Signature Service Medical Invoice Made Easy

Signature service medical invoice

what's going on everybody it is Kyle summers and I am back for a little tutorial on insurance claims that's a private therapist you have a choice take insurance not take insurance or you could have a hybrid lawyer you accept some insurance plans but you leave some room for self pay and there's a lot of different directions you can go before you decide what structure you're gonna go ask yourself how much do you want to make ask yourself financially where do I consider myself successful and have a number and then from that number do a little bit of math and figure out okay if I'm gonna take insurance claims and let's say 75% of your practice is going to be filled with clients on insurance once you know the reimbursement rate then you can factor in how many clients do I need to see on average per week to make that amount over a given period of time and insurance reimbursement rates vary widely huge variation on different plans and what they pay and when I got started I was on a bunch of crap insurance plans and because I was really doubt terrified like I've said before I was super terrified so I wanted to be on every insurance plan to make certain that I was never with an empty seat on my couch and some of the plans that I will not mention paid fifty dollars or less per visit that's correct I I don't know what your plans are but I that's not gonna be a sustainable business model for me so I chose in my area BlueCross BlueShield and Aetna they're the two that reverses at the highest rate so again ask yourself what what do you want your practice to look like do you think that everybody that contacts you should have to you should be a lot you should you're forced to provide counseling to them regardless for me personally none I do not have to provide counseling to everybody that contacts me and I was a choice that I made because I have a certain plan and guide and goal in mind for what I want my practice to look like so long story short I'm actually in the process of going without insurance I'm still on Blue Cross Blue Shield and Etna's Network and the reason I did that is I left it open for the summer just because referrals slow down in the summer and I decided that I will officially make the transition starting in August of we're really next month so if you're going to take insurance which again I can I think you can create a successful practice based on insurance now there is a cap because regardless of what you're your feet is insurance is only gonna reimburse you up to a certain amount and you can't balance bill I've heard of some therapists doing that where let's say Blue Cross Blue Shield they reimburse you eighty seven dollars and 11 cents in let's say you're your full fee is 120 you can't bill for the remainder that's left over I think some people doing that and you can't you're gonna get in big trouble doing that essentially that's fraud don't do that don't don't don't do shady practices and get your license suspended that's not that's not good for you so the other thing that I've seen a lot of people do and I get bombarded with advertisements all the time is companies in like the electronic medical record that I use their nests they have a thing in their system where they'll submit insurance claims on your behalf simple practice has as well and I think majority of them do where they'll take the the hassle out of submitting insurance claims and do it for you for a fee so that fee ranges from three to seven percent from what I've seen and you're thinking oh this is a tiny little fraction this is a little smidgen right off the top right so let's say you have on average 20 clients per week and let's say they're all on insurance and let's say the average just to get a number it's $65 per individual that you're getting reimbursed from insurance so let's say in a given month 20 clients at $65 yeah excluding their copay and coinsurance that's what you're seeing at 3% that's gonna be 156 dollars a month at 7 percent that's three hundred and sixty-four dollars a month that you're givin away now it's it's a tax write-off big chunk of money and for me I anything that I could do myself I wanted to do because in in private practice I have no for me I don't have any aspirations of having a clinic I don't want a whole bunch of other providers I don't want doctors I don't want administrative stuff I don't want to do that I just want it to be me now that's not the model for everybody but that's that's what I'm choosing and 365 364 dollars a month hell no and so it just really not that difficult and that's why I created this video cuz I want to give you a walkthrough of specifically how to at least using availabe ability is a clearinghouse that you get a membership with and you can submit insurance claims for a wide array of different insurance claims through available T now they don't have the ability for all of them you're gonna need to double check which insurance you have or that you you're credentialed with to see if avail the ability has it on their list so let me give you a little insight so I looked at my numbers I come at a facebook video earlier I said ninety-eight percent I really don't keep up with this actually have a hundred percent success rate and so that's just over the last six months and this is a downward trend because I'm not literally taking any insurance plans right now and there's that so what I'm about to show you is how to be successful 100% of the time and it's really not that long it really isn't alright so you get with the veil t you you get set up with them you're ready to go one of the things that you'll need to do is set everything up now it's really not difficult and I'll show you how that can be a huge time-saver and it's probably a requirement that's in there so let me walk you through all right so you're going to come over here to a professional claim and if my internet slows down art organization boom there I am summers counseling payer let's go with Blue Cross Blue Shield of Texas hit continue alright so here you go now normally what I would do is I would have another tab open to my electronic medical record and a lot of this stuff I'm just copying and pasting over but obviously I'm not gonna actually submit an insurance claim and just violate tons of HIPPA laws so I'm just gonna make some stuff up alright last name let's go with Wayne Bruce Bruce Wayne was born January 1st Oh what I do here in the first of maybe 1964 maybe yeah gender he is most definitely a man actors 1 2 3 Batcave everywhere and he's in Texas let me give him a zip code relationship to subscriber so here you would go and you would put if if they are the subscriber if their spouse is if they're the child release signature from provider on behalf of the patient so you have their their consent amount they paid so this is where you gonna put the copay or the coinsurance typically for the folks I see it's $25 subscriber ID again copy and paste this over three four five six seven there we go now all the little red asterisk that's the only fields that are required other net you don't have to fill it out are you authorized on the plane to remit payment to the provider yes that'll be yes and when you click there all your information is going to populate you don't have to enter a phone number or fax number or an email with Blue Cross Blue Shield and what I've noticed any time they've had a question on my claims they've never called me they've never fax mean they never emailed me they sent regular mail so you can fill it out if you want they don't pay no attention to it so that's all my information I'm obviously not going to enter name my tax ID information because I don't want you folks to see that so I'll put that number their provider accepts assignment so this isn't on whether or not you are assigned to them this is referring to whether or not it's in your agreement with the insurance provider to provide services under that plan so if you are fully credentialed with them you are assigned relief release of information code this is where you if you have informed consent or if you have a signed consent change that come down here this is where you're entering the diagnosis code so I'm gonna simply copy and paste this most of time for my other tab since I don't have that and are in f-code I always double-check this just to make certain I'll put it here hit Search there you go patient control number so this is how you internally keep up with the claim that you submit so I have a spreadsheet and what I do is I put everybody that I see on that spreadsheet and the the line number that spreadsheets what I put on the controlled number so let's say 1745 so when I get the the claim and mail I can match it up to the sort of spreadsheet and make certain that everything's good place the surface office building frequency admit through discharge find your signature on file yes not a chiropractor and that's it and you get down here to the claim specifics so I provided this service today 1716 2019 place of service this one is doesn't have an asterisk but I've always felt compelled to fill it so I put the office there procedure code here's where you just got to know a few different coach that you provide generally speaking 9:08 37 is my routine ongoing 60-minute counseling service could be nine zero 59 one those are my intakes diagnosis code it's gonna automatically pull from the information you put up above click their charges so I'm not gonna just put in there what the reimbursement rate is I want Blue Cross Blue Shield to know or anything the insurance plans know what is my full fee and I'm gonna make them correct it on the form just because I don't feel like the reimbursement is fair for the value that we provide so I'm putting full fee right there 150 it was one unit none of these other things apply I saved a service line a double-check it there it is and I hit submit and that's it and generally when I'm submitting an insurance claim it takes me anywhere from two and a half to three and a half minutes that's it and that's with me taking on time and double-checking everything and making certain that I didn't screw up on the birth date see right here you would have gotten a warning message that there was an issue and it would have kicked it back and just go back in there and correct it so if you want to submit insurance claims and you want that to be a part of your practice awesome so give away money by allowing their nest or simple practice to do it for you these are just give you money away three minutes doing yourself and if you did that for all your individuals three times twenty is an hour four hours a month is what it's gonna take you on average if you just combined all the time four hours three hundred and sixty-four dollars that's a lot of money to give it away for a very little time of work all right and so yeah pretty much yeah that's what I what I wanted to wanted to show you all again there's your supple clearinghouses it's not just a ballot II asked you someone that I chose it has access to all of the here's Aetna all the different Blue Cross Blue Shield Cigna the C Magellan's another a common one around here a superior health plan if you participate in any kind of workers comp which I don't do but you never yeah and so there's a lot of plans that you notice that aren't on here so you're going to want to go through a different Clearing House which again from what I've read and what I've heard they all operate pretty similarly they're not difficult to navigate a couple of times doing it and it just it's easy so yeah hopefully that helps and yeah if you have any questions just leave some comments down below I'll be happy to help you out in any way I can and yeah share this video with any other people that you know that are struggling with insurance claims if they're on the fence about accept we're not one of the videos I'm gonna make here pretty soon is really what does it take if you want to not accept insurance how do you create a practice and actually that's not really a video that's really what I want this channel to be about is how to market yourself how to separate yourself from others when you want full feed clients and then we could talk about super bills and all that good stuff so you know guys I hope you found this helpful again my name is Kyle summers subscribe to the channel and yeah hopefully to see you around bye guys