When you're a hammer, everything looks like a nail.
Here in the real world, many of us are successful businessmen and ladies who have brought billing in-house where we can monitor every penny, hound every dead-beat payor, perform ongoing reviews of our contracts and weed-out the dead wood. We have learned to operate lean and mean and demand fair payment for fair work. Having billers with nursing backgrounds has been a great benefit. They know what you coded, but also what you probably should have also coded, but forgot. Having instant access to chart notes in office means more correct coding and higher reimbursement. Our notes are done and charges sent out before we leave the office at the end of each day.
When we went solo, the group practice manager said medical management was too complicated to do all by yourself.
When we started doing our own billing, the billing company said the same thing.
It's been ten years.
