Start Your Own Medical Claims Billing Service [Illustrated] [Paperback]

Entrepreneur Press (Author)

Book Description

Series: Start Your Own Medical Claims Billing Service | Publication Date: December 1, 2003

The entrepreneur armed with this book learns how to research the market, find the right location, analyze start-up and operating costs, find clients, get referrals, understand medical jargon, and deal with insurance carriers.

Editorial Reviews

From the Back Cover

Low Startup Requirements Make This a Great Homebased Business

Americans now spend about $1 trillion a year on health care and the bill is sent out to collect every dollar. Why is that important to you? Because doctors have trouble collecting what is owed to them by patients, insurance companies, medical groups and hospitals. They're buried in paperwork, complicated Medicare and Medicaid documents and insurance forms they must deal with daily.

What’s the remedy? More and more doctors are paying billing experts to handle their paperwork. This creates a growing niche for entrepreneurs who are experts at tunneling their way through the paper avalanche. As a billing specialist, you will help clients fill out claims forms to make sure patients get all the benefits they rightly deserve; then you'll transmit claims electronically, directly into the computers of HMO and Medicare, short-cutting the handwork that slows down many claims and gaining automatic priority over claims submitted on paper. With referrals from doctors and hospitals, your billing service can grow quickly. In fact, with health-care needs accelerating, the demand for your services will grow by leaps and bounds-along with your profits.

This start-up guide teaches you everything you need to know to get into this perfect starter business, including:

• Researching the market
• Calculating start-up and operating costs
• Finding clients
• Getting referrals
• Demystifying medical jargon
• Dealing with insurance carriers

Best of all, startup requirements are minimal: computer, printer, modem, and claims billing software. Buy this book and write yourself a prescription for a healthy income!

About the Author

McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide

Product Details

• Paperback: 200 pages
• Publisher: Entrepreneur Press; 1 edition (December 1, 2003)
• Language: English
• ISBN-10: 1891984802
• ISBN-13: 978-1891984808
• Product Dimensions: 8.8 x 6.9 x 0.5 inches
• Shipping Weight: 11.2 ounces
• Average Customer Review: 4.1 out of 5 stars  See all reviews (8 customer reviews)
• Amazon Best Sellers Rank: #842,114 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews

32 of 32 people found the following review helpful:

3.0 out of 5 stars Start your research, February 6, 2005

By 

V. Jeune - See all my reviews
(REAL NAME)   

This review is from: Start Your Own Medical Claims Billing Service (Paperback)

This was a very comprehensive book however the authors have never started their own business; they tend to rely on interviews from several business owners across the country. The book is very organized but several sections assumes that reader will instantly understand all technical terms. I would suggest that the authors include actual forms as opposed to just referring to them, include 2-3 other formats of suggested letters and lengthen the appendix to more than 3 pages.
This is a good book for anyone looking to review the industry, not for those truly interested in starting their own company.

23 of 24 people found the following review helpful:

2.0 out of 5 stars Not what you need to start a business, May 21, 2005

By 

Nicole R. Darnell "nicole darnell" (usa) - See all my reviews
(REAL NAME)   

This review is from: Start Your Own Medical Claims Billing Service (Paperback)

This book served as a general overview of the billing from home business, but does not give details on getting started. Not a good book to rely on if your looking to start your own business.

18 of 18 people found the following review helpful:

5.0 out of 5 stars B-Myth = any biller can run a profitable billing company, January 13, 2008

By 

Dr. Yuval Lirov "Medical Billing Networks and... (New Jersey, USA) - See all my reviews
(VINE VOICE)    (REAL NAME)   

This review is from: Start Your Own Medical Claims Billing Service (Paperback)

Gerber's E-Myth theory works well for billing and claims processing startups: most billing services fail because billers are "technicians" with little knowledge about how to manage successful business.

Billing is an especially difficult business because it must succeed in an increasingly adversarial environment, where billing complexity creates opportunities for providers to commit fraud and for payers--to benefit at the expense of the providers. A naive outsourced billing office owner is helpless against insurance companies armed with significant resources devoted to denying reimbursement and including professionally managed processes and leading-edge technology.

Read two books before deciding to start your own billing service:

1) "Start Your Own Medical Claims Billing Service"
2) Gerber's E-myth

Yuval Lirov, Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age