| Medical Billing and Claims Processing Frequently Asked Questions |
Which medical billing software package should I purchase? What is the difference between the packages?
If you are a beginner, operating a home business with less than 2 employers or and not interested accounts receivable or tracking accounts, all you may need is the AMS Claims Medical & Dental Billing package to process medical or dental claims or the AMS Basic Medical Billing package if you also want patient accounting and practice management. If you have experience and running an established small business or a business with over 5 employers, you may want to consider the AMS Advanced Medical Billing package with added features for your business and that can handle a larger amount of doctors. If you are starting a small to medium size dental billing business, our AltaPoint Dental Billing package should suit your needs just fine. This software also has patient accounting and practice management. The AMS Basic Medical Billing package is the most popular package and the one we recommend for medical billers. This package should be sufficient for small to large businesses especially if you are planning on working from a single computer. Is there a demand for Medical Billers and Claims Processors? How is the competition? Filing claims electronically takes approximately 48 hours, compare this to an average of 10 weeks for paper claims. The effect of utilizing electronic claims processing can have a tremendous impact on the aging of accounts receivable and an accelerating positive effect on cash flow. There are over 2 million healthcare providers in the US. Only 30% of medical claims are filed electronically. The market is wide-open for someone who wishes to establish a Medical Billing and Claims processing business. Do you have any employees that run successful home-based Medical Billing and Claims Processing businesses? Yes we do have employees who run successful home-based Medical Billing and Claims Processing businesses. We have employees with hands-on experience in this field with a combined experience of over 25 years. There is no problem we haven't solved and no question or concern we can't address. Customers will be able to contact us 24/7 for answers or responses to any problem or concern. Our representatives totally understand how difficult it is to start a business, especially in your home, and we will always be here to make sure you receive all the aide and help required so your business can run smoothly. Don't doctors prefer to file and submit their own electronic claims? Unfortunately, the average doctor is not in a position to begin electronic claims filing, and if they were, the doctors probably couldn't keep up with the changes in requirements anyway. Many healthcare providers strive to keep overhead costs low. Therefore, they use electronic claims filing services to cut turnaround time, free up personnel for other tasks, drastically reduce error rates as well as get substantially better claims management at a significantly lower cost. Doctors and healthcare providers will not be required to purchase new, upgraded or additional computer equipment or claims processing software. Additionally, they will not have to hire people or train current employees to do electronic claims filing. By using your services, they no longer have the expense of upgrading software and retraining staff when claims procedures and requirements change. How much time will have I have to spend on this business? Can I work on my business part-time? Medical Billing businesses provide the ultimate flexibility. The amount of time you invest in your business is entirely up to you. You can operate your business from your home any time of the day, any day of the week. Many billers and claims processors who wish to maximize their earning potential may prefer to work full-time. However, if you are only interested starting the business to supplement a spouse's income or your own, you will be able to work less than 10 hours a week and still make enough money. Do I need any previous medical billing and computer experience to start? Any experience in billing and computers is an asset, but it isn't necessary. We have designed this package to include all the information and supplies you will need to get started immediately without paying for additional training and classes in medical billing and claims processing. The more claims you file and process, the more experience you will receive and with the free information provided and help from our employees, you will be able to run your business without extensive experience in the medical billing or claims processing field. Do I need to know medical terminology to do Medical Billing? No you do not because the medical codes are provided by the physicians you service. We also provide up-to-date ICD-9-CM and CPT4 medical codes on disk for your convenience. How much can I expect to earn? The more clients you can handle and the more claims you process, the more money you will make. It is estimated that a doctor submits over 400 claims per month and most billers and claims processors charge between $3 to $4 per claim filed. Business owners can make over $19,000 per doctor per year. Most billers can handle up to 5 clients which means you can make about $100,000 a year working full-time and $50,000 a year working part-time. What other expenses will I have? What is a clearinghouse and how much will I have to pay them to submit and process claims? Other expenses can include postage for mailing, stationery, marketing and phone calls. Clearinghouses gather claims information, electronically from various sources such as your business. The clearinghouse then edits, formats and submits this information to insurance companies such as Medicare, Blue Cross and Blue Shield for payment. Clearinghouses have the ability to meet the specific requirements of each insurance company and their specific computer formats. Therefore, they can submit claims to any insurance company that accepts electronic claims. Clearinghouses charge a $50.00 to $300.00 setup fee, a $0 to $50.00 fee per doctor and a $0.30 to $0.50 fee per claim filed. My major concern is marketing and advertising my business because I am not a salesperson. How do I advertise and find clients for my business? We offer Marketing and Advertising Packages for all of our home businesses. Our marketing tools are designed to give you a head start in finding work as well as provide professional looking advertisements, presentations and letters to send to potential clients. Our Marketing Package has all the information and supplies required to make a good first impression.
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