their efforts on
getting every claim paid when the service is paid according to their results
while a billing person in the office is more likely on a busy day to say
“Forget it. This claim isn’t worth another phone call!!”
Unfortunately in most offices this claim will be written off and the doctor
will never know.There is so much involved with billing that most people,
including the doctors, don’t even realize. The claims have to be
submitted properly, and timely, on the correct forms.If claims are being
submitted electronically, reports need to be read and acted upon. When
payments are received, they need to be analyzed to make sure they were
processed correctly, and then posted.If there is a patient responsibility
after payment is made, then a patient statement needs to be sent. If the
claim is denied, or not paid properly, it needs to be handled, and handled
quickly. If the denial or incorrect payment is not acted upon right away,
you may not be able to correct it.Some companies only allow a certain
amount of time to request a reversal. Aging reports need to be run regularly
to make sure nothing else is slipping thru the cracks.
Most offices lose thousands of dollars a year due to claims slipping thru
the cracks; either processed/denied incorrectly, or not processed at all.
If you are not working your aging reports - you are losing money!But the
Medical Billing Services aren’t getting rich like the ads portray.
There is no simple easy way to do medical billing that the doctor’s
office doesn’t know about.There is still plenty of work to do to
file the medical claims and get them paid. Don’t expect that you
can start this business without some background or education. There is
much medical billing information you need to know to successfully run
a billing business.Medical billing is not a get rich quick scheme. If
you are considering starting such a business, you should have a great
interest in the field and a willingness to learn much more.
As with any other business you would consider starting, do your homework.
Research the field, read as much medical billing information as you can
and make sure you know what you are getting into. After all, it takes
a lot more than a computer and a kitchen table to do a good job and run
a successful business. Make sure you understand what is going to be required
of you.There is a lot of Medical Billing Information out there. Make sure
the information you get is from a reliable source. With a growing field
such as this, unfortunately there are also a lot of scam artists trying
to sell you information that is worthless.Copyright 2006 Michele RedmondAbout
the Author:Michele Redmond, co-owner of Solutions Medical Billing, has
been in business since 1994. She has a bachelor’s degree in Computer
Information Science and is responsible for the medical billing for over
50 providers. For more information on medical billing and starting your
own business visit her website at http://www.solutions-medical-billing.com