Start Your Own Medical Claims Billing Service: Your Step-By-Step Guide to Success [NOOK Book]


Low startup requirements make this a great homebased business!

As insurance regulations and paperwork requirements get more complicated, doctors and other health care providers are turning to third-party billing services to take care of their billing needs. It’s a multi-billion dollar industry that’s growing like never before, creating a growing niche for entrepreneurs who ...
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Start Your Own Medical Claims Billing Service: Your Step-By-Step Guide to Success

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Low startup requirements make this a great homebased business!

As insurance regulations and paperwork requirements get more complicated, doctors and other health care providers are turning to third-party billing services to take care of their billing needs. It’s a multi-billion dollar industry that’s growing like never before, creating a growing niche for entrepreneurs who are experts at tunneling their way through the paper avalanche.

With expert advice from medical claims billing professionals and the latest industry information you’ll learn everything you need to know to get into this perfect starter business including:

• Researching the market
• Calculating startup and operating costs
• Finding clients
• Getting referrals
• Demystifying medical jargon
• Dealing with insurance carriers
• Telecommuting options and online work
• Professional networking

Startup requirements and costs are minimal, opening the door for anyone to get started in this lucrative field.
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Product Details

  • ISBN-13: 9781613081792
  • Publisher: Entrepreneur Press
  • Publication date: 6/25/2012
  • Series: StartUp Series
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition description: Third Edition
  • Pages: 208
  • Sales rank: 517,491
  • File size: 2 MB

Meet the Author

Table of Contents

Preface     xi
Prescription for Success     1
The Doctor's Key     2
Not a Small World     2
Preventive Maintenance     4
The Problem     4
Electronic Filing Beats Paper     5
Software Magic     5
Skimming Along with Superbills     6
Counting Your Coconuts     7
Crank-Up Costs     9
The Rock of Gibraltar     10
The Right Stuff     11
Move Over, Miss Moneypenny     12
People Skills     12
The Path Not Taken     13
The Great Debate     13
Starting Over     16
My Friends, the Doctors     17
Summing Up     18
The Prognosis     18
Health Insurance 101     19
Who's Who in Insurance     20
Commercial Carriers     23
Those Dang Deductibles     23
The Big Three     25
The Blues     25
Alphabet Soup     26
Muddling through Medicare     28
Part B Particulars     29
Accepting Assignment     30
Oh, That Medigap!     32
Medicaid     32
CHAMPUS     33
Workers' Compensation     33
The End, Finito     35
Day to Day Operations     37
Good Morning, Medical Biller!     38
Practice Particulars     39
The Nitty-Gritty     40
Secret Decoder Ring     41
Verify and Clarify     47
In the Groove     48
The Diagnosis Code Dirt     50
The Denied ICD-10 Code     51
Just the Fax, Ma'am     52
Organically Organized     54
The Instant "A"     55
The Old-Fashioned Way     57
Submission Time     57
Playing the Insurance Game     58
Winning the Game     60
Time Juggling     62
Diagnosing Your Market     63
Tripping Doctors     64
Does Size Really Matter?     66
What's My Niche?     67
Starting from Retiring     68
Go the Extra Mile     69
Up Close and Personal     69
Ready Willing, and Able     70
The Economic Pulse     71
Have Modem, Will Cybertravel     72
The Competition      73
Nosy-Not!     73
Shopping the Competition     75
X-Ray of a Medical Billing Business     81
Name That Business     82
Buffalo Bill(ing)     84
The Fictitious Business Name     84
Your Skeletal Structure     85
Home Zoned Home     86
Strange Fees     86
Loose Lips Sink Ships     86
HIPAA, HIPAA... Oh No!     87
Your Business Gurus     89
Pain Management: Figuring Your Finances     91
Start-Up Costs     92
Computing Computer Costs     92
Fax Facts     93
The Skinny on Software     93
Clearinghouse Costs     93
By Way of Reference     94
Phone Fun     94
Please Leave a Message     94
Office Supplies     95
Postage     95
Postage Meters and Internet Postage     96
Adding It All Up     96
Talking Money     97
Per-Claim Jumping     98
Counting the Hours     99
Operating Expenses     100
Cuckoo for Clearinghouses     101
Paying the Piper      101
Ole for Online Service     103
Putting It All Together     103
Help from Your Friends     104
Romancing the Bank     105
Medical Center or House Calls: Locating Your Business     109
The Home Office     110
The Tax Man Speaketh     110
Growing Pains     111
Let's Make a Deal     111
Alternative Officing     111
The Medical Complex     112
Portrait of a Home Office     112
The Outside Office     115
Employees, Insurance, and Other Facts of Life     117
Hired Hands     118
Slave Labor     119
The Temp     120
Insuring Your Gems     120
The Error of Omitting     121
Forward to the Basics     122
Your Operating Theater: Equipping Your Business     123
Computer Glitterati     124
Monitoring the Monitor     125
Flashy Drives     125
Purring Printers     125
The Fax for You     126
Soft on Software     126
The Business Opportunity     128
Clearinghouse Check-Up     129
More Software     130
Hello, Central     132
Automated Answering Service     132
Vociferous Voice Mail     133
Rah-Rah Reference Manuals     133
Form-Fitting     134
Laugh at Lightning     134
Lightning Strikes Again     135
Cool and Calculating     135
Paper Cloning     135
Blowing Your Own Horn     139
People Will Talk     140
The MIB Letter     141
At 'Em Advertising     142
(Cold) Calling All Clients     144
The Doctor's World     144
Handle with Care     146
Capture That Client     147
Percentage Pow!     148
The Per-Claim Pitch     148
You Must Remember This     149
People Who Need People     150
One Singular Sensation     151
Public Relations Patter     151
Are You Being Served?     157
Kill Them with Kindness     157
More Pain Management: Controlling Your Finances     159
Making a Statement     160
Dud Doctors     161
The Tax Man Coment     162
Operating Successfully or Pulling the Plug     167
Ground Zero     168
The Quality of Life     168
Medical Claims Billing Resources     171
Medical Claims Forms     177
Glossary     197
Index     205
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