angelaanne
Guest
I just recently accept a p/t billing position with a home health pediatrics company...I have only been there 1 week and already have tons of questions of how they are doing business. I have over 10 years medical billing and need someone else to let me know if I am totally wrong in questioning this company (7 year company owned by nurse/husband team).
questions-
They are billing only the C/A accepted by the insurances they contract with. I was under the impression we must bill the total charge, then do the c/a if needed and bal bill patient for coinsurance/copay/deductible if needed...
I was told by there office mgr and the owner of the company they do not want to do c/a's as that would take forever and he wants to know what revenue is coming in the door (actual $ amount). So for example, Anthem allows $95 for skilled nursing visit, that is what is billed on the UB04.
Am I wrong to speak up and say that doing c/a's is just part of doing billing...I believe they desperately need a new computer software system and some more education on how they are to bill.
How do I tell them in a nice manner that they are not billing correctly???
***Also, they do not bill for SN Assessments ---they do bill assessments but only for 1 insurance??? That doesn't make since to me...
I feel they could be loosing TONS of money billing this way...
I love the p/t hours but its really hard to not care about my work and do things the way they think they need to be done.
Please HELP, need guidance on what to do???
Thanks in advance for your help.
questions-
They are billing only the C/A accepted by the insurances they contract with. I was under the impression we must bill the total charge, then do the c/a if needed and bal bill patient for coinsurance/copay/deductible if needed...
I was told by there office mgr and the owner of the company they do not want to do c/a's as that would take forever and he wants to know what revenue is coming in the door (actual $ amount). So for example, Anthem allows $95 for skilled nursing visit, that is what is billed on the UB04.
Am I wrong to speak up and say that doing c/a's is just part of doing billing...I believe they desperately need a new computer software system and some more education on how they are to bill.
How do I tell them in a nice manner that they are not billing correctly???
***Also, they do not bill for SN Assessments ---they do bill assessments but only for 1 insurance??? That doesn't make since to me...
I feel they could be loosing TONS of money billing this way...
I love the p/t hours but its really hard to not care about my work and do things the way they think they need to be done.
Please HELP, need guidance on what to do???
Thanks in advance for your help.