| dy"> | | | | - Coding is becoming more complex (ICD 10) |
| Whether 'tis nobler in the mind to suffer | | | | This means the overall cost of billing insurance |
| The slings and arrows from insurance companies, | | | | goes up, shrinking profitability, and the affordability |
| Or to take arms against a insurance | | | | for the patient continues to go down. Eventually, |
| reimbursment checks, | | | | the patient will not be able to afford their health |
| And by opposing, end them. | | | | plan, with chiropractic coverage, and or the doctor |
| With the hassles of precerts, increasing coding | | | | will not be able to afford to bill the insurance |
| complexities, increasing insurance post payment | | | | companies. These are the only things that we can |
| audits, decreased reimbursements, and rising | | | | count on going forward. |
| deductibles, this question seems to become more | | | | My suggestion to my clients is outsource billing to |
| and more prevalent every day. My answer is | | | | a company that can help you manage all these |
| maybe, eventually. | | | | variables with ease. In other words a company |
| If you are a doctor who is tired of trying to | | | | and or technology that makes it easy for you to, |
| explain to you patients what medical necessity is | | | | bill with coding guidelines, create complaint |
| and why their care might not be covered even | | | | documentation quickly and easily, warn you of |
| though they have '30 visits', you are not alone. | | | | insurance audit red flags, and maintain |
| The fact remains, however, that there is still a | | | | transparency into the billing and follow up process. |
| substantial amount of money that you would be | | | | When you are able to do this you can continue to |
| leaving on the table if you decided to go | | | | bill without fear of losing an audit, and be sure |
| completely cash. Patients will still want to use the | | | | that you are coding properly while maintaining |
| coverage they have and going cash will result in, | | | | profitability. In addition you will be freed up to |
| at least some drop, in the new patient conversion | | | | focus on building you patient base and delivering |
| rate. That being said, the trends are clear: | | | | quality care. |
| - Premiums continue to rise | | | | When the profitability of doing this finally dwindles |
| - Deductibles continue to rise | | | | away and patients can no longer afford coverage, |
| - Reimbursements continue to shrink | | | | it will be a good time to go cash. In that case the |
| - Post payment audits are increasing in frequency | | | | same technology should be able to manage a |
| and dollar amount | | | | cash practice as well so you can make the |
| - The definition of true compliance remains vague | | | | transition seamlessly. |
| and elusive. | | | | |