 |
|
|
|
|
|
|
|
|
1
on: July 13, 2010, 08:05:23 AM
|
|
Started by peusechiro - Last post by peusechiro
|
|
If doing prepays, do you have two separate superbill forms? One with the normal fee for CMT and another with the -52 modifier to distinguish a decreased fee, or do you just hand write the modifier on the superbill with the reduced amount? I do some EMS, US and cold laser as well.....do I need to use the modifier for each service billed on every visit?
|
|
|
2
on: September 05, 2008, 01:41:48 PM
|
|
Started by Terry Abblett - Last post by Terry Abblett
|
|
Welcome to the forum. You give very good insights into the failings of an insurance practice. You're right, after 26 years in practice, we're still jazzed and enthusiastic about our practice. All of our patients realize the value of our care and are here willingly. They expect valuable service for their payments and are willing participants in their care. We have many people who have insurance, and are happy to receive a superbill to send in for their reimbursement. It's pretty ironic to hear them bad-mouthing their insurance companies when something goes wrong instead of them accusing me of filing wrong.
You're right, you do need to take the plunge. With a practice your size, it should be very easy to do. In essence, you will be handpicking the patients you want to keep in your practice and start having fun again.
|
|
|
3
on: September 05, 2008, 01:36:22 PM
|
|
Started by Terry Abblett - Last post by Terry Abblett
|
|
That's the reason we hear most often, but it really is easy to overcome. You can gradually drop your managed care contracts one at a time and make the switch over time. It's much easier to keep patients who know you and know you have helped them. If you set up a fee schedule that splits the difference between what they're used to paying for a co-pay and what you need to charge, it will be fair to all. We only lost one patient who said "You mean this will be just like a real bill?" You see, the service had no value to her, it was just something her insurance paid for.
|
|
|
4
on: August 28, 2008, 06:54:09 PM
|
|
Started by Terry Abblett - Last post by chiro142
|
|
I am just afraid losing patients.
Dr R
|
|
|
5
on: August 28, 2008, 05:07:39 PM
|
|
Started by Terry Abblett - Last post by chiro142
|
|
I am basically retired and I see a minmal number of patients each week. While I sometimes think about going back into practice full time, I don't because I don't want to deal with the insurance companies. I don't have a staff and I spend more time verifying coverage, complying with their rules, setteling for what they each decide to pay and explaining to the patients why their insurance carriers don't pay more. I more often than not wind up eating unpaid claims and just giving away my care. That is psychologially very frustrating. I subconciously am not ready to see more patients because it isn't worth the paper hassle.
I currently have about 40% cash patients and just have to take the plunge into 100%. There are so many dangerous technicalities that it makes me a little paranoid to deal with insurance.
I have really been inspired by your "Survival Guide" book. It not only outlines the process of change to cash but it is written in a way that you can feel the energy and enthusiasm that is enviable. It sounds like you guys have a good time practicing and that is what it is all about. I have practiced for 35 years and still look for that feeling. I left a very successful practice 12 years ago just because of the hassles with lawyers and insurance companies. This old dog may have to get off of the porch and learn some new tricks.
Thanks for the contribution, Dr R
|
|
|
6
on: December 12, 2007, 03:39:55 PM
|
|
Started by Terry Abblett - Last post by Terry Abblett
|
|
This is a re-cap of a post on another discussion forum between a new DC (NDC) and a "seasoned" DC, (SDC)
NDC: Can a PPO insurance plan refuse to pay for services provided by a doctor that is out of network?
SDC: Yes
NDC: Is this a legal practice?
SDC: Yes
NDC: I thought they were required to pay but would send the check to the patient/subscriber instead of the out of network doctor
SDC: No, you are not contracted
NDC: Is this done by HMO's only?
SDC: No, it's the same for MPN's on work comp
NDC: I'm writing because of a threat letter from ACN for not being a member
SDC: So the patient is cash - Wlecome to the nightmare!
|
|
|
7
on: November 14, 2007, 05:04:33 PM
|
|
Started by Terry Abblett - Last post by Terry Abblett
|
|
Thanks for your response. That's exactly what others need to read so they can make practical decisions about going cash.
|
|
|
8
on: November 14, 2007, 10:15:21 AM
|
|
Started by Terry Abblett - Last post by drdave
|
|
Too much. Have to write a 1 page report usually for every 4-6 visits. The patient then has to use those visits within a certain time frame.
dave
|
|
|
9
on: November 12, 2007, 05:54:08 PM
|
|
Started by Terry Abblett - Last post by Terry Abblett
|
|
List some of the reasons you think a cash practice is desirable or even necessary at this time?
|
|
|
10
on: November 09, 2007, 07:15:37 PM
|
|
Started by Terry Abblett - Last post by Terry Abblett
|
|
How much paperwork is involved in getting payment for your services?
|
|
|
|
|
|
|
|
|
|
|
|
