#7: The Nuts and Bolts of Medical Billing

[AdminWolf]

ODwire.org Radio

Episode 7: The Nuts and Bolts of Medical Billing

Return guest Dr. Steven Nelson picks up where he left off in a previous interview, discussing the actual nuts-and-bolts of how clinicians can start billing medical visits in their own practices.

Steven has practiced in a wide variety of settings and has been able to dramatically boost both his gross and net through these medical billing techniques.

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[AdminWolf]

Thanks to Steven for his time, it was a fun interview! Leave your feedback here

 

[eileen rohrlick]

Thank you! What an extremely informative and practical interview. Lots of great advice.

 

[Mike Sandy]

Optometric Billing Consultants is a great place to start for those willing and wishing to dive into the deep end.

http://www.claimdoctor.net/about-us

 

[AdminWolf]

Thank you! What an extremely informative and practical interview. Lots of great advice.

Thanks Eileen, we always have a blast putting these together.

Paul tells me he's scheduled us for a recording of another episode next week... apparently we're also going to have that show go out 'live' over the net while we're shooting it.

So anyone who wants to listen in real-time will get to hear how the 'sausage is made'. mama mia.

I guarantee when listening live the production won't sound as 'slick' as our edited shows. But it'll certainly be funny (I suspect there will be at least one or two outbursts of profanity on my part as the mixing console craps out during the broadcast or paul starts eating next to the microphone. the sort of stuff i usually can 'edit out in post' )

 

[Steven Nelson]

Thank you! What an extremely informative and practical interview. Lots of great advice.

Thanks. I always enjoy this topic and hope that I can help some folks out. I always see the actual implementation as the hurdle that makes most ODs shy away, but it's really not THAT difficult. Just word things a little differently, learn a few new terms and change your intake paperwork up a bit and viola.

It's fun doing the podcasts because we're actually just having a conversation more than anything.

 

[Steven Nelson]

Thanks Eileen, we always have a blast putting these together.

Paul tells me he's scheduled us for a recording of another episode next week... apparently we're also going to have that show go out 'live' over the net while we're shooting it.

So anyone who wants to listen in real-time will get to hear how the 'sausage is made'. mama mia.

I guarantee when listening live the production won't sound as 'slick' as our edited shows. But it'll certainly be funny (I suspect there will be at least one or two outbursts of profanity on my part as the mixing console craps out during the broadcast or paul starts eating next to the microphone. the sort of stuff i usually can 'edit out in post' )

Dear God...who stuck out their necks to do a live show???

 

[Steven Nelson]

In case anyone is interested:

http://www.odwire.org/forum/threads...egarding-medical-insurance?highlight=feedback

 

[Joshua Woodland OD]

Private Pay

Steve,

How do you or would you handle private pay medical patients?

For instance a new patient with cataracts, dry eye and macular mottling
99204 =$175
92015 =$40
92250 = $90

That turns out to be a hefty exam for private pay if they were expecting a "wellness exam"

Or an eye pain complaint with foreign body removal
99204+25 (dx: 379.91) $175
65222 (dx: 930.0) $150
92070 (BCL) $50
99213 (follow-up visit) $80

Can turn out to be a very expensive hunk-o-metal in the eye. I know we shouldn't apologize for our services and expect reimbursement for what we are worth; I'm just trying to figure how to "justify" this to a sticker shocked patient. Thanks, great interview.

I live in rural Iowa, I see a lot of farmers that don't have insurance, who never go to the the doctor. So, when I do see them its usually an "interesting" visit. It happens more often than not.

 

[Steven Nelson]

Steve,

How do you or would you handle private pay medical patients?

For instance a new patient with cataracts, dry eye and macular mottling
99204 =$175
92015 =$40
92250 = $90

That turns out to be a hefty exam for private pay if they were expecting a "wellness exam"

Or an eye pain complaint with foreign body removal
99204+25 (dx: 379.91) $175
65222 (dx: 930.0) $150
92070 (BCL) $50
99213 (follow-up visit) $80

Can turn out to be a very expensive hunk-o-metal in the eye. I know we shouldn't apologize for our services and expect reimbursement for what we are worth; I'm just trying to figure how to "justify" this to a sticker shocked patient. Thanks, great interview.

I live in rural Iowa, I see a lot of farmers that don't have insurance, who never go to the the doctor. So, when I do see them its usually an "interesting" visit. It happens more often than not.

I understand and we ALL deal with this because the game we have to play with fees to maximize reimbursements tend to really screw the private pay patients. The only advice I can give you is that there's nothing wrong with a "time of service" discount which can help with the fees.