Entrepreneurs guide to starting a medical business.

How To Start A Medical Claims Billing Services


Price: $109.95


Product Description

The world of medical treatment has changed dramatically in the past few years. Doctors are overwhelmed by the maze of complicated claim forms and insurance policy procedures. They need time to focus on their patients, but with complicated billing procedures from private and government-administered insurance companies, HMOs and PPOs, they're often having to worry about whether they'll ever get paid for the services they provide. And this is where you come in: There's a growing need for outside help--a need that you can easily fill, working from your home.

As a medical claims biller, you can earn a good income managing claims for doctors and other health-care specialists. There's no special training or experience needed, and start-up costs are minimal. All you really need is a computer, a printer, a modem and claims processing software.

It's an ideal "starter" business because you decide its size and scope. You can specialize in certain fields--chiropractic, pediatric or dentistry, for example--and determine exactly how many health-care professionals you want to accept as clients.

In this guide, we'll help you create the medical-claims billing business that best suits your needs. You'll learn about the different ways you can specialize, the health organizations you'll be dealing with, terminology to help you get a head start, and the software that will make you a doctor's best friend.


Table of Contents


Chapter 1: Prescription For Success

  • The Doctor’s Key
  • Not A Small World
  • Preventive Maintenance
  • The Problem
  • Electronic Filing Beats Paper
  • Software Magic
  • Skimming Along With Super bills
  • Counting Your Coconuts
  • Crank-Up Costs
  • The Rock Of Gibraltar
  • The Right Stuff
  • Move Over, Miss Money penny
  • People Skills
  • The Path Not Taken
  • The Great Debate
  • Starting Over
  • My Friends The Doctors
  • Summing Up
  • The Prognosis


    Chapter 2: Health Insurance 101

  • Who’s Who In Insurance
  • Commercial Carriers
  • Those Dang Deductibles
  • The Big Three
  • The Blues
  • Alphabet Soup
  • Muddling Through Medicare
  • Part B Particulars
  • Accepting Assignment
  • Oh, That Medigap!
  • Medicaid
  • Workers’ Compensation
  • The End, Finito


    Chapter 3: Operations

  • Good Morning, Medical Biller!
  • Practice Particulars
  • The Nitty-Gritty
  • Secret Decoder Ring
  • Verify And Clarify
  • In The Groove
  • The Diagnosis Code Dirt
  • The Denied ICD-10 Code
  • Just The Fax, Ma’am
  • Organically Organized
  • The Instant “A”
  • The Old-Fashioned Way
  • Submission Time
  • Playing The Insurance Game
  • Winning The Game
  • Time Juggling


    Chapter 4: Diagnosing Your Market

  • Tripping Doctors
  • Does Size Really Matter?
  • What’s My Niche?
  • Starting From Retiring
  • Go The Extra Mile
  • Up Close And Personal
  • Ready, Willing And Able
  • The Economic Pulse
  • Have Modem, Will Cybertravel
  • The Competition
  • Nosy—Not!
  • Shopping The Competition


    Chapter 5: X-Ray Of A Medical Billing Business

  • Name That Business
  • Buffalo Bill(ing)
  • The Fictitious Business Name
  • Your Skeletal Structure
  • Home Zoned Home
  • Strange Fees
  • Loose Lips Sink Ships
  • Your Business Gurus


    Chapter 6: Pain Management: Figuring Your Finances

  • Start-Up Costs
  • Computing Computer Costs
  • Fax Facts
  • The Skinny On Software
  • Clearinghouse Costs
  • By Way Of Reference
  • Phone Fun
  • Please Leave A Message
  • Office Supplies
  • Postage
  • Postage Meters And Internet Postage
  • Adding It All Up
  • Talking Money
  • Per-Claim Jumping
  • Counting The Hours
  • Operating Expenses
  • Cuckoo For Clearinghouses
  • Paying The Piper
  • Olé For Online Service
  • Putting It All Together
  • Help From Your Friends
  • Romancing The Bank


    Chapter 7: Medical Center Or House Calls: Locating Your Business

  • The Home Office
  • The Tax Man Speaketh
  • Growing Pains
  • Let’s Make A Deal
  • Alternative Officing
  • The Medical Complex
  • Portrait Of A Home Office
  • The Outside Office

    Chapter 8: Employees, Insurance And Other Facts Of Life

  • Hired Hands
  • Slave Labor
  • The Temp
  • Insuring Your Gems
  • The Error Of Omitting
  • Forward To The Basics


    Chapter 9: Your Operating Theater: Equipping Your Business

  • Computer Glitterati
  • Monitoring The Monitor
  • Zippity-Do Drive
  • Purring Printers
  • The Fax For You
  • Soft On Software
  • The Business Opportunity
  • Clearinghouse Check-Up
  • More Software
  • Hello, Central
  • Automated Answering Service
  • Vociferous Voice Mail
  • Rah-Rah Reference Manuals
  • Form-Fitting
  • Laugh At Lightning
  • Lightning Strikes Again
  • Cool And Calculating
  • Paper Cloning


    Chapter 10: Blowing Your Own Horn

  • People Will Talk
  • The MIB Letter
  • At ’Em Advertising
  • (Cold) Calling All Clients
  • The Doctor’s World
  • Handle With Care
  • Percentage Pow!
  • The Per-Claim Pitch
  • You Must Remember This
  • People Who Need People
  • One Singular Sensation
  • Public Relations Patter
  • Are You Being Served?
  • Kill Them With Kindness


    Chapter 11: More Pain Management: Controlling Your Finances

  • Making A Statement
  • Dud Doctors
  • The Tax Man Cometh


    Chapter 12: Operating Successfully Or Pulling The Plug

  • Ground Zero
  • The Quality Of Life


    Appendix: Medical Claims Billing Resource

         Price: $109.95

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