I skimmed through this. I thought Adam would touch more on this.
I would add the following in order of importance:
1. Biller
2. Biller
3. Biller
4. Biller
and then and only then, would I add a
5. Biller
No, in all seriousness, you can work from 7AM until 11PM, but as Paul and Adam and everyone else will tell you, if you don't have an experienced biller to do the forms correctly and follow up, you are nowhere.
I have only done this solo thing 15 months completely taught by Adam and my practice consultant, but I think a biller/code who can do reception and secretarial is better than a secretary who can learn billing. I would rather the appointment be done wrong than the HCFA. (Is that the right term?)
When you are feeling burnt out, that is a clue. Maybe cut back on the nursing home -- again, Adam and everyone -- how lucrative is that versus seeing four more patients in the office.
Consider temp agencies and get employees for little money without benefits. See how it goes. You aren't committed to them.
CAVEAT: I know little about this stuff. My practice consultant does all of it. But, I am getting there.
