The Physician Billing Process: Avoiding Potholes in the Road to Getting Paid

"The Physician Billing Process" packs in some sixty years of practice management experience, along with multiple advanced degrees in business administration, coding, and billing. It starts with an outline of the revenue collection cycle, reviews eight potholes on the road to getting paid, and continues to addressing all key billing office management aspects, including staffing benchmarks, using technology, outsourcing, performance benchmarking, and compliance. Each pothole includes a description of the billing function, advanced practices, a practice blunder case study, exercises, figures, tools, and policies. Pragmatic focus on solving day-to-day problems is the hallmark of this book, which is a treasure of simple to use everyday management rules, e.g., if you have 100,000 claims annually in your practice, you should have approximately 10 full time equivalent (FTE) staff involved in back-end billing functions. National benchmarks include reference data like 4.15 FTE for insurance follow up, 1.61 - for patient follow up, 0.53 - for credit resolution, 1.61 - for payment posting, 0.93 - for claims processing, and 1.26 - for overhead, adding up to 10.05 FTE's per 100,000 annual claims (Chapter 10). If you are just starting a billing company or if you have managed a billing office for years, this book is a pothole-free road map to a profitable billing business. Study it and return to it often for reference. Yuval Lirov, Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age

Let me be honest to start with - I'm one of the authors. So, you may not want to consider this review without prejudice, but on the other hand - I know a lot about the book. We wrote this book because it was the kind of book that we wish we had had when we started our careers. We have received great feedback from individuals who have read it. We have many testimonials to the increased physician collections that readers have realized when they have implemented our best practice ideas. I hope you enjoy this book.