Comments on: Murky waters of out-sourced medical billing

By: admin

admin — Thu, 19 May 2011 13:11:29 +0000

Medical Billing in the office has to be watched very carefully. EOBs should not only be reviewed by the medical billing staff but also by managers and even physicians from time to time. It may be confusing to read them at first but eventually you will get the hang of it and will allow you to quickly detect patterns and errors. Once discovered process changes need to be made to reduce these errors.
Whether outsourcing or doing in house medical billing, reviewing EOBs is a must.

By: cm

cm — Sun, 06 Mar 2011 23:41:50 +0000

I think we have the same prob with an inhouse billing, since the biller was inexperienced and the person who hired the biller had total faith and didn’t watch the eob’s. When we were able to get into the billing it looked like things were not necessarily downcoded but the modifiers weren’t added, so we went from 60,000 mmothly to 15,000 monthly and I as a provider was blamed for slacking!! I saw as many pts as the other provider. So for us it was the opposite. Our outsourced wanted 10% and in the long run I think we had a good deal.

By: Drug rehabilitation

Drug rehabilitation — Wed, 02 Apr 2008 10:15:53 +0000

Medical billing companies are setup to make it easier for them to wade through the murky waters or regulation and insurance company code to ensure proper and timely reimbursement.

By: Camille J

Camille J — Fri, 08 Feb 2008 00:31:35 +0000

How do you deal with a physician that owe you money and terminated the contract. Because she wanted a log of when the claims was mailed, the time I think it will get to the insurance and the date we are getting payment.

By: Dr.SSG

Dr.SSG — Thu, 31 Jan 2008 05:05:51 +0000

Tanya,
If you are doing that, please keep it up as we physicians do need such a service. I have heard of a large practice go bankrupt because of poor handling by an outsourced medical billing company.

By: Tanya

Tanya — Wed, 30 Jan 2008 02:08:41 +0000

I have to say I agree that there are several companies out there that do that,however in a medical billers defense I have to say that not all are like that. I am a Certified Professional Coder and have been in the medical billing industry for over 11 years. I worked for a medical billing company that did just that the skimming. When I first started with them there was only 5 of us and then when I left there was over 65 of us. This is the reason I left is because I was not able to do my job that way it needed to be done. I got the courage to start my own medical billing company. When I started developing my business plan that was one of my biggest pet peves was how can I assure a Physician that his/her accounts were going to be given top priority and I decided that I will not just hire any joe, they must be Certified Coders and that person will never have over two physicians that they are in charge of. I included this in my contract that each physician signs. I go by the core principles that I was raised with and that is to Treat others the way you want to be treated.

By: Top Doc

Top Doc — Wed, 07 Nov 2007 06:52:55 +0000

Applause to this article! I think this is the best article! I will tell you why. After I read your post, this is the word come out of my mouth. "EXACTLY" yes, that is what exactly they did to me. I had similar problem and I had to pay them for three months fee extra to get out of the their contract. We as a physician need to unite to tell each other’s problem. I appreciate you "SSG" for this website.