Saturday, September 20, 2008

Medical Billing

Work at home medical billing seems like the perfect job for you. You own a computer, you want to stay home, pick your own hours. You will even be trained and given leads to professionals that need your service.

But the chances of making the money claimed are slim. Consumers don't realize what they're getting into. Newcomers to the medical billing market with no experience and no contacts in the medical field will face fierce competition. As the FTC alleged, most of the consumers didn't earn a dime.

Not all medical billing opportunities are scams. For consumers interested in buying a medical billing business opportunity, the FTC offers advice:

• Check with the state Attorney General's office, consumer protection agency and the Better Business Bureau in your area and the area where the medical billing promoter is based to learn whether any unresolved complaints about them or the promoter are on file. Be aware, however, that the absence of complaints doesn't necessarily mean the medical billing company is legitimate. But at least you can rule them out if there is.

• Be wary of the medical billing promoter wants to only provide a few references.

• Interview these references in person and ask for the names of their clients and a description of their operations.

• Consult an attorney, accountant or other business advisor before signing any agreement or paying any money.

• Consult with organizations for medical claims processors or medical billing businesses and with local doctors.

• If the medical billing opportunity sells another company's software, check with the software company to find out whether company representatives know of any problems with the medical billing promoter.

All these things may seem like a difficult task, but real medical billing is a business. You need to treat it like one. Don’t be afraid to ask the medical billing promoter questions.

Medical Supply Or Medical Testing Company

How To Finance Your Medical Office, Medical Supply Or Medical Testing Company


Although many experts speak of gloom and doom in the medical industry, the fact is that this industry keeps growing by leaps and bounds. Every year, the demand for medical services, medical testing (e.g. MRI Centers, Testing Centers, etc) and medical supplies keeps getting stronger. This trend is expected to continue as the population ages.

However, even though the growth trend looks good, running a medically related business keeps getting more and more challenging. In the past, doctors and medical suppliers could expect to get large and quick reimbursements for their services. Cash flow was reasonably easy to manage. However, Medicare, Medicaid and 3rd party insurance companies have put in place strict compensation guidelines. These guidelines can be summarized in two simple points: you can look to receive less money than before and you should be prepared to wait longer to get paid.

This creates a financial “perfect storm” for medical industry companies. On one hand, you are getting paid less and waiting longer for your money. On the other hand, your operating expenses remain the same or perhaps are higher. You still need to pay your employees and your suppliers. In almost all cases, this limits your ability to pursue new opportunities and grow your business. In some cases, it may even threaten your ability to continue to operate your business.

Is there a way to “fix” the cash flow problem?

If your business’s main cash flow problem is not being able to afford to wait 30 to 90 days to get paid by insurance companies and Medicare, then factoring your invoices could be the right solution for you.

The factoring proposition is very simple. Factoring is a way of financing, in which a factoring company provides you with advance payments based on your outstanding accounts receivable (or invoices). You get funding as soon as you invoice. The factoring funds it and waits to get paid until the insurance companies or Medicare pay the invoices.

Factoring has advantages over loans and lines of credit. First, factoring financing lines do not have arbitrary limits. The maximum amount of monthly financing is solely determined by your ability to invoice. If your business grows, your financing grows automatically. Also, factoring companies don’t require the same collateral that banks do, so new businesses or doctors’ offices can usually qualify easily.

How does factoring work?

The process is fairly simple. Once an agreement is established with a factoring company, it works as follows:

1. Your office submits your weekly (daily or monthly) billings to the insurance company and to Medicare/Medicaid. (note: sometimes this task can be handled by the factor on your behalf)

2. Your office sends a copy of the billings to the factoring company.

3. The factoring company advances you up to 85% of Net Collectables within 48 hours. Funds are sent by wire or direct deposit. The remaining 15% is called a “reserve” and used to settle billing discrepancies at time of payment. This is returned to you once the invoices are paid.

4. The factoring company waits to be paid by the insurance company or Medicare/Medicaid.

5. Once the factoring company is paid, they settle out the transaction and rebate you the remaining 15%, less their fee.

The advantage of factoring

Factoring is ideally suited for medical offices and testing centers that are growing quickly and cannot afford to wait the usual 30 to 90 days that it takes to be paid by insurance companies or Medicare. It can provide you with ongoing financing, streamline your cash flow, and most of all, relieve the stress of not knowing when you’ll be paid.