer and I am considering switching to a career in health care. Medical billing and coding seems like a great way to quickly get started and I found an online course offered via Ultimate Medical Academy that I plan to take this summer. According to the U.S. Department of Labor, medical records and health information technicians are expected to increase by 18% through 2016 so I would recommend this online course to anyone who wants to take advantage of this great opportunity!

Check it out: http://www.ultimatemedical.edu/programs.php

Hi. My name is Sarah and  I am looking for a career in Medical Billing/Coding working from home. I have 3 kids and a husband with a work schedule that makes it near impossible for me to work outside of the home. I have been contacted by several schools ( CTU, Devry,Univ. of Pheonix). I am having a hard time deciding how to go about getting certified to do this. Can anyone tell me how they got started and where they went to school?

Thanks

Does this refer to companies like cearner or <a href="http://www.ecaos.com/default.aspx">ECAOS</a> ?

Hi

We are India based Medical Billing company providing Medical billing services at very low price. We are looking for US based Marketing partner that can grow the business and outsource Medical billing work to our company. We assure that outsourcing Medical Billing work to us can be very profitable for a Medical Billing company/Marketing Company/Marketing partners that is based on US.

More info visit us at www.geloofs.com

All I have to say is, just copy the medical systems most European countries have, France, Holland, Germany, Spain, Portugal, Britain the 4 Scandinavian Countries and the Swiss, even the ex est block countries have a better system that US has.
A civilized country must not tolerate this political BS and lies as it happens in the US. Every one must have medical coverage!
I have spent 34 years in Europe and never ever had to worry about my medical care and have to file bankruptcies due to medical bills.
If the Congress, The Senate and this administration will achieve the 100% Medical Coverage for all US Citizens, then I am sure that USA is an undeveloped nation, and all of us must stop saying that USA is the best country.
Same to all USA people if this issue will not be resolve by the end of this year. For the future, we may have consider voting for some new political parties with young folks and new ideas. All European nations have at list 5 and more political parties in their Parliaments.

Kelly,

I am confused with your situation because by reading what you said you are only taking over the medical billing portion of the process. What are they going to do about the coding portion of the process? Are you going to be taking car of that too?

If you are only going to take care of the billing portion then I suggest that you take a reputable online medical billing training course that lasts 3-8 weeks and preferably will allow you to sit, take and pass the Nationally Recognized Certified Medical Billing exam like the one I mention on my website.

If you have to also do the coding portion then I strongly suggest that you politely take a back seat and tell the practitioners that they must hire someone that is genuinely qualified to code. I know that may seem harsh right now but you will save yourself and them as a matter of fact from all the headaches you are not ready or trained to handle when problems arise (and they will).

Paul G. Hackett
“The Medical Billing and Transcription Mastermind”
http://medicalbillingbooks.tripod.com/medical-billing-training-courses.h...

Hello Sarah,

I am sorry to tell you this but you have the incorrect view of work from home medical billing. What you and so many others that are new to this industry think is that there are companies out there ready and willing to hire people to process their overflow of medical claims. This Is Not The Case!

People that do medical billing from home fall into two categories:

1)They were hired as a medical biller in an office environment that is set up to transmit and accept protected health information over a network. Once that biller becomes a trusted and efficient employee they could earn the right to work from home.

2)The other way to work from home doing medical billing is by starting your own medical billing business. The success or failure rests squarely on your shoulders since you are the President of the business. This is what is referred to in the industry as Home Based Medical Billing and that is why most have misconceptions about doing medical billing from home.

On another note, thank you for being so forthcoming about your home situation because I can tell you right now that even if you decide to start your own medical billing business in the beginning (1-3 years) or until you  sign your first client that actually puts you in profit, let me say that again IN PROFIT you will need to leave your home much more than you think (for example: cold calling, marketing, interviews, industry seminars, etc.).

Lastly, and this is me talking to you like a life long friend, if any school contacts me the red flags start flying! Why? Two reasons:

1)They are just big organizations with deep deep pockets that run solely on the fact they sign up so many people into their programs. The problem with that is that they are so big that they don't specialize in training you properly they train you to Just Be (an empty shell).

2)All the reputable medical billing training course owners and teachers that I am familiar with over the past ten years are taking their time to not only run their day to day business but they actually take additional time out their day to commit themselves to educate, mold and produce truly qualified medical billing professionals. There are a few of these courses out there to choose from or you can contact me: stelopm at gmail.com

Well I hope I was able to help you today and I wish you all the best!

Paul G. Hackett
“The Medical Billing and Transcription Mastermind”
http://medicalbillingbooks.tripod.com/medical-billing-training-courses.h...

Hi, 

I would believe into medical billing software really helps hospitals and other healthcare industries to do their jobs faster and more easier.

Thanks for the post.

Experts have talked about this before. How many times have you read about the importance of ‘adding value’ for your audience? How many times have you read about ‘building trust’ with your readers/prospects?
Many, many times. You know it well. Every marketing guru has spoken about this topic. I’m sick of hearing it. But it STILL bears repeating.
onlineuniversalwork

1. Know your health plan contracts inside and out, especially the top 20 to 30 CPT codes that generate 90% of your revenue. Be proactive and track the reimbursement of these key codes to determine proposed pay cuts and voice your objections to the provider representative. You may be able to retain your current reimbursement. 

2. If rate decreases continue, increase your productivity. Analyze your patient flow to identify areas that can be streamlined, enhanced, or retooled. Also, some practices hire nurse practitioners or physician assistants who can do 80 percent of what a primary-care physician can do for less than half of what a physician earns. 

3. Bring previously outsourced ancillary services inhouse - only if it will turn a profit and is worth the time invested. 

4.  Consider seeing privately insured patients on a cash only basis.

RMK Holdings Inc.

www.RMK123.com 

"With RMK, it's as Simple as 123!"

You are out of your mind if you think she could handle 3 clinics with very little experience!!!!!

Hi!

Can anyone tell me how a Medical Billing company can check if the
Physician is reporting his revenue from the insurance companies
correctly to his billing company?

Thanks!!

@Author - This is a good chunk of valuable information here, thanks for the contribution.

@DrFirst - In this day and age various doctors are benefiting from the internet to conduct web consultations. Medical Software Systems generate accurate reports from anywhere in the world. Also, health maintenance reminders can establish a linked connection with an EMR system to provide superior patient care.

The software integrates with ease - it's compatible with Windows, Mac & Linux. It's great for out billing system too!

Thanks for the community contribution

It has taken me a very long time to realize that, with procedurally oriented practices such as mine, the billing company has no incentive to collect patient balances resulting from charges applied to deductibles. They only get their previously set percentage of around four to six percent collections, and this portion of the receivables is too labor intensive for them to go after. I will be bringing billing in house as soon as possible.

Hi,

Hi,

I am kunal Kumar, currently working as assistant manager in a medical billing firm in New Delhi. My company is in this business from past 5 years. We are running 30 to 40 seaters company.

If you have such projects pertaining to medical billing, please let me know.

Thanks,

kunal kumar

Thanks for sharing such a good information. Now a days healthcare providers and medical groups are providing innovative medical billing solutions to maximize their revenue and reduce their overhead expenses

I am thinking of getting into Medical Billing business but wondering is it profitable in this economy and with so many large medical billing Giants out there? Any one..!

Hi Nicole, It seems like you have got a great opportunity to make some extra money but to be honest with you, this extra income will require your extra time and extra effort as well to provide billing services to this doctor.. If you like then i can work with you to provide medical billing services to this doctor...i have a billing company and my own billing software. I can provide the full service to this doctor on your behalf.In other words you be the mediator between me and the doctor and i will do billing for you and whatever is the income we can share the profit. My company MEDSERV is one of the best in providing low cost billing solutions. Now, WHAT SHOULD WE CHARGE. For this you need to ask the doctor about his monthly dollar collection, his speciality and approximate amount of patients in a month. My services are HIPPA Compliant and we both can make this doctor go paperless and get into electronic billing mode. With us he can focus on his core job that is curing the patients. I have many US billing clients and can give you references if you need. You can also become my representative and get business from clinics and i will be more than happy to work under you on partnership
For all your question contact me anytime.
S Bali
bali@medserv.in
305-359-0308

You bring up a great topic. The obvious measurement is days in A/R. Depending on the specialty, days in A/R can vary. For example, our experience with practices heavy in personal injury or workman compensation cases is less than 34 days in A/R, when they take advantage of all of our resources.

Other metrics we deploy include:

- Require more specific data from your reports; drill down to details rather than general retrospective reports
- Timeliness of submitting charges to primary and secondary carriers
- Four patient statement cycles per month to assist in optimizing cash flow
- Follow-up on patient balances in line with protocols established by client
- Verification of insurance benefits BEFORE a patient schedules an appointment to eliminate rejections and inform patient of co-insurance and deductibles before each appointment. Thus, the patient is aware of their financial obligation and the practice can collect this portion at time of service.

A true partner billing company implements several checks and balances to ensure that transparent accountability is provided while optimizing their client's cash flow and enhancing patient relations.

RMK Holdings Inc.

www.RMK123.com

"With RMK, it's as simple as 123!"

Thanks a ton for this article! Very helpful.

Thanks for sharing such a good information. Now a days healthcare providers and medical groups are providing innovative medical billing solutions to maximize their revenue and reduce their overhead expenses. thanks.

See the article published 08/19/2010:

http://www.medicalpracticetrends.com/2010/08/19/improving-accounts-recei...

RMK Holdings Inc.

www.RMK123.com

"With RMK, it's as simple as 123!"

Dear Team,

We're looking to work on Medical Billing. I mean if you outsource medical billing?

We'll send you all the details of our company once we are done with your reply (thoughts).

Waiting for your kind response!

Regards,

Mian Fareed Ali.

Hi Everyone,

I recently had lunch with someone who manages a medical office and she told me that because of the upcoming requirements for doctors offices and hospitals to electronically submit patient information to a national database, the need for independent medical billers will become nonexistent because the billing will be done automatically when the information to that database is submitted.
I've recently completed a Medical Billing course and plan to someday open my own business. I would like some information on this subject to clear up any misconceptions I may be getting. Thanks so much.

JJ Biller
New Orleans

For starting a business into medical transcription you need to have some best trainers and some good facility like the most required software's.

As part of your decision about an EMR purchase, now you have to determine if you want a client-server based or a web-based system.

A client-server based system is the one that we are the most accustomed to. You buy a server, purchase a license for the EMR software which you then install on that server.

Web-based systems (also called cloud computing or cloud based), are becoming more prevalent. This is where you pay a monthly subscription fee to access the EMR system. You do not purchase it. Nor do you need to purchase a server. (Applications that work like this include Salesforce and QuickBooks online.) These are known as SaaS (Software as a Service).

Your information is often stored across a network of data centers. As such, it is said to be hosted in the "cloud." The information is in no one particular place at any time.

In fact, if you are using a centralized data center and using it across the many locations of your WAN (Wide Area Network) you are using a type of cloud computing. The difference is that there is a direct connection to the network. A truly web based system stores and recalls data across the internet.

Using a web-based EMR, smaller practices can obtain the full benefits of automation and perhaps obtain a much better value out of a remotely hosted solution.

The Advantages and Disadvantages of Web-Based EMR Systems

With the plethora of vendors, do your due diligence! In addition to cost, evaluate how well a proposed system will work for your office, how much it will increase your efficiency and how it will affect patient care. Your decision should be based on your practice's unique needs.

Some common and general advantages of web-based EMR systems may include:

-Less up-front costs (no license, or server to purchase)
-Vendor must meet the meaningful use requirements
-Can access the information anytime and from anywhere
-Very effective for small group practices
-Security measure are usually more sophisticated
-Daily offsite backups
-Network monitoring and intrusion detection
-Detailed performance monitoring and reporting
-Disaster recovery components and expert techs 24/7

General Disadvantages may include:

-Limited customization
-Host controls your data
-Patient information may be compromised if it gets in with other vendor clients
-More expensive over a period of time
-If you have limited internet options, this may not be a viable solution
-May have slower response time accessing information across the web

Healthcare applications are headed to the clouds. New applications and releases from software companies are being developed as cloud-based alternatives. In fact, many EMR vendors offer their products as both cloud and client server based.

To decide which is best, crunch the numbers and hone in on how it will be utilized in your environment, like you might if you were deciding whether to lease or buy an automobile.

RMK Holdings Inc.

www.RMK123.com

"With RMK, it's as simple as 123!"

I know its simple but much more complex when its on board.

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I think its a working pretty fine.

All executives and medical sales professionals out there who strive to maximize the compensation, we feel the pain. Healthcare is a leader in infrastructure software for the management and practice in countries, so that we can do with compensation issues on a daily basis.

It depends on your insurance coverage and benefits. Be sure to confirm your benefits prior to your appointment unless your doctor's office provides this service.

RMK Holdings Inc.

www.RMK123.com

"With RMK, it's as Simple as 123!"

I love the concept of the site. Definitely going to bookmark this and refer this site to my friends and family who are need of medical research.

For getting into the Medical Billing Business I can surely assist you with that. Our company Inteleso Inc situated at Orlando, Florida can be really helpful as per your request.We can assist you in setting up your account in our software with zero investment. We already have a well establish setup with all the required software and skill set, we encourage people to use our resources before investing anything in this business. Having seen so many failed attempts we don't want people losing money in this recession period. For details you can call me. 407-403-6776, my email is ali@inteleso.com.

Thanks,

Tip: Ensuring Payor Payment

Negotiate Rates. Insurance company pay rates usually renew annually. Even though renewal dates may fall at different times of the year for all of the companies, it is a good idea to compare all payors when one is up for renewal. To do this easily, prepare a spreadsheet containing all of the practice insurance company rates and monitor it closely.

However, it is easiest to negotiate with insurance companies during the renewal period. When negotiating use data from clinic expenses, prior increases and market conditions to prepare a case for increasing fees. Negotiate face-to-face if possible. If not, use email to follow up and document phone conversations.

Sometimes, just the awareness that the practice brings to payors goes a long way to obtaining the rate adjustments needed.

RMK Holdings Inc.

www.RMK123.com

"With RMK, it's as simple as 123!"

Ever since our Institutions of Higher Learning have become "Diploma Mills for Profit" education has suffered. Who would have thought, a college degree for medical billing practices! Paleeeeeease!

Indeed this one is compulsory for any person but some institutions just give diploma for profit and money .I personally condemn those institutions
gps tracking

I'm very interested in exchanging ideas about medical coding and HIPAA transactions.

I think billing part is a simple way to extract the whole thing.

This is a great resource for those new to the medical billing and coding industry or for those who want to maintain current. It is one of the best online medical billing blogs I've seen.

Thank you.

Under Obamacare, doctors can get a $44,000 reimbursement for switching to an EMR (electronic medical records) system.
The EMR software typically can run somewhere between $10,000 and $15,000. A doctors’ office can get $44,000 per doctor. If the office has four doctors, the office can get $176,000 best-case scenario. If the practice pays $10,000 or $15,000 for a software package, the practice still gets the $44,000 checks (for each doctor), paid over a three-year period. The longer it takes to get on the EMR system, the less of that $44,000 you get and there’s a schedule that tells us what that amount is. By 2014, you are required to be on an EMR system or you will not be able to get paid from the government. More importantly, the government is giving you the reimbursement of $44,000 per doctor to acquire this EMR system. You shouldn’t have any reason not to buy it. Next year, it will drop and then the year after that, it will drop again. The early bird gets the worm.
Still, doctors are hesitant. They realize EMR has a value and a purpose. It’s just that the transition and the learning curve slow them down. They have to get everybody trained on EMR. It may take some doctors four to five months to get through the whole process and get used to the new software. But like anything else, the only thing that is constant is change.
Sometimes the hesitation is justified and I have a solution for that. If you have been in practice 15-plus years, you’re going to have thousands of files of patient paper that you or your staff will have to convert. That’s going to be very costly and time-consuming. So what we suggest is that rather than trying to go back in to convert all those files into an EMR system, do this. Convert the files as each patient comes in. This will help you break the task into bite-sized pieces, provide great customer service to your patients and not waste time on patient charts for patients who may never walk in your door again.
There’s an old tale. Three men are standing at a train station. The first one says “the train is approaching.” The second one says “the train is here” and the third one says “what train”? You have to decide which man you will be.

Medical Billing Services are rising in demand. It's important to stay up to date with the latest medical codes and regulations.

As much as three quarters of hospital staff are usually burdened with some sort of billing-related work in a traditional billing system. Opting for electronic medical billing solutions (ones that come with free EMR plans) that fit easily into the healthcare business' workflow are key to freeing up staff resources.
Medical Billing Services