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Medical Claims/Billing Scam

We've all seen those ads in newspapers, magazines and on the internet that talk about the "great" need by doctors or others in the health care profession for handling medical billing, or electronic medical claims processing.

Typically, promises are made of big money for providing services like billing, accounts receivable, electronic insurance claims processing and even practice management to doctors and dentists. There's no denying that health insurance these days is complicated.

Electronic submission of claims is becoming more and more the norm and doctors and dentists who don't get with the program, don't get paid timely or worse, don't get paid at all because of errors in billing. With so many doctors and dentist too busy to pay attention to these details, you're guaranteed a steady flow of clients and thus, steady income and possibly riches.

But will you actually benefit? What promoters of the medical billing centers or medical billing programs don't tell you is that you have to learn complicated and constantly changing coding, know medical terminology, and be knowledgeable about the latest laws and regulations concerning Medicaid, Medicare, and a host of other issues. Not easy to learn without some relevant background. And it's not cheap either. "Investments" run from $2,000 and more for software, training (frequently for several days at their corporate headquarters; travel, room and board not included) and technical support.

That's not to say that there isn't a legitimate need for medical billing services. However, many doctors and dentists purchase the software for themselves and obtain training for their staff or outsource their needs to the larger and well-established firms that have been providing medical office management, including electronic medical billing, for years.

Before you plunk down your hard-earned money, investigate the "opportunity" to see if you can actually gain clients who will use your services. Are you comfortable selling? Remember, you'll have to promote your business to doctors and dentists who might already have staff that are better equipped to handle the work. Are you able to generate a lot of leads? Fees for processing claims forms are usually low, generally $1.00 to $2.00 per claim, you'd need a lot of claims to generate a decent income.

Remember, if it sounds too good to be true, then it probably isn't. Trust your own instincts.


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