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05/21/2018 Matthew B. Richins, DPM
Billing Company Negligence
I had this exact same problem with my billing company. They are happy to bill all your clean claims, but are reluctant to work on denied claims or go after secondary insurers. Think about it. If you got paid the same to debride nails as you did to do a bunionectomy, would the business side of your brain ever want you to step into the OR again? Why would they want (and why would you expect them) to work harder for less money? Once I realized this, I hired a biller and did it all in-house.
After I hired my biller, her first month on the job was to learn the ropes and to figure out how to bill podiatry. I told my billing company that I wanted more clean claims and had an employee who would be double checking my billing and adding appropriate modifiers. Ironically, they loved it, as it was less work for them. After she got the hang of things. I advised the billing company that I would not be sending them any more billing, nor paying them any more money until the AR (which was over $100K) was significantly reduced.
At first, they were willing to work for it, but reduced the AR very little, because they simply are not trained to work claims. After several weeks, they caught on and sent me threats of lawsuits for failure to pay and breach of contract, which I ignored. I was confident that if they sued, I would win the counter suit as the sum they failed to work was much higher then what I owed. It has been 8 years, no lawsuit was filed, my collections are great and my 30-90+ day AR never gets over $25K. The moral: no one will go after your money better than you.
Matthew B. Richins, DPM, Joplin, MO
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