Home business medical billing

If you are looking for a home-based business that can help you earn between $ 20,000 and $ 45,000 per year using your computer, an opportunity to work at home making medical bills may seem like the perfect opportunity. But before you shed your money consider the following: The Federal Trade Commission (FTC) has filed charges against promoters of medical billing opportunities for false statements about the potential profits of their businesses and for failing to provide key information on pre -Investment as required by law.

Medical billing scams

Ads about medical billing business opportunities appear on the Internet, are published in the classified section of local newspapers and free brochures for buyers. In the classified section of “Jobs Wanted ”¬† (Help-Wanted) , ads can be published next to other legitimate advertisements of medical claims processors of hospitals, making consumers believe that they respond to these ads, that they are applying for a job and not who are buying a business opportunity.

These ads attract consumers with substantial revenue pledges by working from home “part-time or full-without requiring experience” and direct consumers to call a toll-free number for more information.

If you call, the sales representative will try to convince you to enroll or accept the opportunity by telling you that the processing of medical bill claims is a lucrative business, that doctors are eager to get help with electronic claims processing, and that You, even without having any experience, can do this work comfortably from your home.

The medical billing business scammers charge a fee of between $ 300 and $ 500, in exchange for this payment they claim that they provide everything that is supposedly needed for the launch of their medical billing business: the software program   for the processing of claims and a list of potential customers.

The reality is that few consumers who buy medical billing opportunities find customers or earn money, much less produce the promised substantial income. Competition in the medical billing market is fierce, especially for those just beginning. Many medical offices process their own claims. Physicians who contract medical billing services outside of their office often do so with firms or established companies not with individuals who work from home.

Promoters of fraudulent medical billing opportunities are also not interested in favoring consumers. They only want your money. Many times, the list of clients they provide comes from an outdated database of doctors who have not requested medical billing services. The software they send may not work or may not be properly authorized and therefore unusable. The promises of “guarantees” of reimbursement or reimbursement of money are often not fulfilled. There are very few people who, even after making repeated calls to the promoter or claiming the companies of their credit cards, government agencies and consumer groups, receive the return of their investment.

7 things of all practice you must remember about the billing cycle

The billing and collection process can be long and complex. It helps if you can identify and avoid the most common mistakes when preparing a claim. Here I mention 7 things that all practice should remember about the billing cycle:

Medical Plans:

Each medical office must have accessible a list of all insurers with which it has a contract. The list must include all the necessary contact information such as: address, telephone numbers, email address, contact person or service representative in your area, and provider information. You must also have all the documents up to date with each insurer to maintain active contracting.

Time to invoice:

Each insurer has its own rules and time limits for submitting a claim. It is hard to remember all the rules of all insurers; For this reason, it is recommended to keep them in writing and accessible to avoid sending claims outside the time limit. Staying organized allows you to reduce the risk of not being able to claim, adjust or appeal the same.

Pre authorizations and referrals:

There are certain coverage of each medical plan that requires preauthorization and referrals for certain treatments and procedures. To bill, you must know what those covers are and the process to follow. In addition, you must know and understand the information and documents you need to process that information with each medical plan. If in doubt, it is very important to maintain direct information with the service department to the provider of each medical plan.

Frequency:

Each medical plan allows a certain amount of frequency that a service, procedure and / or treatment can be made to the insured per policy year, depending on their coverage. You must also know the rules of multiple procedures (“bundled”). If in doubt, it is very important to maintain direct information with the service department to the provider of each medical plan.

Submission of claims:

The method to submit a claim to the medical plan varies by company; so, you must have full knowledge of the stipulations of each contract. Ensure that the invoices are submitted electronically, to paper and for coordination of benefits. Also, make sure that each claim has the proper documents required for proper processing. It is important to keep in mind that all adjustments are worked immediately since the time is much shorter than for a new claim.

Payment requirements:

Insurers are required to submit payment of claims sent to the plan within 50 days and in some of them within 30 days; but it is not always the case. Must be in constant pursuit to be able to claim those invoices that the plan does not liquidate within the term established.

Appeals:

As mentioned, every insurer has its regulations and limits to process claims. However, if there are claims that have not been settled within the term limits for each insurer, they must be submitted by the appellate process.

The billing cycle is very complex, with many variants and processes to follow. The best way to ensure that everything is handled correctly from the beginning to the end, is to have experts in the field. Please, feel free to contact us at any time for more information and to know how you can have a more efficient administration of your claims.

The Dentist’s Office Can Be A Fun Place for Your Children

Is your child scared at the thought of going to the dentist? Do you have to battle to place your child in the dentist’s chair? If you choose a pediatric dentist, things may be easier.

Why choose a pediatric dentist?

A dentist specialized in working with children (pediatric dentist) will take the necessary measures to make your office a pleasant place for children. This means that your child may see cartoon characters painted on the walls, children’s movies on the television screens in the waiting room (and perhaps in the exam room), books and children’s games to keep their children occupied while they wait.

All these characteristics help to reduce stress, since they keep your child distracted and busy. The fun aspect of a pediatric dentist’s office makes it look more like an amusement park than an office, something that can help your child find it exciting to go to the dentist.

Stay with your child when you go for a dental cleaning. Sometimes, it can be too overwhelming for your child to undergo a cleaning or dental procedure alone, especially if he has never had this before. Some dentists even let your child sit on your lap while you lie on the couch during cleaning. This can help reduce the child’s stress. It is important to talk with your pediatric dentist about the guidelines during your appointments, and your opinion about whether the parents should come to the office or not, depending on the age and behavior of the child during the appointment.

Prepare for the visit

If you do not know what to expect from a visit to the pediatric dentist, watch some videos with your child that will prepare them both for the visit. For example, you can watch the video “Visits of your child to the dentist” on Colgate.com, which explains what pediatric dentists do and shows some of the features of the pediatric dentistry office. In Colgate, you will also find some useful tips that you can follow to make your visits shorter and simpler. Learn more about how to keep your child’s teeth clean in the resources section of Colgate Oral Care.

When you take your child to a pediatric dentist regularly, he or she will even want to go to your visits more often!