Josh Gerson asked:


There are many compelling reasons why medical billing outsourcing to a professional medical billing and coding company makes sense. A major problem with in-house medical billing services is the human one. Management, turnover, retraining and growth. Do you have the time and money for all of that? HRM (Human Resource Management) is the most compelling single reason why physicians and other medical service providers outsource their medical billing to a medical billing company that specializes in providing this service.

HRM problems come about from two areas, employee turnover and practice growth.

Reducing Employee Turnover With Medical Billing Outsourcing:

While your practice may be lucky by having people who have stayed with you through the years, the fact remains that they will, eventually, leave. Others are faced with an on-going turnover problem. In either event, once a medical billing specialist leaves, you are forced to fill the vacant spot right away or your cash-flow may be compromised. That often means hiring someone with lesser …or worse yet very little medical billing experience. Inexperienced medical billing specialist make errors … errors that can cost your practice money or seriously delay your getting paid in a timely manner. Also, who will take the time to train your new medical billing specialist? Will you spend your time doing this? Or will you pay someone else to do it? Is that a good use of your time? Even if you still have other medical billing specialists, their use in training will take away from their time normally spent in helping to get you paid in a timely manner. Medical billing outsourcing avoids these problems all together.

Many medical practices go through high turnover periods, while others find loyal people who dedicate many years to working for the same Physician. The human resource management cycle can be very difficult for a Physician to maintain. Once the medical billing specialist leaves, the Physician is left with no other option and is usually forced to hire another medical billing specialist who has very little experience. Ask yourself this question, when would you be the most worried; when your receptionist quits or when your medical billing specialist leaves? Do you really have the time to find a medical billing specialist who is experienced and reliable and can do the right job with the amount of attention your medical billing deserves? Medical billing outsourcing is a better solution.

Growing a Professional Practice:

As your business grows, your revenues will grow and so will the medical billing and coding workload. However, your employee costs are fixed costs, while your billings and receivables are not fixed. So, when your business has grown to the point where the workload overtaxes the current medical billing personnel, you will need to add another medical billing specialist … maybe more. That is an abrupt increase in fixed costs, because now you are – in effect – overstaffed, as the volume of the workload has not as yet caught up to your newly-expanded billing capacity.

Use medical billing outsourcing to change your medical billing expenses from a fixed cost to a variable cost and improve your ability to manage your business.

When you choose medical billing outsourcing, your costs vary directly with your medical billings. If your medical billings drop, your costs drop. If your medical billings go up, your costs do not rise disproportionately. This simple fact can make your business planning easier.

Less Paperwork and Lower Employee Costs With Medical Billing Outsourcing

If you do your medical billing internally, salary is typically only about 70-75% of your employee costs when you figure in payroll taxes, FICA and insurance. Not to mention that added paperwork cost of administering them. Plus, when your medical billing specialists are sick or on vacation, you’re still paying them for not working. When you outsource your billing by taking advantage of our professional medical billing specialists, the overhead and paperwork is ours, not yours.

• Medical Billing Specialist’s Employee salary

• Medical Billing Specialist’s Employee benefits

o Worker’s compensation

o FICA

o Healthcare insurance

o Vacation, sick leave, etc.

o Performance bonus

• Computer hardware purchase & maintenance

• Software purchase & renewal

• Clearinghouse fees

• Postage

• Stationery

• Physical (Office) Space

• Training and re-training

• Recruitment costs

• YOUR time

• YOUR opportunity costs

Reduce Errors and Receive Revenue Faster With Medical Billing Outsourcing:

Medical Insurers are always looking for ways to slow down paying you. It’s how they manage their cash flow. Anything that is miscoded can cause your bill to be rejected or its payment delayed significantly. When you outsource your medical billing to our medical billing specialists, you’ll not only be getting professional medical billing services, you’ll be benefiting from a degree of accuracy that would be difficult to match internally. At Medical Billing, each submission is reviewed by a supervisor to help ensure accuracy. That “extra level of eyes” is a luxury impractical with in-house medical billing.

Our Incentive, Your Control

When you take advantage of medical billing outsourcing, you improve your cash flow and collections and reduce the costs and headaches of employee problems. And we can even offer you a line of credit at Below-Prime through Medical-Finance.com

Call now for a free consultation. Let our Medical Billing Specialists show you how to keep more of the money you make. Outsourcing your medical billing services allows the money you get to grow in direct proportion to the direction your business is going.



Electronic billing software and medical billing software

Dimple asked:


GeBBS Healthcare is a medical billing company helping clients in the process of submitting and following up on claims to insurance companies in order to receive payment for services rendered by a healthcare provider. As a medical billing service provider, our software can help Physicians/other practitioners obtain payment from insurance carriers and patients by handling insurance claims, and provide information to help physicians to more effectively manage their practice.

Our outsourcing solutions are:

Provide medical coding

• Revenue recovery

• Revenue cycle management

• Insurance claims

With our expertise in medical billing service, we can help you provide the following services:

• Payments information

• Prepare either electronic or paper claims to insurance companies, such as Medicare, Medicaid, etc

• Handling patient billing inquiries.

• Mailing patients’ statements.

• Prepare third party insurance’s, such as Blue Cross Blue Shield, Humana, Great West, etc.

• Entering patient information into the software.

• Follow-up on all unpaid insurance claims, appeals and denials.

• Conducting “soft” collection on non-paying patients.

• Our BPO’s can make phone calls and sending out past due statements.

• Submitting monthly reports to the doctor.

Medical billing is a business that requires specialized skills and knowledge that can only be gained through medical billing school medical billing certificate programs. Our associates are specially trained to handle the client requests and provide medical services in these particular fields.

Our medical coding specialists specialize in information coding, medical record coding, etc. Our technicians also help you in filling for medical billing insurance. With the use of our medical billing software and our services, our technicians perform the following steps to ensure quality service:

• Assemble patients’ health information

• Assuring patients’ initial medical charts are complete

• All forms are completed and properly identified and authenticated, and • Regularly communicate with physicians and other health care professionals to clarify diagnoses or to obtain additional information.

• Analyze data to improve patient care

• better control cost

• Provide documentation for use in legal actions, or use in research studies. Thus we can help you in leveraging your business efficiently through the use of our medical billing software.

Apart from the above processes, our software associates can help you understand:

• Basic medical terminology needed to efficiently manage your business

• Understand an insurance claim’s lifecycle • Develop the claim and other procedures to get started.

• Basic claims process for medical insurance and third party reimbursements

• How to manually file claims, general billing and optical scanning guidelines; various reports,etc • Better understand medical insurance claims

• Using common insurance forms

• Introduction to the national diagnostic and procedural coding systems.

 • Procedures and steps to get acquainted with medical office computer software

The above services are available 24 hours and 7 days a week.

As a medical billing specialist, our medical billing software meets the guidelines set by WHO and AMA. Hence, our software can be conveniently and easily used by technicians to analyze and abstract physician medical record and then convert the medical data into numerical digits. With our software, GeBBS can assure you of quality service with long term commitments. Providing medical billing solutions to doctors is their lifeline. With our medical billing software, we can assure you of hassle-free and easy-to-use billing solutions which indirectly help you work more efficiently and serve better to your clients.



Medical practice management software

Timothy Rudon asked:


Medical professionals need to spend long hours completing paper work and insurance claims. To ease their work the IT industry has designed and created medical billing software. This software enables quick filling and maintenance of paper work and electronic submission of insurance papers. According to statistics submission of insurance claims electronically increases settlements to over 90 %.

Medical practitioners need to be more than doctors they need to:

• Keep paper work in their practices in order.

• Balance accounts and track aspects like receivables and co-payments.

• Ensure that fees are according to maximum allowable by insurance carriers.

• Procedure codes are current.

All medical practices need to institute sound business practices. Using the right billing software can improve cash flow in medical practices. And the cost of installing the medical billing software will be recovered within months due to streamlining of systems. Most medical billing systems are HIPAA compliant.

As a professional you need to choose a medical billing system carefully. Here are a few tips to guide you:

1. The first step is to evaluate your needs. And when evaluating different systems look for a package that goes one step ahead of billing. Choose a medical practice management system MPP. This will handle considerably more that just medical billing.

2. Determine whether the system handles electronic transmission of claims, direct billing for patients, co-pays, co-insurance, and expenses not covered by insurance.

3. Weigh the pros and cons of different medical billing systems and ask to see a system in operations. Always check out the references yourself.

4. Look for a medical billing management system that is user friendly. When a vendor demonstrates get your office staff to be present. This way you will be able to check how the software functions. Any software must be easy to use to be productive. The system should be fool proof.

5. Ask whether the medical billing software is a traditional system, one that will work on your office computers or an application service provider system (ASP), one that will process data at the software company’s data center.

6. Always get quotes from at least three medical billing software providers.

7. Ask whether they are offering an evaluation period or trial. This will enable you to know in actuality whether the system works or not.

8. Find out about training your office people, up-gradation of system, and whether the software is compatible with your office computer systems.

9. Find out whether the system will handle appointment scheduling, maintenance of records and so on apart from electronic medical records, SOAP notes, and billing. Choose a system that is comprehensive.

10. An ideal medical billing software system must include aspects like payment posting, reconciliation; follow up, secondary submission, and patient billing.

Choose a transparent billing system that enhances your office efficiency. Install a system that you can use not one that will lead to frustration and problems.

Medical billing systems must free your time and that of your office staff not make you run in circles. Choose a system with care.



Medical practice management software

Timothy Rudon asked:


Medical practices are over burdened with paper work and often long hours are wasted filling forms and getting paper work in order. Poor in house billing system leads to unsettled insurance claims and the medical practice could run into financial problems.

There are innumerable medical billing service vendors who offer services that will free the time of medical professionals and ensure that money flow becomes trouble free and efficient. However, a medical billing vendor needs to be selected with care.

1. The first step is to do a survey and find out which medical billing vendor has a good reputation. Look for quality and efficiency a 10 % or greater improvement in quality means greater inflow of funds.

2. Never choose a vendor based on quote alone. What you need is an efficient system that works.

3. Look into scope of services. Does the vendor give comprehensive services? Does the system take care of appointment scheduling, medical records maintenance, SOAP notes, billing and so on. A complete system is more efficient in the long run than a billing only system.

4. Discuss in detail the medical billing vendor’s modus operandi. Find out whether the system in use is aggressive or defensive.

5. Understand the reporting system in detail and ask about aspects like data aggregation and analysis.

6. Avoid choosing a vendor based on quotes or presentation slickness. Check out their system that is already functional and make the effort of verifying references. Also contact the better business bureau to check whether any complaints are registered against the vendor.

7. Ask about technology is use and its compatibility with your computer systems. Think about expansion in future and whether the system can be upgraded. Find out if the technology is HIPAA compliant.

8. Choose a medical billing vendor who has a Code of Conduct in place and transparency in systems.

9. Look for aspects like data security protection, super bill online, online insurance claim editing and so on.

10. Ask for details like volumes handled, staff strength, responsiveness, the number of practices handled.

Be clear about whether your staff will need special training and how the medical billing system will be put into function. Be prepared for initial glitches and a period in which adjustments will need to be made. Ask for a trial period or to observe the process in another practice. The vendor may have a super efficient system but it is important that your staff is comfortable with the system too.

Medical billing systems bring several advantages to a practice and are being used world wide to smoothen out work processes. Technology has changed the way the world functions.

Be smart and choose a medical billing vendor with whom your medical practice will flourish and grow.



Medical practice management software

10x Marketing asked:


I played phone tag for two days with my physician’s office assistant to correct a mistake in my bill, which charged me for two visits instead of one. Luckily, I have a good memory, and I could recall exactly what had happened that caused confusion. I had arrived for my appointment on August 3, and my physician asked me to come back on another day, because she was too busy. She assured me that I would not be charged since I was doing her a favor by rescheduling. I came back two weeks later and had a full exam. Well, the bill charged me for two appointments, including the first day I showed up when the doctor turned me away. In August, guessing that it might turn into a Medical Billing problem, I had called my insurance to clarify the situation, and I wrote down several medical billing codes that served as my billing confirmation. Apparently, somewhere in the billing process, codes were mixed up for other codes, and there was a malfunction in the Medical Billing Company, so said the office assistant. Five months later, because of a delay caused by a malfunction in the medical billing company, I received the incorrect medical bill.

 

This sort of thing has happened to me before. Once, I noticed a mysterious charge on my medical bill for removal of an ingrown toenail. I was insulted, as my toenails are like impeccable diamonds. I felt slightly embarrassed to call the doctor’s office and dispute the charge. In that situation, the doctor refused to agree with me. It was decided that he was in the right, and I am sure they wrote somewhere in my file that I had a memory problem as well as a toenail problem. They forced me to pay up.

 

If you have not been reading your medical bills, you may want to start. Although it is daunting to sift through the medical code, and unpleasant to call someone to complain, you could be losing significant money if you do not.

 

It used to be worse. For many decades, paper was the medium for medical billing. The government then took measures to make medical billing more efficient. In 1996, Congress enacted the Health Insurance Portability and Accountability Act ( HIPAA). Since 2005 medical offices have been pushed to submit their claims electronically in compliance with the HIPAA.

 

Since the advent of the Internet, medical billing companies have exploded as an industry, and medical billing software has improved dramatically. What once took months to process now takes a matter of minutes. Error detection is built into software, and physicans’ offices are breathing a sigh of relief.

 

Because patients are sharing their medical billing woes, though websites like assertivepatient.com, demand is continuing for improved medical billing practices. People are blogging and openly discussing how to request better service from medical billing companies.

 

Technology points to a better future for medical billing, but patients will need to continue being vocal about their medical billing problems, to push for continual improvements.



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