Even though you are out of network, your clients most likely have insurance, and would use it to cover your services if they could. Having a biller can give you a competitive edge, and let your clients know you are committed to providing high quality care.
Yes! I work hard to get your clients benefits to apply to the services you provide, even though you remain an out of network provider.
It doesn't cost you anything. Although I work closely with you to provide a great billing experience, the client (your patient) pays my fee.
We will sign some forms, decide how you will communicate what services are provided for each client, and look through your financial agreements to make sure you are set up for insurance billing. If you have access to any insurance portals you will add me as a biller/administrator. After that I handle everything else - I create the bills, submit them, communicate with the client and their insurance throughout the process. I handle every aspect of billing.
I am a professional coder! I use the latest ICD 10 and CPT coding books, to make sure that the services you provide are professionally coded for billing. This will save you time and earn you more money! And my coding services are covered by the flat fee your client pays me.
Insurance billing isn't something to take lightly. Insurance fraud, whether by accident or intentional can ruin the career of a midwife. Choose a biller that has integrity, understands the laws of medical billing, and is open with you about what they are billing and how they are doing it.. Some red flags would be - the biller determines the amount to bill, insurance is billed more than the client, the biller is difficult to communicate with, the biller has never looked at the financial agreements you have with clients.
Before I begin billing for you I always make sure that you are set up for me to legally bill insurance, and have adequate documentation in case of an audit. I also provide you with an annual internal audit of the billing practices.
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