Пікірлер
@SAnook-dk6eq
@SAnook-dk6eq 3 күн бұрын
Informative👍
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 3 күн бұрын
Thanks for watching!
@sharistone4392
@sharistone4392 3 күн бұрын
when changing from federal to civilian practice do you need to reapply for a DEA license? Current DEA says restricted to government duties
@LizbethFlores-w1b
@LizbethFlores-w1b 5 күн бұрын
I will like to know more about IPA
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 5 күн бұрын
All states have different situations when it comes to IPAs. I recommend going into Google and searching for IPAs in the area in which you are interested. Then go to each of their individual websites, if you have any, and learn specifically about each one that way. Thank you for watching!
@itsirkeel
@itsirkeel 9 күн бұрын
I'm still not through and am so grateful for you and your channel and your content! Your Venn diagram of the Medi/Medi plans is just spot on. As you were mentioning, there's more and more of us (myself included, quite for real) on Medicaid plans than Medicare. And then there's the Medi/Medi folk, who are doubly covered. All with an, to be charitable, ongoing unresolved crisis within the U.S. Healthcare behemoth in which both you and I function. And we're not getting healthier, as persons and humans. We're not taking care of our vulnerable, and our own mental health. But that's beyond the scope of your video. 😉💗
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 9 күн бұрын
Hi there! Thanks for continuing to watch my videos and comment! Happy Holidays!!
@itsirkeel
@itsirkeel 9 күн бұрын
Hello there! I've just started this video and I know I've been very hit and miss this year-- it's been a wild one in my own career path! I came both to hear what I know will be a thoughtful and relevant discussion about this topic. It's a 'squirrely' one that a lot of practices don't enjoy/don't get real with. Also, I'm considering becoming an LLC and self-selecting who I do billing for here in Portland. I was checking out your Credentialing course and looked around in case you had a kind of overview for "so you want to hang out your own Medical Biller shingle" just in case you'd made one up, lol. I'm going to do my own research as well, but I respect how you present yourself, your incredible depth of knowledge, and your tenacity... so I thought I'd see if I could learn from you concurrently doing my own required research, of course!
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 9 күн бұрын
You’re so sweet! I appreciate your support and kind words! I’m happy to help any career-specific questions you have. Please email me [email protected]. Enjoy your day!
@itsirkeel
@itsirkeel 7 күн бұрын
@@navigatingthebusinessofmed8251 Thank you!! I will!
@modasalvador7435
@modasalvador7435 10 күн бұрын
Excellent video, I appreciate all this information. Thank you so much
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 10 күн бұрын
@@modasalvador7435 Thank you! I truly appreciate you supporting my channel.
@raulcalderon2658
@raulcalderon2658 10 күн бұрын
What are your trusted top 5 billing companies ?
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 9 күн бұрын
Thank you for watching! Honestly, I don’t have any favorite billing companies because every company has their own niche and every healthcare practice has their own needs. I know that seems like a very generic answer, but it is very true. Enjoy your day!
@modasalvador7435
@modasalvador7435 11 күн бұрын
love your videos , great information, very helpful :)
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 11 күн бұрын
Thank you so much! I’m glad you have found it informational! I appreciate the support.
@rinaaguilar9518
@rinaaguilar9518 11 күн бұрын
Thank you so much. I would like to talk to you to get some mentoring.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 11 күн бұрын
@@rinaaguilar9518 you are so welcome. Feel free to email me at [email protected]. Have a good day!
@Vmarigold
@Vmarigold 14 күн бұрын
Thank you👍
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 13 күн бұрын
Thanks for watching
@aviator-61
@aviator-61 14 күн бұрын
Hi, I have started a new career in the US health industry by joining a Medical Billing company who has its onshore & offshore offices. I start seeing your videos & this is the 4th/5th video I have seen. Your videos are very informative as these helps me a lot in building my career knowledge. Well Thank You for this...will be keep in touch, surely your knowledge will benefit me a lot. 👍🏻
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 14 күн бұрын
Thank you and I’m happy to hear you have found my videos valuable. That’s exciting for you - good luck!!
@Rielizistical
@Rielizistical 15 күн бұрын
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 13 күн бұрын
Thanks for watching!
@zahoorminhas
@zahoorminhas 15 күн бұрын
Thank you, Very helpful and informative. Please make a video on Florida Medicaid.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 14 күн бұрын
Thank you for watching and I’m glad you have found it helpful. Unfortunately, I do not make videos on specific state Medicaid plans because the Credentialing and contracting basics are the same for all. You just need to research on their site for specific requirements and steps for that state. Here is the link and good luck portal.flmmis.com/FLPublic/Provider_ProviderServices/Provider_Enrollment/Provider_Enrollment_EnrollmentApplication/tabId/67/Default.aspx?desktopdefault=
@zahoorminhas
@zahoorminhas 14 күн бұрын
Thank you very much ❤
@jadejaravirajsinh900
@jadejaravirajsinh900 22 күн бұрын
Thank you for the information, you are awesome and deep knowledge about health care
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 21 күн бұрын
I appreciate your kind words and support of my channel!
@jadejaravirajsinh900
@jadejaravirajsinh900 22 күн бұрын
I have questions , why insurance pay high if provider par with ipa? Why insurance accept ipa terms and conditions and ready for hig payment instead of existing contract rate ? Insurance scar from ipa group. Ipa threat to insurance If insurance not accept the rate then they move all patients to other insurance ? Please advise
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 21 күн бұрын
IPAs leverage the power in numbers by taking multiple independent practices and providers and combining them into one for negotiating with insurance companies. In many places, if you are not part of an IPA, then you may not bill or be paid by some payers. California is one state that is heavy in IPAs. Other states they are practically unheard of, so it’s important to know the payers in all areas. Good luck and thank you for watching!
@gippygrewal8449
@gippygrewal8449 25 күн бұрын
This is like many other industries unfortunately (a prime example is the defense industry). A sector dominated by a few big players or an oligopoly. Some type of legislation is needed to “even the playing field.”
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 25 күн бұрын
@@gippygrewal8449 100% agree! Such a sad reality. Thank you for watching my channel and Happy Thanksgiving!!
@PraveenKumar-gr2wp
@PraveenKumar-gr2wp 25 күн бұрын
How to contact you Mam. I need your Help
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 25 күн бұрын
You can email me at [email protected] and I can see how I can help you. Thank you for watching.
@karldagus3142
@karldagus3142 26 күн бұрын
Can you recommend a practice who needs a medical biller? or suggest any? Thank you! I have been in the medical billing field for 4 years now. I work remotely for a company located in Irvine California. It's an independent laboratory.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 25 күн бұрын
Hi there, I apologize I am not aware of any. I would recommend looking online at job web posting sites such as Indeed. Thank you for watching!
@little_miss_vintage
@little_miss_vintage 28 күн бұрын
I’m in the very early stages of learning and study and confused how to prepare secondary claims on the CMS 1500 form in the case of Medicare being a primary payer and Medicaid being secondary. How would I go about filling out the secondary claim for Medicaid? This part has been most confusing for me
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 25 күн бұрын
Usually your billing system will attach the primary payer’s ERA with the claim to the secondary payer. You would have to learn how the specific system you’re using will do that. Most insurances will receive an electronic claim so you would not have to send a HCFA 1500 form anyway. In terms of Medicare as primary, if they are aware there is a secondary insurance, such as Medicaid, then they would automatically forward the claim for you to the secondary payer and you would not have to worry about that. I hope this helps. Thank you for watching!
@DaisyMartinez-r4d
@DaisyMartinez-r4d 29 күн бұрын
I just found this video with less than a month and a half to do this as a 1st year private practice manager thank you!
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 29 күн бұрын
I’m so happy to hear this will help you! Thank you for watching and supporting my channel. Good luck!
@suemilkbone4868
@suemilkbone4868 Ай бұрын
Regarding the new HIPAA rules, will the patient have the option of denying access to their substance abuse and psychiatry records when they sign the release of information form?
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@suemilkbone4868 yes, patients always have the right to refuse access, but it should be communicated to them what obstacles could occur with their treatment. Thanks for watching!!
@ezgiulusoy1957
@ezgiulusoy1957 Ай бұрын
I have NPI number as a none medical transportation, should I apply and pay for PECOS 790 something dollar for another NPI? I m transporting ( my company) in Illinois Thank you I am confused.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
I apologize, but I am not familiar with how to enroll a medical transportation company with CMS. I would recommend calling your local Medicare Administrator (MAC) and ask what is required to do so. They are usually very helpful. Thank you for watching!
@Cubaconstitucionde
@Cubaconstitucionde Ай бұрын
Hello Do you have any video that shows how to enroll as a provider for Humana all products? I am in Arizona. Thank you for your videos
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Hi there- no, I do not. I have not created any commercial insurance specific videos because they are all different. Check out this link and it should help you with enrollment provider.humana.com/join-humana-network. Thanks for watching!
@isabellalaird5596
@isabellalaird5596 Ай бұрын
Thank you for this video, very helpful. I am learning about primary and secondary insurance and have a question. Hoping to have a baby next year and opted for covering through my employer because it includes some IVF coverage. Now thinking of getting covered under my husband's insurance too as everything prebirth/birth related is 100% covered by them, whereas with my insurance we would still have to pay for 20% of the cost after deducible is met (80/20 rule). Am I right in thinking that if I get a secondary insurance through my husband's employer, they would pick up that remaining 20% of cost which would otherwise be my responsibility to cover? Thank you!
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Hi there and thanks for watching! How exciting. Yes, that is most likely what they would do/how it should work. I encourage you to call his insurance and ask about their secondary coverage with your benefits as primary specifically. That way you’ll know for sure. Good luck!!
@BetsyChyna
@BetsyChyna Ай бұрын
I enjoy your videos. They are truly helpful! I did SUBSCRIBE And hit the bell, and gave it a thumbs up. I just got my CLIA waiver my question to you I am a CNA in a home health aide. Can I do a EKG and use my CLIA waiver with that?
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Thank you so much and I appreciate your support!! CLIA is only for laboratory tests. EKGs do not fall under that classification. Good luck!
@jayna640
@jayna640 Ай бұрын
Can we create a virutal address in other state contract for dieticians ? Since they do tele health
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Hi and thank you for watching. All states and the insurances have different requirements so you would need to check the specific telehealth contracting guidelines and requirements. Good luck!
@SaddamHussain-wk1ji
@SaddamHussain-wk1ji Ай бұрын
❤❤❤❤ Love from Pakistan
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Thanks!
@kofitamakloe7136
@kofitamakloe7136 Ай бұрын
Hello Jennifer Please can I get remote Health Insurance Adjuster jobs from TPA's.I am speaking from West Africa
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Hi there and thank you for watching. Unfortunately, I am not aware of any jobs in which you are asking. I would recommend just checking websites with job postings such as Indeed and filter for remote workers. Good luck!
@shaktiranjanpanigrahi301
@shaktiranjanpanigrahi301 Ай бұрын
Is there any specific format in prior authorization number or it differs from insurance to insurance
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@shaktiranjanpanigrahi301 thank you for asking! It does vary based on the insurance, unfortunately. Great question and thank you for supporting my channel!
@rickyaclickpowr2187
@rickyaclickpowr2187 Ай бұрын
would your course help someone who is switching career fields into the medical? Or is this only helpful for people already in credentialing?
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@rickyaclickpowr2187 hi and thank you for asking. The video helps anyone not familiar with medical insurances and the credentialing process. Each section has a free overview of what is covered so viewers can see if they feel it would benefit them. Please take a look and good luck!
@amandabrown3776
@amandabrown3776 Ай бұрын
Hello if i am preforming rapid testing in my office & mobile how do I put that on an application and do I need just a clia if i am not a doctors office or a hospital
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@amandabrown3776 hi there and good question! Yes, you would still need a CLIA waiver to be able to run rapid tests, and you would need to ask your local health department that issues the waivers. The CLIA waiver application may even have this option to select as a mobile company, so you would need to check it out. Thanks for watching!
@zahoorminhas
@zahoorminhas Ай бұрын
If a provider is already enrolled in a particular state and we need to enroll their group in that same state, and there's only one provider in the group, which application type should be used: 855I, 855B, or 855R? Please advise.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@zahoorminhas you need to enroll the group using 855I and add the owner/provider on that application so they can be reassigned to that group. The 855R was discontinued but if you do it online via the pico website, it will fill it all out on the correct form for you.
@zahoorminhas
@zahoorminhas Ай бұрын
Thank you, @navigatingthebusinessofmed8251, for your assistance! Could you guide me on which documents typically need to be uploaded with a Medicare application for both a group and a provider?
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@ the application will walk you through what documents are needed, and who needs to sign them
@zahoorminhas
@zahoorminhas Ай бұрын
@@navigatingthebusinessofmed8251 thank you I'm asking for most mandatory documents because there are list of more then 15 documents.
@FedericoMortera
@FedericoMortera Ай бұрын
Pre auth is really a ton of works in healthcare industry.. lot of claims are being denied because of failure by members/providers to include medical history or medical records. It is time consuming once your claims are denied.. so better assure to attach all medical records while submitting claims.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Yes, it is very sad how many claim rejection and denials are a result of not obtaining authorizations. Medical records should not need to be sent with claims if the authorization is obtained prior to services rendered, and the medical records being sent with the claim will not replace the need for an authorization either. Clinics definitely need to do their due diligence and understand what plans need these. I appreciate your participation on my video and for watching!!
@modasalvador7435
@modasalvador7435 Ай бұрын
Excellent video. Thanks for sharing
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Thanks for watching. I'm glad you found it helpful
@modasalvador7435
@modasalvador7435 Ай бұрын
Excellent video! Thanks for sharing
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@modasalvador7435 thank you for watching!
@modasalvador7435
@modasalvador7435 Ай бұрын
Great video!
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@modasalvador7435 thank you! I appreciate your support!
@margintrader26
@margintrader26 Ай бұрын
Hi. Can u share what happens to the amount owed by the patient. Are they billed separately by the practice or if u have a billing company they send out a bill. Thanks.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@margintrader26 Hi there. Whatever is left to patient responsibility (per the insurance adjudication) should be billed to the patient from the practice. The way that happens depends on your billing situation and if the billing company generates these for you, or if your clearinghouse does it, or if you need to do it. There are a few different possibilities, but you’ll also need to know who is responsible for following up on collecting from the patient if they don’t pay in a timely manner- the practice or the billing company. Again, could be multiple options depending on your situation. Good luck and thanks for watching!
@UshkaOfficial
@UshkaOfficial Ай бұрын
Amazing video thank you beautiful soul, I submitted ❤ and will be tapping into your course 🙌🏽☺️
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
You are so kind and thank you for your support!! Be well!
@meadowrose100
@meadowrose100 Ай бұрын
This is the first time I've seen your channel, with the exception of one other video watched today. I worked as a medical receptionist for 10-1/2 years and am hoping to get back into that field. I appreciate the videos you've put out so far. Thank you for sharing this content!
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Thank you for watching and how exciting. I wish you luck getting back into the field. Here is the link to my blog posts on my website that may assist you with getting your feet wet again. integralclinicsolutions.com/blog/ I appreciate your support of my channel!
@modasalvador7435
@modasalvador7435 Ай бұрын
Excellent Information, thank you for sharing.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Glad it was helpful! I appreciate you supporting my channel!
@julianwalton6519
@julianwalton6519 Ай бұрын
Thanks for clarifying!!
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
I appreciate you watching and for the comment!
@shanuRai435
@shanuRai435 Ай бұрын
You are great ❤
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
I appreciate that so much! Thank you for watching!
@fyi6961
@fyi6961 Ай бұрын
I do not have access to buy these courses.. i am from out of usa country. If u add all courses in udemy it would help me . Thank you
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Thank you for the suggestion. I will do some research into this platform to see if I can start offering them here as well. I appreciate you watching!
@fyi6961
@fyi6961 Ай бұрын
All courses is it available udemy??
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
I will look into this. Thank you.
@elizabethallemong1446
@elizabethallemong1446 Ай бұрын
Great!
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
Thanks for watching. I'm glad you found it helpful
@StandforAll
@StandforAll Ай бұрын
Thank you for this information
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 Ай бұрын
@@StandforAll you’re very welcome! Thank you for watching.
@nataliakleshchanka7679
@nataliakleshchanka7679 2 ай бұрын
Hello. You mentioned in a video that if a provider wants to start their own practice, they must disaffiliate themselves from current employer group in order to get credentialed with their own company. What if I still work at other company and want to do credentialing simultaneously for my new business, will it work? Or how to go about it? Thank you for your answer.
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 2 ай бұрын
Hi there and thank you for watching! I apologize if I misspoke in that video. That is not true and you can be affiliated with as many groups as you’d like. When claims are processed and you’re the rendering provider on a claim, they insurance company checks to make sure your individual NPI (NPI 1) is affiliated with the billing group’s EIN and group NPI (NPI 2). That is how one provider can have multiple employers at once and not affect the other employers processing of claims. I hope this helps and good luck!!
@jessicagonzales3841
@jessicagonzales3841 2 ай бұрын
I went to look for a private practice and I found it, but the foundation from the billing dept not the stability I was looking for , so I took a just to leave front and back office to manage the billing Department. I saw ur videos and ur pace of explaining is perfect thank you
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 2 ай бұрын
@@jessicagonzales3841 oh good for you! Sounds like you like challenges and they need people like you. Good luck and thank you for supporting my channel!
@MMukesh29
@MMukesh29 2 ай бұрын
Very knowledgeable video thanks for making
@navigatingthebusinessofmed8251
@navigatingthebusinessofmed8251 2 ай бұрын
Most welcome! Thanks for watching!