Staying Independent...Together

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   RE: Billing
 From: Jean Antonucci
 To: Member Forum
 Posted: 07-12-2017 11:48

The  billing in or   contracted out  conversation goes on periodically and people's opinions are always strong
 I would add that as I have watched IMPs over  the tlast decade  those who have lasted have often NOT been doing the billing Billing causes burnout   As to 8 %   that is standard and for the service of someone taking the calls and arguing with  insurers and knowing  the rules  although I make no argument that coding  as it is should even  exist!11, 8% in a small practice might be?? under 10,000 a year  If you have an employee  you pay them and do their payroll taxes and W 2 and w 4 whatever,   need ot think about benefits/ space/ secret santa parties etc And workers comp And supervising them In a tiny practice You need  a person to  take in the deposits and another t o  deposit them for safety. Etc.

     Jean Antonucci MD
     115 Mt Blue Circle
     Farmington ME 04938
ph 207 778 3313   fax 207 778 3544


------Original Message------

8% seems pretty steep to me.   I've seen 6%, and that still seems high.

At least 95% of your claims, probably 98%, should get paid without any human intervention at all.  So your 'biller' should only come in for the 2-3% problems.  Even collections agencies take no more than 30-50% of that 3%, so it should be pretty small, if your EMR is producing the right codes.  Take a look at Praxis- it has some AI that helps w coding.

Your front office staff should be collecting copays, reminding people about balances when they call for refills, appts, etc.
You should only need one full time biller for every 3-6 providers.
If your EMR will create batch HCFAs, you can upload them to OfficeAlly clearinghouse free...

BTW, if your billing people aren't your employees, you need a Business Associate Agreement with them.

Peter Liepmann MD FAAFP MBA
My mission is to fix US health care
Bakersfield CA

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