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Posted in Home Business  by admin | May 3rd, 2009
medical billing
Tammy Harlan asked:


Yes, you can work from home in medical billing, just not typically as an “employee.”

Nearly 600,000 Americans lost their jobs in January 2009, according to the U.S. Department of Labor, and 2-3 million more jobs are projected to be lost over the coming year.   Sadly, because of this, “work from home opportunity scams” are on the rise.  These scams prey on people’s vulnerabilities and fears and with so many people out of work, wondering what they are going to do next to sustain themselves financially, there’s a lot of vulnerability and there is a lot of fear out there. 

Over the past couple of months, many television programs and news shows, such as 20/20 and Dr. Phil, have devoted air time to exposing scams and telling stories about individuals who have fallen victim to these scams.  These television programs understand that this is a hot topic in high demand, more so now than ever before.  Just like bacteria, germs and disease, given the right temperature (the state of our economy) and set of circumstances (vulnerability and fear), the scams are growing and multiplying. 

There is a complexity to this issue though.  Just as there is usually a bit of truth in every lie, the scams are allowed to flourish because, the truth is, small businesses/home-based businesses have been on the rise for quite some time and account for more than 50% of new job creation!

According to the United States Department of Labor:

“With more than one million new businesses each year, America’s economy depends on small businesses for its vitality and growth. According to the 1997 report of the U.S. Census Bureau, the nation’s 17 million small, non-farm businesses constituted 99.7 per cent of all employers, employed 52 percent of private workforce and accounted for 51 percent of the nation’s sales. Small business-dominated industries provided 11.1 million new jobs between 1994 and 1998, virtually all of the new jobs created during that time period.”

The scams operate based on this “truth” – which accounts for all the confusion as to what and who are scams and what and who are legitimate opportunities.

Medical Billing:  Employment from Home Isn’t the Opportunity

I have been in the medical billing industry for over 20 years.  I am the President/CEO and founder of an online medical billing course program.  Not a week goes by that I don’t receive a call from someone asking “how they can find a job in medical billing which will allow them to work from home.”  The caller is surprised and sometimes defiant when I tell them that such an opportunity does not exist.  

Is there opportunity in medical billing?  YES.  But not in the capacity that most people have been led to believe!  Let’s uncover the lies and the truths about the opportunity that actually does exist in medical billing.

Medical Billing Opportunity:   Employment from Home   - DECEPTION/LIE

So why is it that so many people believe that they can obtain employment in medical billing working from home?  The answer is simple.  Over the past decade or so, there have been scam companies placing advertisements in the “help-wanted” sections of small, home-town type newspapers.  Here is an actual ad from a company called Medicor who was sued and shut down by the FTC:

“EARN $$$ HELPING DOCTORS process claims from home. $20 – $40/ hour potential.  Computer & modem required. We train. (888) 736-XXXX Ext. 895.”

Upon calling the number in this ad, the caller was told that they could make an excellent income from the comfort of their own home “processing insurance claims for doctors.”  All they needed to do was purchase the medical billing software (cost: $325 – $495).  Upon purchase, the caller was sent a medical billing software program that didn’t even work, but that didn’t matter, because they would never have the opportunity to use it.

The Truth:  Doctors do not hire medical billing staff and then allow them to work from home.  When a doctor hires someone to fill their medical billing position, this person is expected to show up for work just like all the other employees. 

You can read full Medicore story on the Consumer Affairs website at:   http://www.consumeraffairs.com/news/medicor.html.  For more information about companies that were shut down, you can visit the Medical Billing Scamwatch Forum by going to:  http://medicalbillingscamwatch.yuku.com/.

Medical Billing Opportunity:   Employment within a Doctor’s Office or Billing Company  – VALID/TRUTH

The medical field is booming. Demand for medical billers is high.  As the baby boomers reach retirement, the medical field is growing and expanding to accommodate this generation. Medical billing is just one of the many jobs in the medical field that has great job potential and growth.  But notice the word JOB.  A job = employment.  A job/employment in medical billing requires you to show up for work in return for an employee paycheck.   It should not be confused with “medical billing business ownership” which does not consist of exchanging hours for a paycheck from your employer.

The opportunity to gain a position in medical billing working within a doctor’s office or working for a medical billing company does exist.  It is viable and it is valid.  How much money can a medical billing employee expect to make?  You can find this information in the article entitled “Medical Billing & the Economy” at www.medicalbillingbusinessresources.com/articles/medicalbilling_economy.htm.

Medical Billing Opportunity:  Home/Small Based Business Ownership   -  VALID/TRUTH

I personally have 13 years experience in owning/operating a medical billing business which I started from home.  I began my business in order to be able to stay at home with my children.  I eventually grew my business to a point that I felt it necessary to move it to a commercial office space (when the children were older).  I take it personally and oftentimes get very frustrated when this medical billing opportunity is misrepresented as an “employment from home” opportunity.  It is not! 

When you begin a business in medical billing – or in anything – you are not “employed” by anyone.  You are “Self-Employed.”  You do not collect an employee paycheck from anyone.  You collect money from clients that you provide services to.

Beginning a business in medical billing – or any other industry, for that matter – requires a realistic investment!  In a medical billing business, you are providing professional services to professional individuals.  In order to succeed, you must realize that a realistic, professional investment is not an “option”…    it is a must.  Your investment needs to be proportionate to your expected return.

Another type of call that I get quite often is “I want to start a medical billing business from home but I don’t have any money.”  Guess what?  You can want all day and all night long, but without the capital that is required in order to begin a medical billing business – it’s not going to happen.   Let’s say you want to open up a Blimpie franchise.  How do you think Blimpie is going to respond when you call them and say, “Hi Blimpie, I’d like to open a Blimpie franchise, but I don’t have any money.”  They might respond, “Call us back when you do.”

How much money can be
made in a medical billing business? 
This varies.  I get this question quite a bit and my standard response is, “I know a wife/mother who handles 2 doctor clients putting in about 3-5 hours per week in order to supplement her husband’s primary income and stay at home with her kids who is bringing in approximately $1500 – $2000 per month.  I also know a multi-million dollar per year medical billing company.  And I know so many in between.”

Summary

Medical billing “employment from home” is not a viable, existing opportunity.  Gainful employment working in a medical billing position within a doctor’s office or medical billing company is a real/valid opportunity.  Beginning a home/small business in medical billing is also a real/valid opportunity, if and only if, you understand the investment of time, money and research that is involved.



Electronic Medical Billing Software for medical offices or medical billing services.
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Posted in Home Business  by admin | January 20th, 2009
medical billing
Andrew Misplon asked:


Start your own medical billing service

An aging American population and changes to Medicare regulations in the early nineties have produced a booming medical billing industry. Medical practices simply can’t cope under the strain of increasing paper work and client enquiries. If you are looking for a skilled work at home career with the potential to pay the bills and much more, the medical billing industry is for you.

What exactly does a medical billing service entail?

Medical practices outsource all of their billing responsibilities to private medical billing services. Your day to day activities could any of the following:



Preparation of insurance company claims, both electronic and hardcopy

Maintaining a practice’s patient database

Invoicing patients, both electronic and hardcopy

Collecting co-payments from patients

Tracking overdue accounts

Answering patient enquiries

Submitting reports to practices i.e. number of patients, bottom line etc.



What is required to start a service – experience, qualifications?

The medical billing industry makes use of a complex and ever changing system of codes. If you don’t have any experience in the industry, its time to take a course at your local college or through a recognized home study program. When enquiring about courses or doing research, remember that the course you are after might be under another name than medical billing. Purdue for instance runs a Medical Specialist course which includes a module on medical billing.

Beware of scams, anything that sounds too good to be true usually is. Experience or a qualification is always required to start a medical billing service – all services take time to grow and attract clients. Any companies that advertise “no experience required” or “guaranteed client list” are scams.

What your medical specialist course should include

Make sure the course you take includes at least the following basic elements.



Basic medical terminology

The insurance claims process

Processing forms

National diagnostic and procedural system

Training for medical billing software

Methods to handle denied claims

Soft collection techniques

CPT codes



Don’t necessarily choose the cheapest course option available. Doctors are very weary of who they hand control of their billing too. A qualification from an established and recognized institution will go along way to created trust and increasing the reputability of your service.

Getting your service off the ground

To start your service you’ll first need to setup an office, the following will be required: a computer, high speed internet connection, printer, medical billing software and a CPT coding manual. Most of your work will be done online so a high speed internet connection and a good billing program are essential. Also consider spoiling yourself with an LCD monitor, your eyes will thank you later! Don’t forget to compile a basic business plan before setting up your service. Good planning can often mean the difference between failure and success.

There are numerous software packages available on the Internet, expect to pay at least $500 for your software and around $3000 to $5000 for the total business setup, depending on the course you take and equipment you purchase. Search online forums and social network sites like Digg.com for honest consumer reviews before purchasing a software package, the number of unresolved forum posts or negative user reviews will give you a good idea of each programs usability and features.

Marketing your new service

To be successful in the industry you will need at least six medical practices in your employ – typical monthly fees range from $800 to $1,500 per client. The good news is you’ll only need to market your services in the beginning, once you have a full roster of medical practices marketing is no longer required. (This lack of marketing expenditure later on is part of what makes this career very profitable).

Market your services initially through direct mailers to doctors, cold calling and networking in the medical billing community.

Final word

Budget for occasional and ongoing education – medical billing is constantly changing so its essential to stay current with changes in the industry. Be on the look out for seminars in your area.



Medical practice management software

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