The insurance companies need to know about you.
Once they recognize you as a provider, you then must get a contract with them.
Mandatory Provider Information account- DS will set up and maintain RD’s
account as part of our services if the RD needs.
This is the RD’s appointments and therefore- ‘Billable Hours’.
Now we’re talking! The appointment must be turned into a claim, aka billed. You need billing codes: CPT, ICD-10, POS, Modifiers, etc… Don’t make a mistake- it must be perfect, or the claim gets rejected- btw: that’s a whole other issue. Now that we finally got to the billing- can we get paid yet? NO! There’s more- We’re only halfway there- Once the appointment is billed there’s….
After crossing every 't' and dotting every 'i', we submit your claim into the system. This ensures your claims are accepted and not rejected.
IF you did everything right so far, the claim gets ‘Processed’ and a remittance is issued.
We monitor systems to follow the money- back to DS.
The remittance is accounted for and applied to your claim, thereby completing
the process of getting a claim paid. Now comes the best part-
This is the part where the DIETITIAN GETS PAID! How does direct deposit to
your chosen bank account in the amount of $45-60 per billable hour sound? Ten hours a week and you’re making 2G’s a month. Do the math-the potential for full time income working for yourself is real and actual, RD’s at MDD (our Parent Co.) have been doing it for years!
Along with each monthly deposit are two reports:
(1) Applied Payments Report: This is what you are being paid on this month. Your paid claims.
(2) Accounts Receivables Report: These are claims still outstanding/not-paid yet.
Remember- Dietitian Services doesn’t make a penny if the claim doesn’t pay. We follow up on all unpaid claims.
Sometimes claims have copays- your client can pay Dietitian Services directly, thus removing you, the Provider, from the stress of ‘the business’ and awkwardness of collecting money. DS collects and applies the copay to your account.
Remember that part above- about the ‘rejected claim’? The insurance companies love to reject claims. What are you going to do about it? The billing service you’re using will blame you for the wrong code or something. Maybe you can call the insurance company- I’m sure they’ll be glad to help-
anyway, you’re still not paid. It’s a vicious circle. Can’t see any more clients because you’re to busy trying to get your claim paid. Remember- we don’t get paid if you don’t get paid!
Last and Important: For every encounter/appointment the RD is required to
write a ‘note’. Simply document the counseling session. This is mandatory. Insurance companies love to ask for ‘Medical Records’ six months after they paid the claim and without a record of the encounter, they may, and usually do, take back the claim money.
IF YOU DON’T GET PAID- WE DON’T GET PAID!
Copyright © 2022 Dietitian Services LLC - All Rights Reserved.
Powered by Meta Viral LLC