Billing Company

[PinchandBurn]

I've gone through 3 billing companies in 3 years.

I suppose what I've learned is you need a Hybrid Company. Meaning "patient facing" Stateside team and back end stuff being done by Overseas folks.

Anyone have a company like this? Ideally 4-5% of collections.

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[jsaul]

I've gone through 3 billing companies in 3 years.

I suppose what I've learned is you need a Hybrid Company. Meaning "patient facing" Stateside team and back end stuff being done by Overseas folks.

Anyone have a company like this? Ideally 4-5% of collections.

what emr do you use?

 

[powermd]

Stories like this are why I stick with Athena. 6.1% and not perfect, but all in one, and includes the EHR. Also minimizes my staffing needs.

 

[jsaul]

Stories like this are why I stick with Athena. 6.1% and not perfect, but all in one, and includes the EHR. Also minimizes my staffing needs.

I am thinking of switching to Athena. Right now I use nextgen and a 3rd party biller charging 3 percent. I have been penalized for MIPs because nextgen sucks and there was no easy way for me to do it. I am a solo doc without any midlevels. How much do you pay total for athena?

 

[hyperalgesia]

Any experience with Fedora?

 

[PinchandBurn]

Any experience with Fedora?

I had them.
Not bad.
However, issue was they are based in india. Language and understanding for patients was a problem

 

[BobBarker]

I use an oklahoma based company. Easy to deal with. They do my billing and were founded by a pain doc. Global Medical Management

They charge a sliding scale based on revenue.

 

[powermd]

I am thinking of switching to Athena. Right now I use nextgen and a 3rd party biller charging 3 percent. I have been penalized for MIPs because nextgen sucks and there was no easy way for me to do it. I am a solo doc without any midlevels. How much do you pay total for athena?

They got me to renew my contract at 6.75%, which includees their "enhanced claim resolution" service. I have the option to ditch that if I don't like it and come down to 6.1%. Prior to this negotionation, I was at 5.5% my first two years.

Is it worth it? IDK. Many will say you need your own biller to keep track of Athena and work denied claims. This is at least partially true. You can work some of these yourself, if you have the patience (I don't). The reason I stick with Athena is the simplicity of the all in one package and all the automation. It's helpful when you're solo and light on staff.

 

[Painologist]

I've been using Fedora and am quite pleased. But you have to be on top of them. Half my office manager's job is to double check their work. Also, it depends which team you get. I've had the same team since starting 3 years ago. Also, they do prior-auth's for you which is huge.

 

[hyperalgesia]

I use an oklahoma based company. Easy to deal with. They do my billing and were founded by a pain doc. Global Medical Management

They charge a sliding scale based on revenue.

Even though it says "global" in the name, I think ideally these companies are best when they are local.

When I was in private practice, doing my own billing, I routinely called payers that were unique to my area. They would tell me some field on the electronic claim file had to be labeled "none" instead of left blank like the another company. And that's why they claim was completely ignored.

It's crazy what these payers get away with.

 

[Malayil]

Athena is great. All billing companies suck some way shape or form. Me and two others started an MSO and have a unified prior auth and billing company.

That billing company is a separate company not owned by us.

I would say the best way is to get an EMR like Athena and hire your own staff and not use a company

 

[MMourousias]

I am thinking of switching to Athena. Right now I use nextgen and a 3rd party biller charging 3 percent. I have been penalized for MIPs because nextgen sucks and there was no easy way for me to do it. I am a solo doc without any midlevels. How much do you pay total for athena?

Athena over promises and under delivers. Find yourself a US based billing company who will do your billing correctly and provide you with a practice management system as part of their fee. Find a separate EHR for documentation where your biller access the charges. EHR and Practice Management systems should not be one in the same and this is where physicians get into trouble.

 

[PAINISGOOD]

I use an oklahoma based company. Easy to deal with. They do my billing and were founded by a pain doc. Global Medical Management

They charge a sliding scale based on revenue.

Can you share the scale? Do they do prior auth?

 

[Malayil]

I use a pain only billing company, boutique firm. They do auth too.

I use Athena and it can do a lot. Lots of days can be extrapolated.

Pm me if interested in billing company name/nimber

 

[BobBarker]

6% average but I have some carves out for codes with high disposable costs to lower that. They have done auth for me in the past.