Professional Liability Errors and Omissions Insurance for Medical Billing Services

Do medical billing services, individual medical billers and certified coders require Professional Liability Errors and Omissions Insurance coverage to perform their job duties?

Professional Liability Errors and Omissions Insurance coverage helps to protect your business or company services from claims submitted by your clients.

Let's say you are a medical billing service and the doctor sends you $120,000 worth of Aetna medical claims. You are required to bill a clean CMS 1500 claim to Aetna within 90 days from the date of service (per doctors contract with Aetna) and you have issues getting a clean CMS 1500 medical claim sent through the electronic medical claim clearinghouse software. Your medical billing staff didn't realize they could drop the claims to a CMS 1500 form and bill it by paper so the claims sit their denied at the medical claim clearinghouse, waiting for someone to fix the issue.

95 days later you finally get the medical claim clearinghouse working and all CMS 1500 electronic claims are submitted to the carrier and denied for untimely filing. Your billing service can't appeal (although it doesn't hurt to try) because you can't prove you sent Aetna Health Insurance a clean CMS 1500 medical claim in the timely filing period.

Now let's say the doctor was expecting to collect about $73,000.00 from Aetna on the $120,000 worth of medical claims. The doctor is mad when he finds out that he just lost $73,000.00 in business and decides to sue you for this loss.

The Professional Liability Errors and Omissions Insurance Coverage can potentially protect you from most of these fees including court, attorney and lawsuit settlement fees.

Does a Medical Billing Service require Professional Liability Errors and Omissions Insurance - no but would it help out to cover the costs of protecting your business in the case of being sued by a doctor? Yes.

Who needs Professional Liability Errors and Omission Insurance in the medical industry? Anyone who performs "services" to a client. Services can be anything from billing, coding, doing work in a "timely" matter.

General Liability Insurance does not protect your business for errors, contract performance disputes, or any other professional liability issues which is why they have Error and Omission insurance.

Other Medical Insurance Policies

Medical Malpractice & Medical Liability Insurance covers providers and other professionals in the medical industry for liability claims arising from their treatment of patients. Pricing varies by the rendering providers specialty, location and state.
Some states do not require providers to have Medical Malpractice Insurance although most doctors do have Medical Malpractice Insurance.

Employment Practices Liability Insurance or EPLI insurance is insurance policies to protect employers from employees, former employees or "potential" employees. If employees feel discriminated against for their age, sex, race, disabilities, sexual harassment or wrongful termination you may find the need for EPLI insurance.

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Seeing your Medical Office through the eyes of your patients

After a few years of running a medical business doctors find themselves in a rut. I suggest taking a few minutes out on a slow day to look at your business from a new perspective. Take a pad of paper and pen and begin by starting from the parking lot.

Take in a few breathes, close your eyes and when you open your eyes look at things like a new patient might see them. Study your surroundings, scrutinize what you see and see how patients might feel when they see the same things.

Starting from the parking lot does your building have any curve appeal?
- repaint the building
- add flowers or trees
- add art
- new doors
- well lit outside if you work in the evenings

Walking into the building
- how does it smell
- does the place need new tile, paint, carpet cleaning

Restrooms
- Is it clean
- Is it functional

Opening Doors to your office
- What does it smell like
- What does it look like
- What does the front office desks look like
- Is their enough seating room

Front Office
- Do girls eat lunch at desks
- How do they answer the phones
- Is everyone well groomed
- Is everyone smiling to greet the patient
- Do they call the patient by their first name
- Are they pleasant when collecting the co-payment and outstanding balances

Walking down the hall to doctors office
- How are the carpets or tile
- Is everything dusty
- Is everything sanitized
- Are their scuffs on the walls (does it need to be repainted?)

Doctor Bedside Manners
- Is the doctor exercising and keeping fit
- Breathe check
- Clothing attire (over-dressed, under-dressed or just right?)
- Hand shake
- Eye Contact
- Understanding when to nod the head and when not to
- Listening skills

Doctors Office
- Office Equipment well maintained, no rips, no holes, no stains
- Chairs for patent's family
- Reading Materials
- Any smells

Taking this small 30 minute test every few years will help you identify if the building is looking drab, if the office is getting lazy in it's neatness and if their are areas that can be improved on. Fix the issues that you can now and make a list of things that you want to change over the next few months. I have learned that it's the simple things that can have the biggest impact on retaining patients for the next 50 years.

To view over 250 articles on Medical Billing and Coding information please check out Medical Billing and Coding Articles

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Running a Successful Medical Practice

Doctors go to College to learn how to be a doctor not on how to run a profitable Medical Practice Business. For every doctor you hear about that is making 6 figure salaries each month their are 50 other providers just trying to stay afloat.

Most doctors think they need to treat more patients a day to make more money but usually when you look at the aging reports you soon see it's not about treating more patients it's about collecting on the patients already treated.

Ask yourself these questions:

~Are you billing for ALL services you treated the patient for?
~Are charges getting entered and billed the same day as treatment?
~Are charts sitting around in different locations of your office waiting on forms to be completed?
~Is your billing department educated with your allowable fee schedules so they know they are collecting 100% of what is owed to you by procedure code? Are they going after the insurance carrier for claims that were underpaid?
~Are charges getting adjusted off just because the insurance carrier denies them?
~Does anyone work claims denied for timely filing, invalid procedure codes, invalid diagnosis codes, missing information, invalid modifiers, missing paperwork etc?
~Are patient balances getting adjusted off instead of being billed?
~Are medical liens being signed by attorneys and patients, workers compensation forms completed, Documentation attached to claims
~Are you sending claims electronically for all insurance carriers that you are credentialed with?
~Are you reading your EDI reports from the clearinghouse and working the denied claims?
~Are you re-billing claims that were denied or just fixing them and letting them sit in your A/R?
~Is someone checking claim status on everything that is 25+ days old?
~Are patients getting statements within the first month of treatment ensuring they will pay out almost 100% of the time?

Is it time for a change in the way you do business? Do you desire a profitable medical practice that actually helps patients? If you need help please leave a comment with your contact information and we will contact you or visit our www.medicalbillingsoftwarepro.com for PM vendor reviews, and www.videotrainingpro.com for online training videos. You can contact us through any of these websites for assistance on bettering your medical office flow to increase your monthly profits.

Practice Management Software Reviews

Medical Clearinghouse Reviews



To read more about Medicare updates including Health Billing Insurance Information check out Medicare Medical Coding and Billing Courses

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Make money in your spare time while working from Home

Are you in between jobs, looking for a job or a housewife just looking to make extra money each month? This is a great way to make "AUTOMATED" monthly income.

This is a online internet program to teach you how to make monthly residual income. It's easy to learn, takes some time initially (all of which can be done around your schedule) and fun to do. When you get your first check you will be hooked and will want to make more each month. Let's show you the steps you can take to get started - TODAY!

I really don't think I need to tell you the beauty of this program. It's work from home, it's around your lifestyle, you can make as much or as little as you want. So let's get into the facts of what it means to make money from home. As soon as you get your affiliate ads (discussed below) added to your website you can start monitoring reports that will show you how many people are visiting your site. This matters because the more people that visit your website the more likely it is someone will click on one of your advertisements. Here are my stats for last month: I am currently averaging about 20 page impressions until somebody clicks on one of my links. Each click earns me an average of $X.XX (normally ranges between $.01 - $4.25 a click). If I drive 25,000 unique page impressions to my website(s) I can earn $X,XXX.XX monthly. This program is simple math = drive more traffic to your website, increase your clicks and make more money. (PS I can't tell you how much I make per click because my contract with affiliate ad companies prohibit this and you will be in the same type of contract once you sign up)

This means in 3 months of learning these steps; if you began clearing $250 a month and decided you wanted to make $500 a month you can double your steps to increase your monthly revenue by either increasing traffic flow to your website or creating additional websites. This is how some people figure out how to make $4000, $5000, $6000 and upwards of $100,000 a month.

This is a low start up program and I am not trying to sell you anything. I am showing step by step exactly what I have done to do this. These are the same companies that I use for my websites and these free tips are to help you get started immediately.

Your initial setup costs about $750 to purchase the Dreamweaver software, pre-created website template and web hosting software but considering you just started a business for under $750 with no overhead for the next 2 years; this is a great deal.

If you just pluck away at this you will find that it’s easy to make $300 a month so over the next 24 months that would equal $7200. However if you put a bit more energy and effort into it you can make over $300 a month netting you bigger profits. Remember this is part time work in the comfort of your own home and no boss to tell you what to do. Teenagers do exceptionally well with this kind of work and since you can make money working at it Part Time this is great money for them.

1. Purchase a 2 year contract for Professional Web Hosting $6.95 per month
2. Purchase Adobe Dreamweaver CS4 and training manual
3. Purchase cheap, pre-created website template
4. Use Dreamweaver software to upload your website to the Professional Web Hosting software
5. Sign up with Affiliate Advertisement companies like LinkShare Corporation
6. Submit 2-3 Press Releases a month to drive people to your website

Right now you can complete steps 1 - 3 today to move forward. Select a Domain Name (this is the name of the website like videotrainingpro.com). Try and create a domain name that has your product key words in it. Example: if you are going to sell credit card offers make that part of the website domain name creditcardoffers.com. We don’t recommend using _ - or ‘ in the domain name.

Do follow up research on Backward Links, Page Rank, Press Release, and Affiliate Advertisement programs? The higher the PR (page rank) the higher your website gets indexed so people can find you faster. Backward links are companies that have your website on their website and it is connecting the two increasing your Page Rank. 2 PR articles submitted through Press Release companies about your website, or product will help increase your traffic and Page Rank. Affiliate Advertisement companies like Commission Junction, LinkShare Corporation, Google, and Amazon will give you products to sell on your website without the headaches of taking support phone calls or dealing with the actual sell of the product.

Affiliate advertisers find companies like Credit Card companies who wants to advertise their services on websites. They sign a contract with these Affiliate companies saying they will pay on a per click or per sell price range. Affiliates put these offers on their website and you can choose which companies you want to promote on your website. Your job is to add these banners to your website and drive traffic to actually click on this logo, banner or text. Some are a Cost Per Click (CPC) program while others will only pay you commissions if your traffic buys a product from them.

Every 30 days you, if you have made commissions you will receive a check. Start today adding cash to your checking account. If you get stuck and need help submit a comment with your contact information. I will not release the comment but will follow up with you by email. If you just want to comment or add to this please submit away and I will release it be read by all.

Interested in Medical Billing and Coding read more articles on Medical Coding and Billing Courses

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Make over $500 for Part Time work from Home

Would you be interested in learning ways to make extra money working from home? If you are looking for additional monthly income that to either one day retire early, or just pay down some bills you may have stumbled across the most exciting idea ever. You can make automated monthly residual income from the comforts of your home without any boss. You will be your own boss!

With very little start up cash (under $750.00) and some time you can begin netting over $300 a month in residual income. Our steps are the same ones we take to make automated monthly residual. Our business now manages over 12 websites and what I am about to teach you we learned almost 2 years ago.

This is a highly effective method to make money online from home. With a bit of research you will find it's the lifeline to how people are making money online. Because it's such a low cost setup more and more people can afford this and the great thing is their is plenty of money for all. Companies need/want you to advertise for them and you want to make your website profitable. It's a win-win situation for all parties.

1. Purchase a 2 year contract for Professional Web Hosting $6.95 per month

2. Purchase Adobe Dreamweaver CS4 and training manual

3. Purchase cheap, pre-created website template

4. Use Dreamweaver software (step 2) to upload your website including webpages to the hosting software (step 1)

5. Sign up with Affiliate Advertisement companies like LinkShare Corporation

6. Create about 2-3 PR articles and submit to Press Release companies monthly to Drive More Traffic To Your Site

Dreamweaver software and training manual costs about $425. This is the bulk of your costs and to keep your website prices low it's best you master Dreamweaver. You will spend about $170.00 for your domain name (website name like http://www.videotrainingpro.com/) and hosting software for a 2 year contract. Pre-created website Templates can range between $45 - $75 (Dreamweaver allows you to add your text, logos and Affiliate Ads to these templates). Essentially you just started a business for under $750.00. If you decide to create additional websites you can roll out the next one for under $225.00.

If each website you own makes $300.00 - $500.00 a month with just a little work you can make roughly $3600 - $6000.00 for each website per year. It cost you only $750.00 initially to start this business and you can have your initial costs paid for within 3 months. Over the next two years you will clear $6300 worth of profits (remember hosting company is a 2 year contract). If you want to make more monthly income create more webpages (adds depth to your website), or additional websites with different subject matter.

Right now at this very minute you can proceed with steps 1-3 by purchasing the hosting software to secure your website domain name, order the Dreamweaver software and buy the website template. The hosting software offers online training tutorials that you can begin watching immediately and the template can also be downloaded immediately. They also offer support and training materials on HTML code and web pages.

While you are waiting for your Dreamweaver to come in the mail sit down and prepare your text you want to add to your webpages. Think about the type of traffic (people) you watn to visit your website and what would they be interested in reading about?

Once the Dreamweaver software and training manual arrive in the mail you can begin programming your website template. If you have questions refer back to your Dreamweaver training manual and check things out on the Internet. As most people before you will have had the same questions and the results can be found in most Adobe forums.

Once the website is uploaded to the hosting software you are ready to register with affiliate programs like commission junction, Link Share or Amazon. At this point I would highly recommend you start with Amazon first because you will find that they have easy to create online store websites that you can just drop the code into your website and see the products appear on your website.

Once you have the website created (and that is the hardest part) you need to drive traffic to your website. The best known way is through press releases as discussed in step 6. Write about 350 words (called a article) and discuss your product or service. Include links to your website a few times within the article and add them to Press release companies that can be found online. If they like the Press Release they will advertise it on the Internet and this Drive More Traffic To Your Site.

Take some time to study Backward Links, Page Rank, and using key words so people can find you using words that can search for your website.

Each month you will receive direct deposit from your affiliate companies that you have registered with. The more traffic you direct to them the more money you make.

Want to see my newest project? Visit: http://www.medicalbillingservicepro.com/ and see how the suggestions above are being put to work.

Interested in Medical Billing and Coding read more articles on Medical Coding and Billing Courses

Doctor Promotional Giveaways to increase patient business

Doctors are always looking for new ways to promote their business to people in the area. Recently I was in the office of a orthodontist. He offered "business" shirts with catchy sayings to all new patients that came to his office.

To find products for the ideas listed in this blog visit: 30% to 60% OFF All Products

Another office offered magnets with their office logo, name, phone number, email and fax information.

Another office sends out creative cards 2x's a year just to say Thank You! It reminds patients that they have a friend with the doctor.

One office gave out Car Door Magnets. It had catchy phrases on it like "My doctor is cuter than your doctor" or Dr. XYZ is the best doctor in SLC, UT.

One office has created window decals that they put on their own windows, doors and hand out to patients that want to add them to their car windows.

One office gives a calendar for the whole year to each patient. Each month it has a picture of the office group etc.

Find a product that best suits your medical business needs. Guaranteed lowest prices and satisfaction! Enjoy getting promoted by your patients as they enjoy the free goodies!

For more course information on Medical Billing check out Online Medical Coding and Billing Courses

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Medical Coding, 2009 ICD-9, 2009 CPT medical billing books

It's time to purchase the 2009 ICD-9, CPT and HCPCS AMA (American Medical Association) medical coding and billing books.

If you are a billing service or a medical practice you want to make sure you have the most up to date books for coding and billing purposes. Do not delay to familiarize yourself with all codes that are new, changed or deleted.



All purchase orders of $25 or over include free shipping. Also, you will find books at discounted prices making it affordable for all practices to purchase.

2009 Coding and Billing for Ophthalmology
2009 Coding Guide Ophthalmology
2009 Coding and Billing for Physical Therapy/Physical Medicine
2009 Coding Guide Anesthesia
2009 Coding and Billing for Radiology
2009 Coding and Billing for Oncology/Hematology
2009 Coding and Billing for Orthopaedics, Lower
2009 Coding Crosswalks for Laboratory/Pathology Services
ICD-9 CM Coding 2009 Edition
2009 Coding Guide Obstetrics/Gynecology
2009 Coding Guide Physical Medicine Services
Medical Insurance Coding 2009-2010
2009 Coding Crosswalks for Surgery Services
ICD-9 Coding Guidelines for Home Care
National Correct Coding Manual 2009: Comprehensive Guide to Medicare Ncci Unbundling Errors 15.0
Physicians Fee and Coding Guide 2009
2009 Coding and Billing for Cardiology/Vascular Surgery
2009 Coding and Billing for Behavioral Health
2009 Coding and Billing for ENT/Allergy/Pulmonology
and so much more...

Interested in additional Online Medical Billing and Coding articles? Then click out Billing and Coding Online Courses


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Scanners in Medical Offices

Starting a Medical Biling Service from home takes a lot of strength from anyone. You can't leave your work at the office your home is the office. But what I have found is that working from home can be as comfortable as working in the office when you have the right products to complete your work.

One item that I have absolutely enjoyed is my Fugitsu ScanSnap S510 scanner. It has saved me so many times when I needed to email clients documents within minutes. I scribble on my paper, scan it or duplex it, PDF it and shoot it on it's way. The software is so smart it can tell if it needs to kick out "blank" pages. It really has been a benefit to my company and we have one at every computer in our home office (which is currently 2). We have them in each one of our doctors offices where they scan and upload the documents to the billing software (HIPPA compliant) and they love how quickly it completes the scans. You can scan legal paper, regular paper or even Insurance cards.

You don't need to be in the medical billing industry to appreciate this scanner. But if you are in the market for scanners check it out!

Confused by Electronic Medical Claim billing then read these articles on Billing Health Insurance medical claims

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