Wednesday, February 17, 2016

The New 2016 Outsourced Medical Billing Plan

By Alcan Kaymore


There comes a time when a medical doctor has to make an important decision. The decision to outsource your medical billing or to keep it in house. For years, doctors have been able to hire full time employees to handle all of their billing and administrative duties. Today, there are a lot of legalities involved in billing that the average biller does not know. It is important to get a medical biller that knows and understands ICD-10 medical coding.

Many medical billing practices say that they want to get to the next level. Over time, it becomes clear that getting ahead simply means making more money for the company that you work for. It is hard for a lot of billers to earn money on a weekly basis. The main reason why is because people often want to feel like they are in control. They want to make the right decisions. However, ICD-10 has its own set of rules that everyone must follow. It will take years for someone to become good at this new coding system. Most coders agree that ICD-9 was a lot less complicated and you didn't have to know as many codes. Today, the times have changed. Life is changing and people are beginning to realize that everything gets better over time. Everything begins to take on new challenges and people begin to see for themselves that change happens for the better.

In today's medical billing world, it is important to have a good relationship with your biller. You must feel confident that they can do their job well. If not, hire someone else or outsource it to another company. Your biller needs to know a lot about utilization management and proper documentation. They should know a lot about the software that you are using. Make sure that your biller has a few years of experience working in billing and coding. If they don't, there is a good chance that many of your claims will get rejected. Many physicians today are reporting that at least 20% to 30% of their claims go unpaid every single year.

Today, billers need to feel secure in what they are doing. There are certain laws that must be followed. If a person does not follow the laws, it can bring hefty fines to your practice. It can also make you look like you are trying to scam the system. Insurance companies today are giving audits often. They want to know what you are doing with the money that they are giving to you. They want to make sure that your paperwork is all up to par and they are often withholding payments until their audits are finished. Some of the audits take several months. It is hard to wait for a payment when you have bills to pay and salaries as well.

If you feel like you want to learn more about medical billing, there are many schools that teach on the subject. It is important to make sure that they are approved by a recognized medical billing organization. Most programs that are regionally accredited have a good organization backing them up.




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