For those of you, the medical and billing directly with the public, you know exactly what I'm talking about in this eye-opening look at the industry. And the truth is, it does not matter where you fall within the food chain. There is stress at all levels. In this installment, we will be a typical day for a Medical Biller.
First of all, you are probably in layers. To get into a PM and you find that in the morning at this time, there are already some 40 bills to the various institutions such as Medicare, Medicaid and private insurance companies like Prudential. So right after the gate behind the 8-ball. You have two hours of work ahead of you already.
Then your boss comes and tells you that there is a problem with one of the patients indicated that the last week. It seems that the companies allege that the fraudulent. So you must immediately on the phone with the carrier, the physician and the patient to find out what's going on. The conference lasts for about an hour, until the error is straight. But the day of horror is not yet done so.
If it is found that the new quarter and what you must do before a HCPCS update, you can also do the daily accounting. , So that the next thing you need to know to keep a computer with a modem or a direct Internet connection. Well, there are no modems, and you find technical support to talk about that for some reason its Internet connection, even if the IIS server is in order. So, now that you can not do HCPCS update, you can not your bills morning because you do not know if all the procedure codes in the system are up to date.
Then there is an emergency meeting, which will be called. It turns out that there is a new settlement with New York Medicaid, which enter into force immediately. All papers were printed for you, all 40 pages of IT, that you as soon as possible to read and assimilate faster. If you need help understanding them, do not bother to your superiors, because he does not know more than you.
Finally, the Internet is back, as your session ends. They are able to do your HCPCS update, and finally, after the day on four hours is already old, you're actually able to do some medical billing. You now have about 80 applications to process, maybe more.
This is not necessarily a typical day at a medical billing company, but it is not as unusual as you might think. The number of things that can go wrong, computers go to patients' complaints, the complaints just by the sheer volume of the number of claims processed, especially if you have a clearing house, only to kill you.
Michael Russell
Your independent guide to Medical Billing
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