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El. knyga: 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. Its an 18-billion dollar industry thats 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 youll learn everything you need to know to get into this perfect starter business including:Researching the marketCalculating startup and operating costsFinding clientsGetting referralsDemystifying medical jargonDealing with insurance carriersTelecommuting options and online workProfessional networkingStartup requirements and costs are minimal, opening the door for anyone to get started in this lucrative field.
Preface xi
Prescription for Success
1(18)
The Doctor's Key
2(1)
Not a Small World
2(2)
Preventive Maintenance
4(1)
The Problem
4(1)
Electronic Filing Beats Paper
5(1)
Software Magic
5(1)
Skimming Along with Superbills
6(1)
Counting Your Coconuts
7(2)
Crank-Up Costs
9(1)
The Rock of Gibraltar
10(1)
The Right Stuff
11(1)
Move Over, Miss Moneypenny
12(1)
People Skills
12(1)
The Path Not Taken
13(1)
The Great Debate
13(3)
Starting Over
16(1)
My Friends, the Doctors
17(1)
Summing Up
18(1)
The Prognosis
18(1)
Health Insurance 101
19(18)
Who's Who in Insurance
20(3)
Commercial Carriers
23(1)
Those Dang Deductibles
23(2)
The Big Three
25(1)
The Blues
25(1)
Alphabet Soup
26(2)
Muddling through Medicare
28(1)
Part B Particulars
29(1)
Accepting Assignment
30(2)
Oh, That Medigap!
32(1)
Medicaid
32(1)
CHAMPUS
33(1)
Workers' Compensation
33(2)
The End, Finito
35(2)
Day to Day Operations
37(26)
Good Morning, Medical Biller!
38(1)
Practice Particulars
39(1)
The Nitty-Gritty
40(1)
Secret Decoder Ring
41(6)
Verify and Clarify
47(1)
In the Groove
48(2)
The Diagnosis Code Dirt
50(1)
The Denied ICD-10 Code
51(1)
Just the Fax, Ma'am
52(2)
Organically Organized
54(1)
The Instant ``A''
55(2)
The Old-Fashioned Way
57(1)
Submission Time
57(1)
Playing the Insurance Game
58(2)
Winning the Game
60(2)
Time Juggling
62(1)
Diagnosing Your Market
63(18)
Tripping Doctors
64(2)
Does Size Really Matter?
66(1)
What's My Niche?
67(1)
Starting from Retiring
68(1)
Go the Extra Mile
69(1)
Up Close and Personal
69(1)
Ready, Willing, and Able
70(1)
The Economic Pulse
71(1)
Have Modem, Will Cybertravel
72(1)
The Competition
73(1)
Nosy---Not!
73(2)
Shopping the Competition
75(6)
X-Ray of a Medical Billing Business
81(10)
Name That Business
82(2)
Buffalo Bill(ing)
84(1)
The Fictitious Business Name
84(1)
Your Skeletal Structure
85(1)
Home Zoned Home
86(1)
Strange Fees
86(1)
Loose Lips Sink Ships
86(1)
HIPAA, HIPAA. . . Oh No!
87(2)
Your Business Gurus
89(2)
Pain Management: Figuring Your Finances
91(18)
Start-Up Costs
92(1)
Computing Computer Costs
92(1)
Fax Facts
93(1)
The Skinny on Software
93(1)
Clearinghouse Costs
93(1)
By Way of Reference
94(1)
Phone Fun
94(1)
Please Leave a Message
94(1)
Office Supplies
95(1)
Postage
95(1)
Postage Meters and Internet Postage
96(1)
Adding It All Up
96(1)
Talking Money
97(1)
Per-Claim Jumping
98(1)
Counting the Hours
99(1)
Operating Expenses
100(1)
Cuckoo for Clearinghouses
101(1)
Paying the Piper
101(2)
Ole for Online Service
103(1)
Putting It All Together
103(1)
Help from Your Friends
104(1)
Romancing the Bank
105(4)
Medical Center or House Calls: Locating Your Business
109(8)
The Home Office
110(1)
The Tax Man Speaketh
110(1)
Growing Pains
111(1)
Let's Make a Deal
111(1)
Alternative Officing
111(1)
The Medical Complex
112(1)
Portrait of a Home Office
112(3)
The Outside Office
115(2)
Employees, Insurance, and Other Facts of Life
117(6)
Hired Hands
118(1)
Slave Labor
119(1)
The Temp
120(1)
Insuring Your Gems
120(1)
The Error of Omitting
121(1)
Forward to the Basics
122(1)
Your Operating Theater: Equipping Your Business
123(16)
Computer Glitterati
124(1)
Monitoring the Monitor
125(1)
Flashy Drives
125(1)
Purring Printers
125(1)
The Fax for You
126(1)
Soft on Software
126(2)
The Business Opportunity
128(1)
Clearinghouse Check-Up
129(1)
More Software
130(2)
Hello, Central
132(1)
Automated Answering Service
132(1)
Vociferous Voice Mail
133(1)
Rah-Rah Reference Manuals
133(1)
Form-Fitting
134(1)
Laugh at Lightning
134(1)
Lightning Strikes Again
135(1)
Cool and Calculating
135(1)
Paper Cloning
135(4)
Blowing Your Own Horn
139(20)
People Will Talk
140(1)
The MIB Letter
141(1)
At 'Em Advertising
142(2)
(Cold) Calling All Clients
144(1)
The Doctor's World
144(2)
Handle with Care
146(1)
Capture That Client
147(1)
Percentage Pow!
148(1)
The Per-Claim Pitch
148(1)
You Must Remember This
149(1)
People Who Need People
150(1)
One Singular Sensation
151(1)
Public Relations Patter
151(6)
Are You Being Served?
157(1)
Kill Them with Kindness
157(2)
More Pain Management: Controlling Your Finances
159(8)
Making a Statement
160(1)
Dud Doctors
161(1)
The Tax Man Cometh
162(5)
Operating Successfully or Pulling the Plug
167(4)
Ground Zero
168(1)
The Quality of Life
168(3)
Appendix A Medical Claims Billing Resources 171(6)
Appendix B Medical Claims Forms 177(20)
Glossary 197(8)
Index 205


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