I have avoided going into a full-time private practice in speech-language therapy for several years just because of insurance billing fears. I just found the entire process to be far too complicated. Thanks to your video, I am re-thinking things. While the process still entails numerous steps, you have taken the mystery out of the process. Thank you. I look forward to more of your informative videos!
Thank you. This was straight to the point. I'm studying Medical Coding. We briefly touch on the Billing aspect while learning about diagnoses and procedures. I'm yet to understand why all insurances don't bill for the same amount... It's business, bottom line, the dollar/profit.
Technically a clearing house is not required if you get setup directly with the insurance to submit edi (is a pain for most companies) but could be worth it if you do many claims or have very little payers. Since it is almost always free with no limits
@@africalib78 yeah most of them use some form of ftp just connect you computer, it shows the folder and drop the the edi(s) file in. they set you up with the user name and password.
So the clearing house is basically a middle person to review your claim before it gets to the insurance and if you are set up with the insurance company you don't need a clearing house right? Or does the insurance require it?
@@randolphwright3990 yes Clearing House is a middle man that pre-processes your claims prior to sending to claims dept. Many insurance companies use specific Clearing houses. Fees are common between sending claims between clearing houses. So another way to get free claims. Is to register with every Clearing House your payers use. If your emr has an edi setting per insurance. (Even the free openemr does) when you export your claims it will batch correct claims to correct clearing house. This can save considerable on fees.
Damn I was applying for a medical billing company and your video gave me a very good idea of what I am going to be doing for the next couple of months. Hopefully
Great video. Having a nightmare scenario with my PT practice's billing company and have decided to take it into my own hands and start learning. This is exactly what I needed to start. Thank you for posting.
What is an insurance write-off? My agency charges $200 per session collects a copay of $35, leaving $165 insurance charge. Insurance paid $50, contractual obligation is is $114 and appears as a write-off. Please make it make sense.
If the provider is in network with the insurance, they have a set of fee that they will charge based on the provider-insurance contract. The provider will normally write their charge but the insurance will only pay what was agreed upon and the remaining balance will be written off. Nobody will pay for it.
Glad it was helpful! We just published two new videos about insurance, or you may be interested in our "Ask A Biller" video series, all about insurance billing.
If a doctor charges the insurance company $1,500 for services and the insurance company pays only $100 per contract rates what happens to that $1,400 balance? Does the Doctor only make $100 for a service that would have cost an uninsured patient $1,500?
I have avoided going into a full-time private practice in speech-language therapy for several years just because of insurance billing fears. I just found the entire process to be far too complicated. Thanks to your video, I am re-thinking things. While the process still entails numerous steps, you have taken the mystery out of the process. Thank you. I look forward to more of your informative videos!
Hello, any updates that you'd like to share? I'm thinking about starting my own private practice.
If you use Simple Practice, what do you use to store your EHR files and patients/clients files?
Thank you so very much Jill. Just what I needed....simple, clear, and concise....may you always stay blessed!
Thank you. This was straight to the point. I'm studying Medical Coding. We briefly touch on the Billing aspect while learning about diagnoses and procedures. I'm yet to understand why all insurances don't bill for the same amount... It's business, bottom line, the dollar/profit.
Technically a clearing house is not required if you get setup directly with the insurance to submit edi (is a pain for most companies) but could be worth it if you do many claims or have very little payers. Since it is almost always free with no limits
I did not know this. I thought you always needed a clearing house!
@@africalib78 yeah most of them use some form of ftp just connect you computer, it shows the folder and drop the the edi(s) file in. they set you up with the user name and password.
So the clearing house is basically a middle person to review your claim before it gets to the insurance and if you are set up with the insurance company you don't need a clearing house right? Or does the insurance require it?
@@randolphwright3990 yes Clearing House is a middle man that pre-processes your claims prior to sending to claims dept. Many insurance companies use specific Clearing houses. Fees are common between sending claims between clearing houses. So another way to get free claims. Is to register with every Clearing House your payers use. If your emr has an edi setting per insurance. (Even the free openemr does) when you export your claims it will batch correct claims to correct clearing house. This can save considerable on fees.
You are a great speaker. I can follow you very well. Thanks for this.
So nice of you!
Awesome! Everything I needed to know to get started in the right direction.
Great job! I just learned so much in a short time!
Glad it was helpful!
What is a naics code? Started filing with highmark and they are requiring it I can't submit without it.
Thank you for a simple demystifying of being a provider. WOW! It has helped me immensely.
Just started an admin job with a counselor and this was super helpful! Thank you!
Damn I was applying for a medical billing company and your video gave me a very good idea of what I am going to be doing for the next couple of months. Hopefully
Is there an online Medical Billing course available that you suggest?
Thank you for your simple explanation!!!You made it much easier for me to understand the process.
Great video. Having a nightmare scenario with my PT practice's billing company and have decided to take it into my own hands and start learning. This is exactly what I needed to start. Thank you for posting.
Thank you so much for that great feedback!
I start school for medical billing next month on the 27th and I'm sitting here wondering what I got myself into hahaha!
Hi Melanie, how was your first week? You'll be teaching these courses in no time! :)
It’s much easier than it seems. If you would like to ask some questions I can help you :)
Are you taking these classes online? I'd be interested in looking into this, since I'm just getting started with Medical Billing as well.
Thank you for this video God bless you!
Thank you for a very clear and helpful presentation! You packed an amazing amount of information into 13 minutes.
You're very welcome Karla!
What is an insurance write-off? My agency charges $200 per session collects a copay of $35, leaving $165 insurance charge. Insurance paid $50, contractual obligation is is $114 and appears as a write-off. Please make it make sense.
If the provider is in network with the insurance, they have a set of fee that they will charge based on the provider-insurance contract. The provider will normally write their charge but the insurance will only pay what was agreed upon and the remaining balance will be written off. Nobody will pay for it.
what clearing house should I use to verify benefits instead of having to call and ask every time?
That was really helpful. Thank you for making this video.
You're very welcome!
Amazing video and just what I've been searching for. Do you have more?
Do you have contact information?
Glad it was helpful! We just published two new videos about insurance, or you may be interested in our "Ask A Biller" video series, all about insurance billing.
This is an excellent video
Simplepractice, do you offer mileage expense report tracking?
Do you think I should go to school to take medical billing classes? In order to get my clinic started to working with the insurance companies?
I’m trying to start my own practice as well. Did you go through with it?
Is there knowledge on whether you submit a claims form when they have PPO and are paying their deductible?
🤗🤗🤗🤗 love you dude for such information but I have required some more information how can I contact you
Very clear and well presented.
Thanks for simplicity of your explanation
Glad it was helpful!
Cool video
Thank you. This video was extremely helpful.
Fantastic video! Thank you! ⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Can CMS 1500 paper forms still be used?
I believe you may have answered ...i may have asked to early
Great information! Thank you so much!
I love it yuhr explanation
This was awesome information. Thank you!
Do you file claims for other businesses?
Very well explained, thanks!
This was helpful, thank you!
Awesome information! Thanks so much!
Thank you for your knowledge, so appreciate you and really don't take your knowledge for granted!
If a doctor charges the insurance company $1,500 for services and the insurance company pays only $100 per contract rates what happens to that $1,400 balance? Does the Doctor only make $100 for a service that would have cost an uninsured patient $1,500?
Yes
Thank you so much for this information
thank you for information 😊
Helpful.. Thanks
good information! thanks
Online classes medical billing
Soooo informative. Thank you!
Pittsburgh in the house! Thank you for this video!!
I’m a certified and licensed AAPC medical billing instructor and just wanted to say, well done!!! The content in this video is on point.👌🏾
Thank you! Very clear!
I like the video
Great info!!!!!
Awesome!
Thanks this helped me sooo much!
Glad it helped!
Thank you , that was really usefull
Glad it was helpful!
Great overview!!!
the best detailed information. much appreciated
Thank you, do you know how to verifiy the isurance company