Understand Emergency Physicians Jobs in Today’s Healthcare Environment extra

It seems that there are so many emergency medicine job opportunities, yet so few long-term stable emergency physicians in jobs. Much of this has to do with the ever-changing practice environment and at times tenuous relationship with the hospital, consultant [...]

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Go through Medical Insurance Billing Software – Choose the Best For Your Business more

Doing research for your medical insurance billing software options can be a time consuming process–but if you don’t do your homework now you may choose the wrong medical claims billing software for your business and cause numerous problems in the future. The time you spend up front doing thorough research is well worth the effort.

Many leading medical billing programs software enable you to do insurance claims filing (both electronic and by paper), patient billing, scheduling, as well as provide detailed reporting and accounts receivables. Many medical billing programs will have options available for specific specialties such as dentists or electronic medical records (EMR) which are becoming very popular.

As if you didn’t have enough decisions to make, you will also wade into the debate of whether PC based software or WEB based software is better. Here are some of the pros and cons of each:

PC BASED SOFTWARE

This is the traditional PC or client based medical insurance billing software which has been around for years and is still the most widely used.

PROS:

Control–The medical insurance billing software is actually on your computer so if the software company goes out of business you are still able to continue billing in most cases. (Although you would not have any technical support should you have a problem with your software).

No monthly fees–Typically you would only have a reasonable yearly and/or support fee and potentially an additional charge if your medical insurance billing software vendor releases a newer version.

Not dependent on the internet- Especially beneficial if you live in an area that does not have reliable high speed internet access.

CONS:

Larger upfront costs–While the cost of medical insurance billing software varies significantly, the initial investment can be thousands with some being well over $10,000

Limited access to data–It is far more difficult for your doctors to have access to their data. This often requires frequent calls from the doctors or their patients needing information about an insurance payment or a patient’s balance. It also requires you to supply more weekly and/or monthly reports for your doctors.

Installing and maintaining software–You will be responsible for installing the software and any updates and patches. You will also need to perform manual data backups and secure the data to meet HIPAA standards.

WEB BASED SOFTWARE

With the evolution of the Internet, you can now easily find a wide variety of medical claims billing software.

PROS:

Limited upfront fees

Easy access to data–You and your doctors can access your records safely and securely anywhere you have a computer and high speed internet access.

Unlimited users–most offer this feature at no additional charge.

No software to buy or install

No upgrade costs–The majority do not have additional yearly or upgrade costs, (but you know the drill, always check the fine print).

No server needed

Automated data backup online

Chance to Go Paperless

CONS:

Monthly fees–The monthly fees vary significantly between web based medical insurance billing software providers which and can be cost prohibitive if you have a lot of small doctors.

Dependent on the internet–if your internet service goes down you no longer have access to your data base

What do you do if they go out of business? This is the negative you really need to look at closely. Make sure you are confident that you would still be able to access you data somehow should the web based software provider suddenly go out of business.

Medical Billing Business Packages: You will come across companies offering what are often referred to as “turn-key” medical billing packages. These typically consist of medical claims billing software combined with software training, technical support, as well as different levels of marketing assistance.

But buyer beware! While these package deals are convenient and sound very attractive, they often come at a much higher price than you can get by buying the services separately from multiple sources (as is covered in great detail on this site). You also have the risk of paying a large upfront fee and having the company go out of business.

Regardless of which option you choose, it is crucial that you thoroughly research each company. Don’t forget the old standbys such as the Better Business Bureau and the Federal Trade Commission. Be sure to order a demo of each medical billing software you are considering and also visit some of the medical billing forums to get additional ideas.

Billing Health Insurance

Suzanne is the Director of Operations for G & K Office Solutions. Her numerous articles cover a variety of topics, including human resources issues, payroll and payroll management, and retirement funding. For information on thes topics, visit http://best-business-payroll.com

And for more Medical Billing information and resources, visit http://everythingmedicalbilling.com/medical-insurance-billing-software.html

Medical Insurance Billing Software – Choose the Best For Your Business

Go through What You Should Know About Medical Billing far more

What You Should Know About Medical Billing

Billing Health Insurance

Medical billing is the business of submitting and following up on claims to insurance companies so that doctors can receive payment for their services. This is the process utilized by most insurance companies, both government-owned and privately-owned. The actual billing process will take place between a healthcare provider and the insurance company, who is actually making the payment.

The patient’s medical record is updated after an in-office visit and contains a summary of all treatment, diagnosis and demographic information. The level of service will be determined by staff and then translated into a five-digit procedure and numerical code. The biller then transmits the claim to the insurance company. (In the past, paper forms were mailed; now this process is mostly handled electronically.) The insurance company then processes the claim, if its medical directors review the claims favorably and can evaluate their validity. Approved claims will be reimbursed for a certain percentage of the billed services as stated in the contract between insurance company and the insured.

There are numerous companies that offer medical billing services. What are the most important factors in choosing one? Knowledge and experience in the healthcare industry is important, as is training in administrative experience. This may include training in Revenue Cycle Management, which aims to ensure the highest reimbursements possible. Technology is another important factor in choosing the best medical billing service provider, and some companies will highlight their state-of-the-art medical records system that makes billing and scheduling easy. Some of these medical billing companies may focus in certain areas of practice such as orthopedics, neurology, rehabilitation or pain management.

If you are interesting in medical billing as either a health care practitioner or as a possible career, contact http://www.GRMed.com. This company has over 65 years of combined experience and has been involved with medical billing for over a decade.

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Go through Medical Billing Outsourcing Empowers Doctors & Levels the Playing Field Against Insurance Companies additional

Medical Billing Outsourcing Empowers Doctors & Levels the Playing Field Against Insurance Companies

Billing Health Insurance

Billing Health Insurance

Insurance companies are definitely in a stronger position in the ‘payer payee’ relationship shared with healthcare providers. They have the advantages of scale, power and a large claims database. The complexity of billing procedures further tips the scales towards them. Technology and the internet come to the aid of medical providers through medical billing networks, promising to level the playing field between the two players.

Insurance carriers benefit from complex medical billing process. Changing codes, rules, and procedures make filing claims tortuous and error-prone. Insurance companies pick on these errors to reject claims. Sometimes this happens repeatedly till the medical provider caves in and forgoes the claim. Medical practitioners lose out on a significant chunk of revenue because of this tactic.

Common tactics used by insurance companies to delay payments

Insurance companies take advantage of the intricacies of billing procedures. Some of the common strategies used by them to delay payments of medical claims are:

Picking out bureaucratic errors to reject claims

Most medical practitioners do not have efficient and reliable billing processes. Insurance companies pick out errors and omissions in the submitted claims to reject them. Almost 20% of medical claims go unpaid as a result of claim rejections and unaggressive follow-up. This cut in revenue can seriously setback the operations of a medical practice.

Low allowable amount

Insurance companies take advantage of their large size by concurring on low allowable amounts to medical practitioners. Medical providers are left with little choice but to go with the low sums of money as competing insurance companies also offer the same amount.

Post-payment refunds

Insurance firms conduct post-payment audits to correct mistaken payments and redeem them. They have access to a vast claims database and can verify records to demand post-payment refunds. This further depletes the revenue of medical practitioners.

Insurance companies have an efficient billing system that allows them to reduce payments to healthcare providers. The added advantage of scale makes them a tough proposition.

Medical billing networks reinforce the medical billing process

Medical billing networks consolidate the claims database of various healthcare practitioners. Medical billing service providers provide the means to facilitate this network. The information of clients is combined into an efficient and accountable automated system that also offers effective records management and efficient processes. Medical providers can leverage the economies of scale to their advantage, as insurance providers have been doing since years.

Advantage of medical billing networks

Independent medical practices cannot do much on their own, but collectively they can build an effective system to combat the obstacles in getting payments from insurance payers. Billing networks enable medical providers to do business with large-scale insurance companies on an equal footing. The networks offer the advantages of improved collections, effective revenue management, lower audit risk and added revenue sources.

All medical practices should use medical billing network services to combat large-scale insurance company tactics to deny and reject claims. Healthcare providers can use network services to maximize revenue and streamline revenue management processes.


Read our medical billing process advice. Compare medical claims billing quotes.

Read through Medical Billing and Coding Job Description, Training and Salary far more

Medical Billing and Coding Job Description, Training and Salary

Billing Health Insurance

If you’ve been thinking about taking some medical coding or medical billing classes online or getting medical coding or billing training you want to make sure you understand what this career and the job entails and have a good idea what kind of salary you’ll make. Of course you may want to open a work from home business and it’s certainly possible but may require a good education and training and an entrepreneurial ability to do so.

Going into a home business is not for everybody and getting on the job experience first is a good idea unless you have extensive education and feel like you completely understand the billing business.

Medical billing means you would be documenting patients’ visits to a doctor, clinic or hospital or other type of health facility. Medical billers, assistants or Specialists enter clinic and patient information into expensive billing or practice management software so you can submit medical claims to health insurance companies. You would also be posting payments from insurance carriers and patients and run off management reports. You may also be required to make follow up calls.

Medical billing doesn’t have to be done in a doctor’s office. You can do billing from home, any office, clinic or hospital, billing service or facility that has the necessary software. Many doctors outsource their billing and may choose a home based business if the service is competitive in terms of cost. Or they may choose a smaller service and not necessarily one of the large billing services. So cost is a factor.

Medical coding is a totally separate function and not a part of the medical billing business. Medical coding cannot be done from home or outsourced to a service. Medical coders usually work right in the doctor’s or clinic’s office doing the coding before it is sent on to the billing service. Coder’s salaries are comparable to medical biller’s salaries.

So if you decide to get medical billing training you don’t have to worry about coding and vice versa. People usually choose one or the other. Medical billing is more popular and offers more versatility since you can work from home in either your own business or for a doctor or clinic that allows you to do that.

Billing services often have graveyard shifts and may run around the clock. Salaries to start out run at least $10 an hour and up depending on your training, education and or experience, or related experience. You can move up fast as you gain the experience on the job and can command a much higher salary for the experience you’re getting both from the clinic, practice or company you’re working for when and if you leave for another medical billing job.

You don’t need national certification, for example, as a billing specialist but it may help you get your foot in the door faster. There is money available for both your local on-campus and online medical billing training too. Make sure to check out online schools thoroughly to avoid any scams.


Next for secrets & tips on medical billing as a career or home business, choosing the best medical billing training, best medical coding and billing schools, online courses, work at home & financing see a nurse’s website: http://www.MedicalBillingTrainingInfo.com

Understand Emergency Physicians Jobs in Today’s Healthcare Environment extra

It seems that there are so many emergency medicine job opportunities, yet so few long-term stable emergency physicians in jobs. Much of this has to do with the ever-changing practice environment and at times tenuous relationship with the hospital, consultant medical staff, and regulatory bodies. Resultantly, stability even for the seemingly most sought after emergency medicine jobs is never assured or guaranteed. In this article, the author explores common practice challenges for emergency physician jobs in today’s healthcare environment.

Today, emergency physicians find themselves working in a crisis environment. This is largely a result of our Nation’s emergency departments (EDs) are the only sector of the healthcare system where there is a federal statue mandating that care is provided to all patient regardless of their ability to pay. Imagine if you will, a law requiring all of those fast quick lube shops to take all motorists, regardless of their ability to pay! Between the years of 1994 and 2004, ED visits increased from 93.4 million to 110.2 million-an 18 percent increase. Meanwhile, there was a significant decline in the numbers of hospitals, hospital beds, and emergency departments. The resultant overcrowding long waits, coupled with an under supply of ancillary support, makes for a crisis work environment.

Emergency physicians will also find that the rest of medical community inadvertently exacerbates the existing crisis. The perceived need for hospitals to funnel as many patients as possible through their EDs cripples many tenuous EDs both financially and medically. Primary care delivered in the ED is more costly than providing the same care in a physician’s office, and primary medical care received through the ED is of poorer quality. Emergency Physicians have extensive training in medical and surgical emergency management and treatment, however, primary care is best reserved for Family Medicine, Internal Medicine, and Pediatrics. According to the National Hospital Ambulatory Medical Care Survey , 47% of emergency department visits in 2004 were classified as either emergent (12.9 percent) or urgent (37.8 percent). The delivery of primary care in the ED for non-emergent patient care contributes to ED overcrowding, patient boarding, ambulance diversion, and delayed ambulance response times on a daily basis. Resultantly, this severely limits the system’s ability to prepare for and respond to a catastrophic medical disaster, natural disaster, pandemic or terrorist attack.

Emergency physician are finding it increasingly difficult to obtain much needed on call assistance for patients needing hospitalization. This is largely because of uncompensated or undercompensated services provided by on call specialist, coupled with rising unresolved medical liability and regulation. Although once attractive for new graduates, most new physicians now prefer the security afforded by larger well-established groups to the financial vagaries and lifestyle restrictions of solo practice. In so doing, taking ED call becomes more of an unwanted burden than an opportunity.

The burden is worsened when other factors not previously mentioned are considered. For example, the ever-present medical malpractice threat looms over emergency medicine. Nowhere else in medicine can the actions of one specialist always be criticized by what is viewed by the lay public as a true specialist in anther specialty. Despite being the best person to manage for example an emergency airway, the ED physician will always be subject to the ‘definitive’ opinion from the true expert – the anesthesiologist; as well as the cardiologist, gastroenterologist, neurologist, etc. Likewise, the pressure of benchmark performance, throughput, volume and acuity of patients seen per hour, patient satisfaction, patient complaints and admission rates all weight into the equation. The emergency physician also must balance not only the patient as the ‘customer’ but the medical staff, hospital administration, and to some extent the nursing staff as well. Whereas in other aspects of medicine where the nurse works subordinate to the physician; often in the ED, due to supply and demand, nurses are having an increasingly louder voice in influencing the practice and judgment of physicians in the ED (which may in fact be a good thing for many department and physicians). Nonetheless, this too affects the emergency physician job.

In general, today’s emergency physician is faced with numerous challenges and stressors making for crisis in the workplace. This crisis directly affects the likelihood of emergency physicians finding lasting stability, in a given practice location in most cities in the US. Federal support and intervention is needed to release the mounting pressure that currently worsening. The Institute of Medicine, American College of Emergency Physicians, and similar institutions are taking great strides in leading change – none of which can come all too soon.

Ambulance Billing
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Emergency Physicians Jobs in Today’s Healthcare Environment

Ambulance Billing