Are Your Tired Of Losing Money? Do You Want Your Claims Paid On Time?

Dear Clinician Business Owner,

It’s no secret, one of the biggest headaches is getting paid for the work you do.

Yet you continue to hold up your end of the bargain…

You provide quality care, code your visits, submit your claims, and wait for reimbursement to hit your account.

But instead, here’s what happens…

The insurance carrier delays, rejects, or even denies payment for the work you did last week!

Sure, you’d understand if it would happen here and there. Perhaps you made a mistake? So you simply correct the claim, resubmit it, and get paid…

But again, that’s not what happens. Too many claims routinely bounce back, are rejected, or flat-out denied.

And no matter how hard you try, payers pull from an endless list of reasons to delay your claim:

  • Wrong CPT or ICD-10 code
  • Claim on hold pending additional information
  • Service not covered under the policy
  • Timely filing limit has expired
  • Service falls under patient responsibility
  • Service subject to pre-approval
  • And the list goes on

And Here’s the “Kicker”…

As annoying as it is, you agreed to all of it the moment you signed on the dotted line.

If only you had known…

Would you have decided against taking insurance? Maybe…

But let’s face it, insurance is not all bad.

  • Every company you work with markets your practice and brings a steady stream of patients to your doors.
  • And your patients like using their coverage. Often it’s insurance that makes health care affordable for them.

 

Since insurance is part of your business model, perhaps it's best to ask yourself…

  • How can I work with insurance companies to get better results?
  • What can I do to get claims processed faster, and paid on time?
  • How can I minimize the hassles strapped to coding, billing, and collecting money in my practice?

No, you don’t expect miracles; after all, you’ve been at this for some time.

You know there will always be some headaches with insurance, problems with claims, or collecting on overdue accounts.

And that’s OK; it’s just part of running your practice.

At the same time, wouldn’t it be nice if things would be easier? 

 

 

But Before I Continue…

Perhaps you know who I am; or maybe, you’ve never heard of me.

So briefly, let me introduce myself and tell you a bit about me so that you know who I am. 

Hi, I’m Barbara C. Phillips, APRN, GNP, FNP-BC, FAANP

Like you, I'm a Nurse Practitioner. I've worked in critical care, primary care, specialty care, and more.

I've started and own clinical and non-clinical businesses; over the years I've done a lot and seen a lot.

I opened my first clinic on August 1st, 2006.

One of my biggest roadblocks right from the start was working with insurance companies, billing, coding… just getting paid!

My first mistake… I outsourced my billing from day one.

What a disaster!

The short of the story is this. Within weeks I started doing my own billing. And to my surprise, reimbursements checks started coming in the mail.

While the billing company did not fulfill their contractual obligation, I still ended up paying the $2,000 early termination fee to get out of the contract!

Lesson learned…

I continued doing my own billing for a while, but it was getting too much… coding, billing, phone calls, follow-up.

And even though I had some help, we realized it was too much, and we just didn’t know enough about this “insurance thing” to muddle through.

So, we outsourced again.

This time, the billing company simply “wrote off” whatever didn’t get reimbursed with the initial claim submission!

No further comment necessary, right?

 

 

I don’t want to bore you with more details...

Nor do I want you to think that most billing companies are incompetent. That is not the case.

Back then, what became clear was that I needed to have a better understanding of the entire process.

If I were to stay in practice, I needed to know more about insurance and improve my coding and billing skills.

I needed to understand how insurance companies operate and what I could to do to work more effectively with them. After all, I wanted to get paid for my work!

But soon I realized there was even a bigger reason for increasing my knowledge. 

And it’s something most clinicians don’t consider or realize…

You see, insurance companies are not in the business of paying out claims. That is not their primary business model!

Like any other businesses, insurance companies are in business to turn a profit.

To that end, they will deny any claim they legitimately can deny. And sadly, that’s why they won’t think twice leaving you holding the bag.

Sure, they pay out plenty of claims. But they’ll also go to great length to make sure they pay out as little as possible.  

I know it sounds harsh, but it’s the truth.

Whose Responsibility?

And that’s why it’s up to you to figure out how to beat the insurance companies at their own game! It’s up to you to know what to do so you’ll get paid for your work.

But that’s not all! You must also understand their process, speak their language, and understand how they think.

Because every claim that is rejected or denied, chips away at your bottom line.

And deep down you know if you don’t get this right you can’t keep your doors open for long. Eventually, you’ll be forced to close your doors for good.

 

By The Book...

Ironically, insurance companies are doing it by the book…

There’s nothing “funny” going on; what they do is legal and above board.

But what tips the scale in their favor is a complex maze of rules. It’s confusing and tricky to navigate and to make things worse; rules keep changing.

But again, it’s up to you to stay up-to-date and keep informed. It’s your responsibility; no one does it for you!

While keeping up with insurance rules is tedious and time-consuming, it’s something you have to do if you code or bill. There’s just no way around it!

So it’s no surprise that many providers make mistakes when coding and billing their visits. And if you too make mistakes, know you are in good company.

While it may be comforting to know you’re not alone, it won’t do anything for your bottom line.

Worse yet, should you get audited, some mistakes could land you in legal trouble. And that’s on top of losing out on reimbursements.

 The Reason

And this is why I created: “Code It Right, Bill It Right… and Get Paid.” 

Not only have I been there myself...

But for years I’ve heard your concerns, and I’ve answered your questions about insurance, coding, billing, collections, and more.

  • You’ve told me how tired you are working for free.
  • You want to know how to get the billing right so can stop losing money to insurance companies.
  • You’ve also told me about your fears of making mistakes with your billing, that you’re afraid of getting it wrong.
  • And you realize the risk and potential liability. You want to know what to do so your work will pass an audit.  

When you follow the steps laid out in the program, fewer claims will be delayed, denied, or rejected altogether. And, when you get the coding and billing right, you can expect to get paid the contractual rate, on time.

Additionally, implementing what you learn in the course helps you stay out of legal trouble. Because “I didn’t know that” will never be a valid excuse when you get audited.

At the same time, going through the course will not guarantee there won’t be any more denied or rejected claims; nor that you’ll be paid the full contractual rate or on time.

However, when you follow what’s been laid out in the program, you’ll tip the odds in your favor to get your claims paid in full and on time.

Please understand, I am not liable for the actions of any insurance company you choose to contract with. And lastly, I am not a certified coder or biller. But then again, it’s not required or necessary to be certified to code or bill.

 What You Will Learn

So let me tell you what’s included in the program and what you can expect to learn.

The program is organized along eight topics or modules. Each one contains a number of bite-sized videos that are quick and easy to consume.

The entire program packs just under four hours of video recordings, a workbook to follow along, worksheets, checklists, assessment forms, and more.

You may access the program at any time, from anywhere, and from any device. As long as you have access to the internet, you can learn.

Now here is an overview of what you will learn in “Code it Right, Bill it Right… so you get Paid.”

Module 1

Introduction

 

Knowing what it takes to bill properly and knowing how to do it yourself (if you want to), will give you piece of mind.

  • We’ll start the program by discussing common terminology and why it’s important to work with the correct terms.
  • What you must have in place before you can start to bill.
  • Who has final responsibility for what is billed under your number, regardless if you outsource your billing or do it in-house?
  • What is a rouge biller and how to spot one?

Module 2

Payers & Billers

Third-party payers pay on behalf of patients; they come in many sizes and shapes. 

Should you bill in-house or out-source? Which should you choose? Let's discuss the pros and cons of each one. 

  • Third-party payers… who they are, what they do, and how to work with them.
  • The importance of the right payer mix and how ignoring it could hurt, if not destroy your practice.
  • Why your denial mix is as important as your payer mix… ignoring it could cost you big.
  • What you must know and understand about Medicare and Medicaid to correctly assess primary and secondary coverage.

Module 3

Policies & Procedures

You likely already have some policies and procedures in place. Let's take a look at them and see what else you might need.

  • The policies and procedures you need for your practice and how to improve what you already have.
  • The financial policies you need and what to include, so you protect your patients and your practice.
  • Understand when you can collect deposits and when it’s a violation of your contract.
  • Know how to apply cash discounts and understand their limitations.

Module 4

Documentation & Coding

The services you bill must be supported in the documentation, in a specific way. Submitting a claim that is not supported by the documentation opens you up for potential fraud.

  • Discover how poor documentation may shrink your bottom line, opens you up for audits and even fines.
  • Why documentation and coding are key when it comes to your billing.
  • How to bill for services beyond basic E&M codes… and how it could add to your bottom line.
  • What are modifiers and how to make sure you pick the correct one? How to know when to use an informational or a pricing modifier.

Module 5

Billing

Incorrectly setting your fees may not only result in lower reimbursement, but could also lead to fraud charges. Initial data entry is a big problem with billing and the area producing the most errors when it comes to claims being rejected.  

  • How to develop your fee schedule for optimal reimbursement, stay in compliance, and operate within the law.
  • Understand what information you must have before you can bill.
  • Discover how to scan for common billing errors, how to avoid them, and how to correct them.
  • Why you must understand the billing process… from start to finish.

Module 6

Now The Work Begins...

What has to be done before and after the claims go out? Understand that front desk collections not only happen at the beginning, but also in the middle and at the end of your revenue cycle.

  • What are EOBs and ERAs? Understand how to use them to your benefit.
  • The all important accounts receivable… why it deserves your attention and what you must know to succeed.
  • How to increase your chances of collecting payments from patients and why you want to collect monies upfront.  
  • How to improve what plays out at your front desk and what happens in the back office.

Module 7

Compliance

As a health care provider there is much to consider and do every day to stay in compliance with the law.

  • The regulatory bodies you must be aware of and why.
  • Why you must understand the three rules applied to financial compliance.
  • Worried about audits? What you must know about payer and government audits and how to protect yourself.
  • How medical necessity might affect what you do in your office.
  • What is the RAC audit and what you can do about it?

Module 8

Wrap Up...

  • Yearly code and edit adjustments
  • Resources available with the program

This program has been designed so you can get up to speed fast. You’ll be able to quickly implement in your office what you learn in the program. 

If you want to create a viable and successful practice, you must understand and master the material covered in the program. And it doesn’t matter if you outsource your billing or do it yourself.   

Whatever option you choose, you must know what gets billed and if it’s correct.

But if you don’t understand the billing process, how can you evaluate the effectiveness of your biller or your billing company? You can’t!

And here is one more thing I forgot to mention…

You see, accepting and billing insurance is  expensive.

 

 

Billing Insurance Is Costly

The expense of billing insurance companies is a substantial part of practice overhead. It’s estimated that billing expenses consume more than $0.40 of every dollar put toward overhead.  

And if you’re the one doing the billing, don’t be fooled into thinking you’re saving money. No…

While you don’t pay in dollars, the currency you bring to the table is your time!

And all of it adds up to a big chunk of your revenue!

Unfortunately, billing costs frequently get overlooked. However, they are a real expense and are part of your overhead.

So, if concerns about compliance aren’t enough to convince you how important billing truly is, perhaps the high cost will do the trick.

Because every time you bill, re-bill, and follow-up, you’re putting part of your revenue in someone else’ hand.

And here is where “Code it Right, Bill it Right… so you get Paid” can help. The program will teach you what must know to take control of your billing. It’s comprehensive and takes all aspect of the billing process into consideration.

 

Who is it For?

So who is this program for?

  • It’s for those who need to set up their billing.
  • It’s for those needing to make adjustments/corrections in the way they currently code and bill.
  • It’s for those wishing to educate and train their staff.
  • It's for those practice owners who want to be proactive.
  • It’s for those who want to reevaluate how they currently bill.
  • It’s for those wanting to improve their cash flow cycle.
  • It’s for those who want to deepen their understanding of the entire billing process. 

 

 

Your Investment

Perhaps now you’re wondering what it will cost to invest in the program?

You know that business training, just like medical training can be expensive.

However, as an NP owned company, it’s important to me that we offer our products at a reasonable level of investment… including this program.

But before I tell you the small investment required, let me ask you this?

  • Do you want to improve, optimize, and control your billing?
  • Do you want to take proactive steps, protecting your practice?
  • And do you want to grow your practice, generating reliable income for yourself and your family?

Regardless if you want to accomplish all goals, or just one, I am confident that “Code it Right, Bill it Right… so you get Paid” can help you get there.

Your one-time investment in the program is $247. Now it’s up to you to make the decision to move forward and run with this special opportunity. Go here now, reserve your copy, and get started at once.

Don’t wait any longer, click the button below and get immediate access to “Code it Right, Bill it Right… so you get Paid.” 

 

In Summary

So let me recap what you get when you invest in the new “Code it Right, Bill it Right… So you get Paid” program today.

  • You get immediate access to all eight modules of the “Code it Right, Bill it Right… so you get Paid” program… start to understand, learn, and improve your billing at once.      
  • You get immediate access to 235 minutes of video recordings spread over a total of 20 videos. All recordings are delivered in clear and plain language… so you can fully understand and quickly implement all steps, even if you’re new to billing. 
  • The videos are recorded in bite-size fashion… so you can easily study the course even if you only have a few minutes between patients or perhaps during lunch.
  • The program is 100% digital. It’s available on demand 24 hours a day, 7 days a week and 365 days a year, via our online secure program area… so you can review the course anywhere, anytime, and on any device as long as you have internet access.
  • You have lifetime access to all course videos, PDFs, worksheets, checklists, and resources… so you can review the program as often as you like, for as long as you like, and whenever you like.
  • You can download all PDFs, templates, forms, checklists, and worksheets. You are free to customize the material for your own practice… so you can save valuable time.
  • Lastly, you receive 4 Continuing Education Contact Hours with your investment in the program.

Get started today by clicking the button below and get immediate access to “Code it Right, Bill it Right… so you get Paid.”

P.S.  Improving your coding and billing skills may yield the highest return on investment. Consider checking with your tax advisor; your investment in the program may be tax deductible!

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