Saturday, February 20, 2016

By Ellen Donalds


You have finally gotten to the point in which you can call yourself a professional medical biller. It took you years to get here. You have your ICD-10 certification and understand how revenue cycle management works. Working for a boss no longer seems appealing to you. You are now wanting to start your own business. Having a medical billing business is a lucrative field to be in. Many medical billers spend years trying to find clients to work with them. Many Oncologists, chiropractors, mental health providers and podiatry doctors look for billing companies to increase their revenues.

Physicians will begin calling billing companies this year in order to see if they can get them the high revenues that they are looking for. In time, you will come to see medical billing as being the type of business that gets physicians more money. At the end of the day, doctors want to worry less about their billing and more about their patients. Most MD's today say that they are tired of having to spend 15 to 20 minutes a day worrying about billing. If they don't get paid on their claims, they simply earn no money. Nobody can live with that kind of fear day in and day out.

The reason why medical billing companies are doing so well today is because they are showing that outsourcing gets you higher revenues. When you have a professional billing business doing something 100% correct, you don't have to worry about the money part. If you have a good revenue cycle management program and utilization management, the MD's are going to say, "I should work with you because I want to receive excellent results."

There are a lot of medical doctors today that earn low revenues because their in house billing team has messed things up. They have messed things up so bad that everyone else around them is hurting financially. Did you know that a poor in house billing plan can cause a doctor to lose 20% to over 40% of their yearly revenue? Sometimes claims get rejected so many times that doctors give up on them altogether.

It is clear that your business will have to stand out to doctors this year. We did away with ICD-9 in 2015. Now is the time to recruit new doctors to come and work with you. Many doctors don't know what to do right now. They are scratching their heads and wondering why the insurance companies are "trying to get them financially." In actuality, it has nothing to do with the insurance companies. It has to do with doing ICD-10 coding correctly. Most doctors don't understand how much of an expert you have to be in billing today. However, they are beginning to get that message loud and clear.

There is no golden rule, but I think that you should always meet face to face with a potential client. When you get the initial phone call, it is best to ask them if you can meet with them in person. It is best to say, "Can I meet with you in person?" If the client lives out of state, you are going to have to fly to their location. Remember, these types of clients are big deals. They don't come around often and doctors that make good money in their practice are hard to find.




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