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Psychiatry
Tracking billing in private practice
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<blockquote data-quote="randomdoc1" data-source="post: 21778141" data-attributes="member: 782739"><p>Yes, I think some people have steered away from scheduling new patients because 1)it's more work gathering all the info and 2)they know more traffic means more work for them. What I don't get is why some employee types feel so secure when the traffic is dead. When there's little work to do it means your job is not secure. But yea, it's a super bad idea to try to be sly if your boss is a psychiatrist. We are very well trained to call out bull.</p><p></p><p>Each insurance payor has a department for network management. They usually ask you to write a letter and/or fill a form. I include my proposed rates and of course ask for more than what I think they will give. Then give as much info as possible as to why the office deserves it:</p><ol> <li data-xf-list-type="ol">what specialty services do you offer? <ol> <li data-xf-list-type="ol">TMS? suboxone? MAOI or long acting injection experience?</li> </ol></li> <li data-xf-list-type="ol">Any special certifications providers have?</li> <li data-xf-list-type="ol">How do you save the insurances money?<ol> <li data-xf-list-type="ol">they like to see offices enrolled in EFT, ERA, using EMRs etc.</li> </ol></li> <li data-xf-list-type="ol">Patient outcomes<ol> <li data-xf-list-type="ol">for example, United has the ACE program where you provide questionnaires to patients and if they see you reliably produce data showing that your care actually helps, they will be more receptive to paying you better</li> </ol></li> <li data-xf-list-type="ol">Availability<ol> <li data-xf-list-type="ol">Insurances like to see offices that can get people in sooner</li> </ol></li> </ol><p>Also, when you negotiate a higher rate, please check your remits and make sure they are actually paying that. United dragged their feet for 6 months! They kept saying the matter was "resolved" and week after week, same old insurance rates. I had to call network management, call her boss, her boss's boss, and finally they started paying what they agreed to and gave us a back pay check. There are still a few old fee schedules slipping in here and there but 98% of it is up to date now. Follow up with those insurances companies tightly to make sure they got your application, they tend to conveniently lose letters like that. If you get denied a rate increase, try again in 6-12 months. Just keep trying. </p><p></p><p>Yup! I am actively recruiting for a new psychiatrist. Now that I know how to bill telemedicine, I can recruit one from anywhere in the country!</p><p></p><p>Therapists are based on production. Like an RVU model.</p><p></p><p>My next steps now are:</p><p>1)start having therapists in training here to do their practicum. This will help my current therapists generate more income and help them stay sharp on their skills and offer free recruiting.</p><p>2)I'll be supervising residents and looking to start a rotation here. For a variety of reasons but of course get the word out and get more docs on board <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite192" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" />.</p></blockquote><p></p>
[QUOTE="randomdoc1, post: 21778141, member: 782739"] Yes, I think some people have steered away from scheduling new patients because 1)it's more work gathering all the info and 2)they know more traffic means more work for them. What I don't get is why some employee types feel so secure when the traffic is dead. When there's little work to do it means your job is not secure. But yea, it's a super bad idea to try to be sly if your boss is a psychiatrist. We are very well trained to call out bull. Each insurance payor has a department for network management. They usually ask you to write a letter and/or fill a form. I include my proposed rates and of course ask for more than what I think they will give. Then give as much info as possible as to why the office deserves it: [LIST=1] [*]what specialty services do you offer? [LIST=1] [*]TMS? suboxone? MAOI or long acting injection experience? [/LIST] [*]Any special certifications providers have? [*]How do you save the insurances money? [LIST=1] [*]they like to see offices enrolled in EFT, ERA, using EMRs etc. [/LIST] [*]Patient outcomes [LIST=1] [*]for example, United has the ACE program where you provide questionnaires to patients and if they see you reliably produce data showing that your care actually helps, they will be more receptive to paying you better [/LIST] [*]Availability [LIST=1] [*]Insurances like to see offices that can get people in sooner [/LIST] [/LIST] Also, when you negotiate a higher rate, please check your remits and make sure they are actually paying that. United dragged their feet for 6 months! They kept saying the matter was "resolved" and week after week, same old insurance rates. I had to call network management, call her boss, her boss's boss, and finally they started paying what they agreed to and gave us a back pay check. There are still a few old fee schedules slipping in here and there but 98% of it is up to date now. Follow up with those insurances companies tightly to make sure they got your application, they tend to conveniently lose letters like that. If you get denied a rate increase, try again in 6-12 months. Just keep trying. Yup! I am actively recruiting for a new psychiatrist. Now that I know how to bill telemedicine, I can recruit one from anywhere in the country! Therapists are based on production. Like an RVU model. My next steps now are: 1)start having therapists in training here to do their practicum. This will help my current therapists generate more income and help them stay sharp on their skills and offer free recruiting. 2)I'll be supervising residents and looking to start a rotation here. For a variety of reasons but of course get the word out and get more docs on board ;). [/QUOTE]
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