Outsourcing: A Physicians Dream To Billing

By Alcan Kaymore


Finally, your company is trying to get ahead with their medical billing plan. The doctor has decided to outsource their billing to a company that is reputable and ICD-10 certified. The hope is to get a higher return on investment at the end of the year. It is a wise choice to outsource your billing. Today, a medical biller must be well educated in utilization management, ICD-10 coding, verification of benefits and HIPPA laws. Your medical biller has an opportunity to get to the next level if they choose to. You can easily find yourself learning new techniques when it comes to getting ahead.

If you are a medical doctor, you probably don't know much about billing or what ICD-10 even means. The codes are a lot longer than they were in ICD-9. If your employee is telling you that you need to upgrade your software, they are telling you this because they know something about ICD-10. ICD-9 was a whole different story. There weren't as many codes. Your biller has to know more in depth information about the patient and if their health is improving.

You can decrease claim denials with a professional medical billing company because they are experts. Billing companies will often tell you how your present finances look and what has to change in order to get higher returns. It is clear that most people do not understand medical billing. In fact, it is a complex system. The whole healthcare system in general is becoming too difficult for physicians to understand. A lot of doctors say that they were trained in healthcare and not billing. However, it is becoming clear that doctors need to know something about billing or else they will lose a high percentage of their profits. Doctors today say that at least 20% of their claims go unpaid each year. That is a lot of money lost due to improper billing.

Each time that the biller submits the claim to the insurance company, it gets rejected. Eventually, the biller or the doctor finally gives up altogether. This of course results in thousands of dollars in loss. You don't have to see life as a pain. You should look at yourself and ask the important question, "What is it that I like to do?" If you love working with patients, then leave your billing concerns to someone that is an expert. Billers are experts as a physician is an expert in what they do.

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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