We provide a targeted, simple approach to
everyday billing issues

Our webinars will help alleviate the discrepancies and misunderstandings that are common to billing. The webinar approach allows us to target specific billing issues and to cover the topic extensively in one hour or less. Our webinars share strategies and techniques that work at the claim level, where it counts.

Finally, a resource and forum for the billing community!

Medically necessary services are covered under most major medical plans, but that is only true if the right information is formatted on a clean claim so that the insurance adjudication system reads it, concurs with the claim and then sends it to their automatic payment system for payment. This prevents claim review, denials and the need for lengthy appeals. Are you creating clean claims?

Every billing error (or omission) will ultimately cost your practice time and money. Since the Correct Coding Initiative was passed in 1996 as part of the Health Insurance Portability and Accountability Act (HIPAA), billing has become more complex and is constantly changing. There have been over 10,000 billing rules implemented since October 1st of 1996 …….and the rules are still coming. And yet, there is no requirement for ongoing education for medical billers. So, how does any biller keep up with these changes? Is it no wonder that there are so many inconsistencies among billers and even professional billing firms?

Why is billing so difficult?

Oddly enough, the most difficult concept for billers is the ability to step back and think through the clinical scenario of the claim. Why did the patient come in? Which symptom(s) support the office visit? Do you have symptoms to support each of the other services and procedures? What are the underlying strategies that will help maximize payment for all of these services? In other words, how will you stack the CPT and ICD-9 codes to maximize reimbursement? Does each diagnosis code properly support each CPT code? Does the number of services provided warrant the need to split the claim into two separate claims? If so, how will you place the modifiers? What are the rules governing modifiers when you have two claims relating to the same date of service? Are you adjusting off money that could be collected? Are you being bundled?

Learning to bill for physician services is a process. In years past, billing was done by employees in the practice. They learned from the person sitting next to them and from fixing their own mistakes. This is how almost everyone learned billing, and today, not much has changed. If you need to hire a good biller, find someone who has "done the time" and come up through the ranks. The best billers have earned their stripes! There are no short cuts in billing, and this includes the many billing and coding schools that try to sell their great promise. Each practice must make sure that their unique needs are met.

How Do We Get Started?

Whether you outsource your billing or bill in-house, each webinar can have an immediate and positive impact on your practice.

Clean claims, the first time, must be the goal of your practice. A clean claim is determined by the electronic eyes of insurance adjudication systems, so understanding the adjudication process is very important.

Clean Claims will: