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Practice Management

An Emotional Support Animal (ESA) is a pet, prescribed by a licensed provider to a patient for their mental health, which provides emotional support to the individual. ESAs can be different types of pets, most commonly dogs and cats, and any age or breed. What they all have in common is they comfort their owners with companionship and improve their quality of life.

Emotional support animals are now a big business, and medical billing has latched onto its coat tails. I have seen many advertisements for various ESA opportunities, and on one site I searched for an ESA of my own, I learned that it would cost me approximately $200 for an ESA. The reason for the cost is the requirement to visit a doctor or social worker (provider) and go over an established set of questions to determine if I qualify for an ESA. In some cases, the provider doesn’t even have to see the patient in person-it can be done via a telehealth visit.

When my wife recently passed away, I became very depressed, so I made an appointment to see my Primary Care Provider (PCP). During the visit, she recommended I obtain an emotional support animal. She took out her tablet and showed a letter that her lawyer drafted and said a letter would be sent to me within 24 hours to support my need for an ESA. The next day, the letter arrived approving one, so I made a copy and gave it to my landlord. That weekend, my children took me to our local animal shelter to adopt an appropriate animal (in my case, a cat). The cat that I chose was about to be put down because she had been there way past the time limit for the shelter and would normally have an adoption fee of $10. However, the shelter waived that fee for her. So, that day, my new friend, Birdie the cat, came home with me. Her original owner was also a senior citizen but had passed away, leaving Birdie to find herself in the shelter. Like me, Birdie is older-so I didn’t change her name. Birdie is 10 years old in human years, around 60 in cat years, and her company has helped me in ways I cannot explain. In the morning, I change her water, give her fresh food, and clean her litter box. Because she spent so much time in the shelter, she has become semi-feral, but she is slowly coming around and learning that my apartment is her new home, and I am her new companion. Having an ESA-her company and my responsibilities of taking care of her-is helping significantly with my depression, and I don’t feel so lonely anymore.

When I went to see my PCP, her recommendation for an emotional support animal and the ESA letter was paid for by Medicare and my secondary insurance. My provider is now recommending an ESA to other patients who are like me, since ESAs are known to improve the patient’s mental health, and because my provider’s patients are Medicare patients, she has now been able to increase her practice revenue for her senior Medicare patients. Emotional support animals can make huge impacts on one’s health, so prescribing them can be a huge success. And Birdie is a lot like me-she never gives up, and she never surrenders.

Steve Verno

Billing

Medical Billing Values:Medical billing is not always an easy profession. Medical billers must interact with the medical care triad: the provider, the patient, and the insurance company. Medical billers face audits, upset patients, disreputable insurance companies, and fellow medical billers.

Billing

Medical Necessary Denials:In 1988, Samuel and Winona decided to have a baby. Samuel, worked at a small sneaker factory outside of Boston where they treated their employees well by providing health insurance as part of their employment. The factory was not a government employer, or a church which meant that the health insurance was protected by the Federal law and Federal Regulation known as the Employee Retirement Income Security Act (ERISA).

Coding

2023 Emergency Care Physician Changes:Welcome to 2023 - so far, an interesting year. This year, CPT made many changes to Evaluation and Management (E/M) services, including emergency care physician changes. Emergency care CPT codes are simply a different form of E/M CPT codes.

Practice Management

The Advance Beneficiary Notice or ABN:An Advance Beneficiary Notice (ABN) is one of the most abused forms at a patient visit. When we, as a patient, seek medical care, that medical care is a covered or a non-covered service. If it is a covered service, that means that the service is payable by our health benefit plans.

Coding

The Second Opinion:In the 1960s, I was 13 years old and started having eye problems. My parents were approved to receive Medicaid, so my parents took me to the local mall and had an eye doctor examine me, and the eye doctor said I needed to wear glasses.

Coding

Aphasia:Imagine this scenario: John Smith is a healthy 55-year-young man. He likes long walks on the beach, has a Siamese cat named Snuffles, owns his own contracting company, and has a beautiful wife whom he met in college, and he feels like things are going his way.

Practice Management

COVID-19 and Patient Visits:At least once a year, I have healthcare appointments. I usually have lab tests done as part of those visits, and another doctor visit for the results. Prior to COVID-19, my primary care physician (PCP) would give me paperwork to go to my local lab to have these tests done. I wouldn't need an appointment, so I could simply walk in and be seen.

Billing

Surprise Billing:

Today I'm writing about a man, a man named Steve. Steve is married, has health insurance, and works for a local movie theater.

Coding

Global Surgical Period:On January 2nd, 2020, John Smith is at home when he experiences a heart attack. Thankfully, John has excellent health insurance benefits with ABC Insurance, so when his doctor, Dr. Smith, tells him that he needs to have open heart surgery, he has one less concern going into it.

Billing

Questions from the Internet: Welcome to Medicare:Questions from the Internet is an ongoing series of articles that are based on real medical billing or medical questions that are asked on the internet via an association forum

Billing

Questions from the Internet: Radiology:Our practice has an in-house X-ray suite. The provider, who is not a board-certified radiologist, has been interpreting these in-house and billing insurance for both the professional and technical components accordingly.

Billing

Questions from the Internet: Secondary Payer:Patient has Medicare primary and [ABC Insurance] Secondary. Medicare pays their portion leaving the 20% coins to be billed to [ABC Insurance] secondary.

Billing

BILLING TIP - COVERED SERVICES:The following is a question asked on the Medical Association of Billers' forum:

Coding

Questions from the Internet: Inconsistent Diagnosis :Cpt-j2916(Injection, sodium ferric gluconate complex in sucrose injection

ICD-10

E-Book: ICD-10 and Podiatry:It's now time for ICD-10. Please enjoy this ICD-10 E-Book on Podiatry presented by Steven M. Verno, CMBSI, CHCSI, CEMCS, CMSCS, MCS, CHM

Billing

NCCI FOR MEDICAL BILLERS:National Correct Coding Initiatives (NCCI) is a tool that coders can use when the provider has two CPT codes that are being billed to the insurance company

Billing

To Use and Not Use ERISA:ERISA (Employee Retirement Income Security Act) is powerful and has many situations where it can be used, and for many, this can be very confusing.

Billing

Questions from the Internet - UCR:UCR stands for Usual, Reasonable and Customary, what we may call the allowed amount.

Coding

Learning the Language of ICD-10:In this series of articles, we will learn terms that are used in ICD-10 Coding, which is slated for implementation on October 1, 2015. We're going to help you be ready. What is our first word? DOCUMENTATION

Practice Management

Questions from the Internet - Part VI - Deductibles:Has anyone had an issue with XXXXXXX applying amounts toward the OON deductible over and beyond the member's annual deductible?
(The name of the insurance company has been X'd out to protect their name. The wording of the question has not been changed)

Practice Management

Questions from the Internet - 5:I have been having problems with one insurance provider. Depending on the patient they sometimes send the check to the member.

Practice Management

Questions from the Internet 4 - The Continuing Saga:I am a doctor and I provided one of my patients with a 1500 form with my required information and instructed him to make photocopies of the form to fill in with specific dates of service to submit to his insurance reimbursement (I'm an out of network provider).

Coding

Questions from the Internet #3:My Dr. for whom I'm billing for put me down to bill for laceration repair. Can someone provide me with the CPT code for it ??

Practice Management

Questions from the Internet #2:Apparently on his plan, for out of network doctor he is limited to $100/visit max they'll pay and $1,000/year max they'll pay.

Billing

Questions from the Internet #1: ERISA, Takebacks and so much more...:We just received a bunch of EOBs back on a patient who is on a self-funded construction union plan

Billing

The Changing Face of Medical Billing:At one time in America, we went to a doctor's office or the doctor made house calls and came to us. We paid in cash or bartered with the doctor; however, that changed when insurance became available, and with insurance came CPT and ICD-9 codes, and to help doctors with payments, there came medical billers and medical coders.

Billing

Confusion about Health Insurance and Medical Billing:This article is based on a recent experience by someone in my neighborhood and I thought it raised a few points that needed to be explored.

Billing

Medical Billing and Accountable Care Organizations:Inside the ACA, it speaks of Accountable Care Organizations and the Patient Centered Medical Home (ACO and PCMH).

ICD-10

Demystifying ICD-10-CM:It's a usual day in your office and your phone rings. You answer the call with your usual "Hello, Mayo-naise Clinic, how may I help you?" "Yes, this is (garbled), are you prepared for ICD-10? If you don't take our ICD-10 seminar, you will not get your claims paid!" "Excuse me?" you ask. "Yes, if you don't take our ICD-10 seminar, you won't get your claims paid." "Who is this?"

Practice Management

Contract Negotiations:What is a contract? It is a written agreement. The agreement specifies, in detail, what the insurance company is asking a doctor to provide to its members and it should specify, in detail, what the insurance company will pay the doctor for those services.

Practice Management

Something to Work With:For years, I've been fighting insurance companies regarding how they denied claims I sent them. I've fought everything from timely filing, downcoding, bundling, non-par payments, non-par discounts, authorization was not obtained, and no benefits available. The one thing in common with all of these is that I had something to work with. It all boils down to the benefit itself. As long as the medical care provided by my doctor is a benefit that the patient is entitled to receive, it doesn't matter if the insurance company wants to for whatever reason they choose to deny payment. If the service is not a benefit, I have nothing. I can use State Law, provider contracts, ERISA, and anything else that's out there, but if there is nothing, I can't do anything. I can only win if I do things the right way-if I have something to work with.

Practice Management

Collections Tools:In any practice there are three things that generate revenue: They are insurance claims, patient payments, and debt collection. There are several types of collections. One is outstanding claims, another is patient collections, and another is debt collection.

Practice Management

Accountable Care Organizations:The Patient Protection and Affordable Care Act (PPACA) was signed into law and its constitutionality has been challenged. The United States Supreme Court has upheld the PPACA and it is now the law of the land. The law is very lengthy but it does contain many provisions and while some are beneficial, some are still controversial.

Coding

Emergency Care:There is a misconception that a non-emergency room physician or non-hospital emergency physician cannot submit a claim for services rendered in the emergency department. The CPT codes for services rendered in the emergency department are 99281 through 99285. When you look at the CPT manual, under Evaluation and Management, Emergency Department Services (99281-99825), you will see that it says the following: The following codes are used to report evaluation and management services provided in the emergency department. No distinction is made between new and established patients in the emergency department.

Practice Management

Bundling Services:When our doctors treat a patient, we must be very careful that we do not intentionally unbundle services. What is unbundling?

Coding

Can we charge for medical record copies?:What is a medical record? In simple terms, a medical record is a chronological documentation of medical care rendered to a patient. Practices and hospitals receive requests for medical record copies from patients, insurance companies, other providers, and law firms, and with the conversion from paper records to electronic records, a question that is still asked is: Can we charge for the electronic version, and if so, how much can we charge? With paper records, we have to take into account the cost of each sheet of paper, the use of electricity, equipment and toner, and if we have to mail the papers, the cost of the envelope and postage. Also do not forget about paying a staff member to do all of this! The HIPAA privacy rule is very vague regarding what can be charged.

ICD-10

ICD-10-CM:For years there have been rumors of ICD-10 being the code set for the current year. Sadly, there was no proof behind these rumors. Now, we can stop any rumor because it is official that ICD-10-CM will be the official diagnosis code set. ICD-10-CM will be effective as of October 1, 2013. Now, why did this happen?

Billing

Out with the old and in with the New:In a few days 2012 will begin. December is a time when things slow down and people take vacations to go to Grandma's House to wassail and have festive fun. This is also a busy time before our staff has dreams of sugarplums and a jolly old man coming down the chimney. We're a few months into new, deleted and changed diagnosis codes and we're about to face new, deleted and changed procedure codes. There may be claims that go back to January 2011 that are unpaid or were paid incorrectly and hopefully appealed with someone following up on the appeal. Some of these claims may have strict time limits such as with Medicaid, Medicare, Tricare or contracted insurance companies.

Billing

Never Give Up Constant battle with insurance companies:By: Steven M. Verno, CMBS, CEMCS, CMSCS
We are in a constant battle with insurance companies who will do anything to keep from paying a claim and then once they pay, it seems that they'll do anything to get the money back. Our job is to stop them. They have a contractual obligation to pay health benefits, which are paid for by the patient, member, employer or Government. For every attempt they make, they look for newer ways to threaten or intimidate the doctor into giving up.

Coding

Modifier 25?:In coding and billing, sometimes we need to use modifiers. In simple terms, a modifier is an added code that reports something out of the ordinary took place during a visit or during a procedure that was performed.

Billing

Welcome to the 21st century:

Yesterday, I attended a conference and met Jamie Verkamp. She gave a fantastic presentation on Social Networking. I was impressed with not just her presentation, her speaking skills, and with what she presented. Compared to her, I am Pinocchio talking for the first time. But, no matter, she was 1,000% correct as to how we need to accept and get onto the social networking bandwagon.

Coding

Consults:Once more the hydra's head has popped up regarding consults or consultations. Example: Mrs. Brown goes to see her primary care physician and he suggests that she go to see Dr. Detroit, a local specialist. Dr. Detroit examines Mrs. Brown and starts a treatment regimen for her condition. Dr. Brown's office manager/coder/biller wants to bill Mrs. Brown or her insurance for a consult.

Billing

Can I Bill an Office Visit?:Betty Rubble goes to see Dr. Stone in his office in Bedrock. Dr. Stone finds she has a kidney stone that is causing her problem. He decides to send Betty to Bedrock Hospital so she can be admitted. Later that day, Betty is admitted to the urology ward of Bedrock Hospital .

ICD-10

ICD-10 and ANSI 5010:For years, we've been told that ICD-10 is replacing ICD-9-CM. Yes, Virginia, this is now true. ICD-10-CM IS replacing ICD-9-CM. This will take place as of October 1, 2013. We have things to do to get ready for this change, so that there can be a seamless transition. One is ANSI 5010. This is the next stage in the HIPAA changes. Right now, you should be sending your electronic claims using ANSI 4010. Simply put, ANSI 5010 allows us to be ready for ICD-10-CM. How much time do we have so that we must be in compliance with 5010? 5010 becomes effective as of January 1, 2012.

Coding

Out of Pocket Expenses:When someone has healthcare through insurance, whether self purchased, provided through the government such as Medicare, or non-workers compensation insurance from an employer, we can't assume anything. Providers, coders, and billers may have no clue about the benefits they are to receive, what benefits are excluded, how much the service costs, how much the insurance company pays for the care, and what is the claims process when seeking care from a network and out of network provider.

Billing

Make sure your medical biller has the proper training:Medical Billing is very complex and misunderstood. Some people think they can do it without any training, some people think all they need to do is buy a computer and book and they can be the next best thing since sliced French toast. Some practices lose their biller, so they take their receptionist and throw that person to the wolves by having that person now take over the complete financial responsibility of the practice. This is like giving a 2 year old a locked and loaded gun.

Practice Management

Don't be afraid of what you don't understand.:ERISA, The Employee Retirement Income Security Act, a Federal Law enacted more than 20 years ago is misunderstood or not understood at all by patients, doctors, and billers. Insurance companies understand it and use it to their benefit. They also know and understand State insurance laws and use them as they see fit, so that they can have the best of both worlds. They do this because they know few will recognize what they are doing and few will fight back.

Billing

Billing Tip to Increase Revenue:Being a biller, you have to have a little of Indiana Jones in you without the fedora, leather jacket, and bullwhip. You aren't looking for the Lost Ark, Indian Stones, the Holy Grail, or a crystal skull. You're looking for money that is lost but can be found.

Billing

Being Smart Billers:Times are getting tougher. CMS is getting tougher. Abused procedures are not being paid anymore.

Billing

Deductible - Heal Your Practice:Now that the holidays are behind us, it's time to get back to work. January is when commercial insurance companies and Medicare takes your claim payment and applies it to the patient's deductible. The deductible, an out of pocket expense, can be hundreds of dollars.

Coding

The Death of Consults:Consults or Consultations have pretty much met their demise in 2010. CPT 99241 through 99245 are some of the most abused and misused codes in the coding inventory. Per CPT guidelines, "A consultation is a type of service provided by a physician whose opinion or advice regarding evaluation and/or management of a specific problem is requested by another physician or other appropriate source."

Practice Management

Healthcare Benefits:When I grew up, my parents never had any health insurance. We were lucky, with 7 kids, we rarely had to see a doctor. Minor illnesses and injuries were treated with common sense, ointment, ice, heat, chicken soup and bed rest and we never ran to the emergency room when something happened. In the 1950s and 1960s before you left the hospital, you were taken to the cashier where you didn't yell and scream about the bill.

Coding

Pride in Our Profession:When you become a coder or biller, you have a commitment to this profession. It doesn't matter if you're new and you've been one for one day or if you've been a coder or biller for 40 years. We have over 900,000 providers who depend on us for their income and livelihood. We are in charge of more than $2,000,000,000 of healthcare dollars and with that comes a commitment to do what is right. To do what is right, medical coding and billing requires us to follow certain values and we must always stand ready to defend those values at all costs by setting the example of commitment to do what is right.

Coding

Is Medical Coding or Medical Billing A Good Career?:This is a question that is asked time and time again on the Internet. It's a valid question that has NO easy answer. To some people, it is a hard and cruel profession. To some, it's the next best thing since sliced bread. Whether it is a good career or bad one is a personal preference.

Compliance

Identify Theft:Last month, I gave a seminar on Patient Registration. In the seminar, I pointed out the importance of making sure that practice staff verified the information they were given and made sure that all information was entered carefully and without error into practice management systems. There is a term if this is not done correctly called GIGO. Garbage In, Garbage Out!

Medicare Advantage Part 2:Correct Coding Initiative The "correct coding initiative" (CCI) is the name of the payment edits used by Medicare for physician, lab, and some other services. In addition, some of the CCI edits are incorporated into Medicare's "outpatient code editor" (OCE) which is used to pay outpatient hospital bills.

Medicare Advantage - Part 1:Medicare Advantage is also known as Medicare Part C. IT used to be called Medicare + Choice. Medicare Advantage is Medicare that is provided by private health insurance companies. Medicare Advantage could be an HMO, PPO, POS or a Fee For Service Plan. The Medicare Advantage patient should not use their Medicare Part A or B Card. The Medicare Advantage patient should present their Commercial Insurance Medicare Advantage Insurance Card.

Provider-Billing Agent Contracts:I receive many e-mails and read postings by medical billers that say, I was terminated by my provider and he wants his information returned to him. What should I do, how long do I continue to work on the claims I sent and how am I to be paid for the work I did?

How To Deal with Insurance Companies Who Do Not Reimburse Per a Contract:This is not an easy topic to discuss. Insurance companies work hard to convince a provider to be contracted. It is in the interests of all parties to comply with the terms of the contract.

How Much Do You Know About ERISA?:Let's take a short test to see what you know about ERISA

Medicare and Physicals:Recently, I have been receiving e-mails and I have been seeing questions asked on the many Medical Coding and Billing Forums regarding Medicare patients and routine physicals. The question most asked is, "Does Medicare pay for physicals and if so, what code do I use?" This is an honest question and is easily answered.

Terminating the Patient-Provider Relationship:In March of this year, I suffered a heart attack and underwent a quadruple bypass surgery and consequently am now under the care of a cardiologist. To make a long story short, my experience with the doctor's office has been poor. I have had appointments moved several times, appointments cancelled, phone calls never returned. When I did speak with someone, I was passed from one person to the next having to tell my story all over again, and the topper of all toppers, I go to have a major test done to determine if I need more surgery and they move the office without telling me about it!

Prevention of Silent PPOs:Silent PPOs are called by some as being illegal and some are calling their tactics shady. Steve Verno discusses how to prevent dealing with someone you don't know.

Medicare as a Secondary Payor and the Working Aged:Why are we in a hurry to send a claim when we could take a few minutes to do what we should be doing to ensure we send a claim to the correct payor? Steve Verno writes for us regarding Medicare as a Secondary Payor issues.

Appeal's - New variables to consider (Plus FREE sample letter):Appealing today, is no longer the same as it used to be. At one time you could create a generic appeal letter but the insurance companies have seen these tons of times and have come up with ways to deny these appeals. In addition, there are new variables that must be taken into consideration that did not exist several years ago.

STOP: Common Billing Errors:The following list includes common billing errors that you should avoid when submitting your claims to Medicare carriers:

Opting Out of Medicare:Opting out of Medicare is an option but do we know the choices and responsibilities we have to help our providers with this decision? Steve Verno writes about opting out of Medicare and what you need to know to avoid potential problems.

Health Insurance Contracting and the Patient:Developing the insurance contract with an insurance company is as simple as A-B-C, right? The patients always pay their copays, coinsurances and deductibles, right? Wrong! So what can be done to help us with these crucial reimbursements? Steve Verno talks further.

Medical Billing Resolutions:We are now deep into the Christmas Season and it is time for many practices and billing companies to close down for a short period so that the staff can take a few days off for holiday vacations. This is an excellent time to sit down and write out your medical billing resolutions for 2007.

A Reason Why Patients Don't Pay Their Bills:I'm sitting at home, going over my bills and I have a medical bill for me, my wife and my son. The claims were sent to my insurance and applied to my deductible. I called the number on the bill, so that I can give them my credit card number and be pleased I help keep another doctor in business. Sounds simple, right?

Billing

The Feelings of Disappointment:Steve Verno, CMBS writes: I've been in the medical field since 1971. I started out working at a local hospital taking care of patients. I remained in the medical field for the next 21 years. I can't count how many patients I treated over the years. When I retired from clinical medicine, I went into medical administration and became an office manager at a small health clinic in Albany, New York. There I learned about CPT and ICD-9 codes. I helped develop their superbills and I interacted with patients, State regulatory authorities and insurance companies.

Getting into the 21st Century:Being a provider and medical biller today, is a world of cell phones, faxes, internet, laptops, pocket PCs, e-mails, instant messaging, debit cards, employer sponsored health care, electronic claims, insurance verification, direct deposits, and remittances. A completely different world from that of just five years ago. But, doctors, hospitals, medical billers and debt collection agencies are still operating their financial business as if it were the 1950s.

ERISA vs State Law:At issue is a State's Assignment of Benefit law that requires the insurance company to honor the AOB and send payment to the provider. Our favorite insurance company, BCBS was not honoring the AOB and was sending payment to the member. Their reason was that their plans were ERISA plans, therefore ERISA superseded State law.

Deductibles?:What is a deductible? A deductible is a contractual requirement to have the patient or member pay a specified amount before the insurance company will pay any benefits that are due to the member. The amount of a deductible is based on how much a person will pay in premiums. The higher the amount of the deductible, the lower the amount of the premiums. The lower the deductible, the higher the amount of the premiums. What is the intent of having a deductible? It is to remind the patient that medical care is not free and it requires the patient to share in the costs of receiving medical care.

Timely Filing Denials:Every day, I see people asking questions about how their claim was denied due to timely filing reasons and the person asking wants to know if there is a modifier, or another CPT code that can be used to overturn the denial. From a personal perspective, with some insurance companies, a timely filing denial is a nuisance denial. There should be no reason to deny a claim for timely filing. Why? Well, the doctor performed a service that is a benefit that the patient is entitled to receive. The medical record is available to be reviewed to provide foundation that the patient received the service. The patient is paying the insurance company to pay their claims if the service is a benefit they are entitled to receive. Therefore, why shouldn't the insurance company pay for the service?

Medical Care Cost Savings:Mrs. Jones has an HMO policy with ABC Insurance. It is being provided to her as a benefit of her husband's employer. Her employer is paying $500 per month in premiums and Mr. Jones is paying $250 per month in premiums. When you look at her benefit manual, it states that when she seeks medical care, from an out of network provider, the HMO will pay 100% of the billed charges.

The Health Benefit Manual:Steven M Verno tells us about this forgotten document and how to use it to do away with the assumptions that take place when doctors provide medical advice, and patients seek medical care.

The Forest From The Trees:Those of us who have been in medical billing for a long period of time have seen some major changes come down the line over the years. In the 1970s and 1980s, HMOs popped up like dandelions on your lawn on a summers day. In the 1990s, the electronic age came into being and now, in the 21st Century, we have employers providing healthcare, HIPAA, ERISA, web billing and more.

Coding

Emergency Department Facility Coding and Billing:In many hospitals in the United States, a visit to the emergency room will result in a multitude of bills for the patient.

Fracture Care in the Emergency Department:The coder receives the chart and must review what took place so that the care can be billed to Sally's HMO. There are many questions that must be asked when it comes to fracture care received in the emergency department.

Complexities of Medical Billing:STEVE VERNO examines the many variables that make up the complexities of claims processing, and your legal rights when claims go wrong

Writing Off Copays and Deductibles:I have a question regarding a provider that I bill for who is reducing/waiving deductibles for his patients. He states that he has a letter from an attorney stating that because he is not contracted with any of these insurance companies that he does not have to collect deductibles, coinsurance, etc. My question is&do you know if this is correct?

Guarding Patient Information:Harakat ul-Ansar is a 34 year old man, living in Pakistan, and he decides he wants to start a medical billing company. He looks around the internet and finds a simple, and innocent location to advertise his offshore company. It is a medical coding and billing forum. Dr. Harry Jones is a pediatrician located in Newark, New Jersey and wants to save operating expenses and has heard that using an offshore company will save him tons of money.

Steve Verno

Medical Billing and Coding Instructor/Consultant at Quality Medical Management/Emergency Medicine Specialists

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Miami, Florida

Total articles published on BC Advantage 88

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