If you need a NPI number, the National Provider Identifier, number here is the information that you need to apply apply for NPI number
Thursday
Wednesday
Can I Wave Co-pays at the Doctors
You shouldn't wave copays at the doctors. This is considered a professional courtesy. If you tell a patient they don't have to pay a copay that the insurance company contracted with you for them to pay, then most insurance companies will consider this as fraud. They will view this as a kick back or an intice on your behalf to get patients to come to your practice. The only way a copay should be written off is if faith efforts were considered by the patient to pay the copay(after bills have gone out to the patient)and they have written a financial hardship letter with proof explaining that they can not afford the bill.
Friday
Privacy Policy
Privacy Policy for www.medicalbillingexperts.blogspot.com
The privacy of our visitors to www.medicalbillingexperts.blogspot.com is important to us.
At www.medicalbillingexperts.blogspot.com , we recognize that privacy of your personal information is important. Here is information on what types of personal information we receive and collect when you use visit www.medicalbillingexperts.blogspot.com, and how we safeguard your information. We never sell your personal information to third parties.
Log Files
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Cookies and Web Beacons
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We also use third party advertisements on www.medicalbillingexperts.blogspot.comto support our site. Some of these advertisers may use technology such as cookies and web beacons when they advertise on our site, which will also send these advertisers (such as Google through the Google AdSense program) information including your IP address, your ISP , the browser you used to visit our site, and in some cases, whether you have Flash installed. This is generally used for geotargeting purposes (showing New York real estate ads to someone in New York, for example) or showing certain ads based on specific sites visited (such as showing cooking ads to someone who frequents cooking sites).
You can chose to disable or selectively turn off our cookies or third-party cookies in your browser settings, or by managing preferences in programs such as Norton Internet Security. However, this can affect how you are able to interact with our site as well as other websites. This could include the inability to login to services or programs, such as logging into forums or accounts.
Wednesday
Medical Billing Schools
To obtain a career in medical billing, you do not have to take a course. Coding and billing are different from one another. Coding is linking a code to a diagnosis and cpt code. Remember a diagnosis (or dx for short) is the code that describes what is wrong with a patient and the cpt code is the code that describes what is being done. If you decide to become a coder then this is something that you should go to school for but billing is different. Alot of people think medical billing and coding are the same thing but they aren't.
If you don't have any experience in billing, try starting through a temporary service. They will help get you in the door through a front office assignment. Front office jobs are easier to start with. Example of a front office job is taking patient copays and setting up appointments. From here you can easily get office training on other billing functions and in no time you can start your career in medical billing.
Saturday
Medical Billing Software From Home
There are alot of billing software that can help you start your business. The only one that I have experience with is Medisoft. I purchased a version of Medisoft a few years ago for only $199. This was all I needed to bill claims for a small doctor from home. This was enough to support my billing needs and I didn't have to spend alot of money either. Prices have gone up since then but it is for a reasonable price. If you are interested in another software, please do extensive research before purchasing.
Thursday
Insurance Follow Up
When a claim is outstanding and there is no response from the insurance company, we need to call the insurance company to check the status of the payment or denial. When doing follow up, the insurance company will ask for your name, number, tax id, provider names, pt name, policy #, date of service, date of birth, charge amount and sometimes providers address.
Example we’ll use
Tax id 52-1234567
Provider Dr. John Jones
Provider Address Po Box 1234, anywhere city, state, zip
Policy number 256RL6523
Pt name, Jill Jackson
DOB 11-01-1955
DOS 1-12-2006
Charged amount $300
Example call:
ABC Insurance Co: ABC Insurance Co Lisa speaking can I get your provider #
You: 52-1234567
ABC Insurance Co: Who am I speaking with?
You: Amy
ABC Insurance Co: Is there a call back number for you.
You: 410-555-1212(this is your office number)
ABC Insurance Co: What is the name of your provider?
You: Dr John Jones
ABC Insurance Co: Patients name and DOB
You: Jill Jackson 11-1-55
ABC Insurance Co: And the Patients policy number?
You: 256RL6523
ABC Insurance Co: DOS and charged amount
You: 1-12-06 $300
ABC Insurance Co: Thanks, how can I help you?
You: I need to know the status of payment
ABC Insurance Co: Ok I’ll check the status for you.
You: Thanks
The insurance company will either tell you when the claim was paid or tell you if it was denied.
Wednesday
Medical Billing Job From Home
Finding a medical billing job from home is like finding a needle in a haystack. Is it possible? Yes, but 95% are scams. Most billers who work from home started out in an office and under certain circumstances their employer allowed them to work from home. Other ways you can work from home is to go into the business for yourself.
Monday
New HCFA Forms
New HCFA Forms are coming. Are you ready? Eventually anyone sending claims on the old HCFA1500 forms will start to reject. To read more about the changes visit this website. http://www.nucc.org/
Wednesday
Learning Health Insurance for Medical Billing
HMO- (Health Maintenance Organization)- most non emergency treatment needs PCP, normally requires referrals to go to different specialties.
PPO- Preferred Provider Organization- a selected network of providers. Usually no referrals required. Usually have copays.
POS- Point of Service- a hmo plan with option to opt out of network without a referral for a higher fee.
Indemnity Insurance- covers large amount of network providers. Pt Usually have a 20% coinsurance.
Government Programs-(to help assist the elderly, disabled and low income)
Medicaid- funded by the state. No fees to the patient
Medicaid Family Planning Only(visits related to contraceptive management)
MCO-Medicaid HMO or Managed Care Organization
CHIP (Children Health Insurance Program) no premium, no copays for pregnant women
and children.
CHIP premium- Low cost monthly premium to parents with higher incomes
Medicare- Normally for patients over 65, or young patients with disabilities or people
with End Stage Renal Disease.
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