Update:
Had my first patient which went well clinically. Despite extensive explanations over the phone and signing the practice policy form which clearly outlines payment structure, she was under the impression that once the initial consultation was paid for out of pocket, I would start billing her insurance? It seems insurance company got confused and gave her bad information when she asked about reimbursement according to what she told me. She said she wants to work together but will look into it further, doubt she will return. Regardless, really enjoyed the clinical interaction and documentation, a reinforcement that this will likely be good for me long term as far as job satisfaction goes.
Second patient scheduled for next week.
I have had several inquires which were promising. I accept multiple insurances including Medicare/Medicaid during my day job. I have had several potential patients reach out with Medicare Advantage plans such as Humana. It is so incredibly confusing to me to figure out who has true Medicare/Medicaid (and thus I cannot see them and bill directly due to being opted in during my day job).
- Is it just true/original Medicare/Medicaid that has those restrictions?
- Can I bill directly for a patient who has something like Humana if I accept Humana and/or Medicare at my day job?
- Many times, the insurance people can't even tell me whether they are considered Medicare/Medicaid when I call them
I am finding that the most exhausting part of this endeavor so far. Thoughts?
Obvious answer is to just opt out of everything, but not realistic to leave the day job at this point in life.
Had my first patient which went well clinically. Despite extensive explanations over the phone and signing the practice policy form which clearly outlines payment structure, she was under the impression that once the initial consultation was paid for out of pocket, I would start billing her insurance? It seems insurance company got confused and gave her bad information when she asked about reimbursement according to what she told me. She said she wants to work together but will look into it further, doubt she will return. Regardless, really enjoyed the clinical interaction and documentation, a reinforcement that this will likely be good for me long term as far as job satisfaction goes.
Second patient scheduled for next week.
I have had several inquires which were promising. I accept multiple insurances including Medicare/Medicaid during my day job. I have had several potential patients reach out with Medicare Advantage plans such as Humana. It is so incredibly confusing to me to figure out who has true Medicare/Medicaid (and thus I cannot see them and bill directly due to being opted in during my day job).
- Is it just true/original Medicare/Medicaid that has those restrictions?
- Can I bill directly for a patient who has something like Humana if I accept Humana and/or Medicare at my day job?
- Many times, the insurance people can't even tell me whether they are considered Medicare/Medicaid when I call them
I am finding that the most exhausting part of this endeavor so far. Thoughts?
Obvious answer is to just opt out of everything, but not realistic to leave the day job at this point in life.
