Clearing Houses for billing

[Steveington]

For those in private practice, which clearing house do you use? What are the pros and cons?
Have you noticed big differences between clearing houses?

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[619]

My EHR is eClinical works and I use trizetto clearinghouse. Not sure if I had a choice to pick a clearing house. I like it. No complains so far. I pay about $119.60 monthly.

 

[Feli]

My EHR is eClinical works and I use trizetto clearinghouse. Not sure if I had a choice to pick a clearing house. I like it. No complains so far. I pay about $119.60 monthly.

How is it a fixed amount? Or you're saying that's monthly avg?
Every billing service or clearinghouse I've ever seen is always % based (billing services ~5% and pure clearinghouses with no support/help ~3%).

 

[619]

How is it a fixed amount? Or you're saying that's monthly avg?
Every billing service or clearinghouse I've ever seen is always % based (billing services ~5% and pure clearinghouses with no support/help ~3%).

You are correct. It is not a fixed amount. I am on auto-pay so I don't really pay close attention but I just looked at my account and yes it varies each month. This year, range is between $145 at the highest and $105.60 at the lowest. Average runs around $110 a month.

I don't remember anymore the percentage I signed. I think 3% because I do my own billing with no support or help from them. So just pure clearing house.

 

[billBOB213]

Piggybacking this thread, trying to find a code to work for HIPJ arthroplasty (removing to heal an ulcer), what CPT are ya'll using for that? I figure I could use exostetomy code but really isn't what I am doing....maybe I am just passing it over (and over) but can't find anything better than exostectomy or keller code in my optum360 coding book 🤓

 

[Feli]

Piggybacking this thread, trying to find a code to work for HIPJ arthroplasty (removing to heal an ulcer), what CPT are ya'll using for that? I figure I could use exostetomy code but really isn't what I am doing....maybe I am just passing it over (and over) but can't find anything better than exostectomy or keller code in my optum360 coding book 🤓

28160 is most fitting... not most RVU, but most accurate. Proceed accordingly...

 

[billBOB213]

Gracias sir, that’s what I’m looking for, now let’s go heal this

 

[HardRoadPaved]

28160 is most fitting... not most RVU, but most accurate. Proceed accordingly...

Problem is 28160 is "hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each" so thus a phalangeal head arthroplasty doesnt work. If it's a hammertoe you're fixing them 28285 works with m20.41/2

Otherwise, 28124 might have to suffice for you since you're reducing bossing deformity of bone (M20.5x1/2)

 

[Steveington]

Piggybacking this thread, trying to find a code to work for HIPJ arthroplasty (removing to heal an ulcer), what CPT are ya'll using for that? I figure I could use exostetomy code but really isn't what I am doing....maybe I am just passing it over (and over) but can't find anything better than exostectomy or keller code in my optum360 coding book 🤓

Why would you piggyback this thread to post something so unrelated? Why not start a new thread?

 

[billBOB213]

Thanks everyone for chiming in, definitely got my question answered and didn’t even have to start a new thread

 

[Adam Smasher]

Thanks everyone for chiming in, definitely got my question answered and didn’t even have to start a new thread

This was an appropriate bump, we have too many new threads lately