Insurance billing

I have never taken insurnace, at the advice of my collegues and teachers. Most of them said, "If you can build a practice without it, don&#39t ever take it." Patients pay me up front and then I actually submit superbills for my patients using a free program called Office Ally. But, I ask the patient to check first that they have covereage for out of network care. If they do, I take a copy of thier card, submit a bill (it takes about 5 minutes and I do it while they are getting treated). They get back 1/3-1/2 of their treatment cost. I dont do any re-submitting (unless I made an obvious mistake) or submit charts or send explanations. when companies refuse to pay. If the cient wants to they can follow up and try to figure it out. You can take a one day class in out of network billing from AAC (I highly recommend it!) and do a free 30 minute training with Office Ally, which is a clearing house for all insurance companies. I learned at the AAC class that some insurance companies actually pay MORE for out of pocket reimbursement then they would for in network payment. I have no affiliations with either company, that is just what I found helpful.

Hope this helps.

Jasmine

Yes, I found that clients really appreciate that I do it for them. Many of them would take the superbills but then not send them in or not know what to do with them. My thinking was that if I do it for them and they get some money back they will be more likely to return.

You are right, it is definitely a bummer to the client when they don&#39t get anything back, especially when they thought they would. That is why always encourage them to check first to make sure they have coverage for out of network acupuncure care so its not a waste of time to bill. I even tell them exactly what questions to ask when they call their insurance. And if they don&#39t have any coverage or insurance I let them use a generous sliding scale. I know that I lose some potential clients because I don&#39t take insurance, but I would rather avoid the headache of insurance even if I have a few less clients per month. Also, taking Health Savings Accounts cards and credit cards helps too. (I use the Square for this).

Good luck, let us know how it goes.

Jasmine

I totally agree, that getting involved with insurance in any manner requires a lot of time and paperwork. There is not avoiding this fact. However, I have found that I can find a balance where I can make insurance work for both myself and the patients. Here's the idea:
-I have the patient "take responsibility" for their plan. They are required to check out plan coverage details and ask the basic questions about copay and deductible.
-I promise to bill their office visits while making it clear that they are responsible to cover the cost of my office rate if insurance does not make payments.
-I use an insurance billing agent to handle as much of the paperwork as possible.

Yes, it is still a lot of work, but in this way the patients will be able to afford their recommended treatments - otherwise they would give up after the first visit.