General Questions
Q. There are so many options for starting a business, why should I start a medical billing company?
• You can work from home! Who wants to commute at 8 am every day? Working from home
gives you so much more flexibility and freedom. You can go out for 2 hour lunches
twice a week, get to soccer practice with your kid at 4pm on Mondays and Wednesdays.
If you're one of those workaholic types, you can spend as much time as you want
building your business with more and more clients. It’s up to you.
• You can make money! Our average medical billing business owner with 5-10 clients
can make a six-figure income. You can grow as large as you want if you keep up your
marketing and sales efforts. Or if you prefer, you can just have a couple of clients
and make good money for working part-time. It’s up to you! Take a look at some people
who have done it successfully – Click Here to read their stories.
• You help doctors! They have important things to focus on, like keeping their patients
healthy. You can help them provide better patient care and improve the efficiency
of their office.
• Medical billing is an industry with long-term growth potential. People get sick
regardless of economic conditions and doctors always need to file insurance claims.
This business is recession-proof. But beyond this baseline industry potential, three
factors are further driving the growth of medical billing. First, due to health
care reforms, there are more and more people with health insurance, and that means
more and more claims. Secondly, 10,000 baby boomers are reaching retirement age
each day – that’s about 4 million per year – and this will continue beyond 2030.
These boomers will need increased medical attention and that further contributes
to the need for billing. Third, the number of healthcare providers is going to increase
to meet market needs of the growing population in the US. Finally, the current shortage
of healthcare providers means that doctors are under pressure to work more efficiently
and to automate, and this means they will increasingly seek to outsource their billing
to professional billing companies. Combined, these four factors will ensure that
medical billing is here to stay for decades.
Q. I don't know anything about medical billing, can I really learn enough to get clients?
Yes! Our medical billing programs are complete, offering you a powerful combination
of state-of-the-art software that can handle every type of medical practice, plus
personal training, extensive marketing assistance, and support to help you get clients.
We walk you through the process step by step so you are completely comfortable talking
to doctors and presenting yourself professionally. We have helped people from all
walks of life become professional medical billers and business owners.
Q. How do I get clients?
We teach you how to find doctors, how to make contact with them, how to use our
marketing software to your advantage, how to make a presentation, what to say to
doctors, how to price your services, how to sign contracts, and how to setup new
clients. To put it simply, we provide you with all the resources and walk you through
the process step-by-step, showing you ways you can make doctors come to you! We
work with you before and after every meeting with a doctor, as many times as you
need for 2 or 3 years as part of our 3-Stage Business Coaching, Training, and Consulting.
Call us and we can discuss how we help you get clients and build a successful business.
Q. Is there any special assistance to help with marketing?
We take our role seriously in helping you become a professional business owner--knowledgeable,
confident and savvy. We train you to talk the talk and walk the walk. Even if you
don’t have experience, you will learn how to sell to doctors. No one is born with
sales skills –it’s an acquired talent and we will help you gain it. We provide you
with everything you need for an effective marketing campaign, even highly successful
appointment setting scripts that we have developed based on more than 20 years in
the medical biling business. Now, there are exceptions, and we will be happy to
talk to you about what we can provide. For example, if after engaging in the business,
you feel you are too busy for an active marketing campaign, ClaimTek can help secure
guaranteed appointments with healthcare providers. We are so confident of the potential
of this industry, we are willing to make that promise to you if you need it. This
is an additional service, for which we charge a fee, but the assistance is there
for you.
Q. How long will it take to get my first clients?
It’s not unusual for a new billing service to have a client within a couple of months.
Some may take a little longer. What is evident, just as in any business, is that
there is a direct correlation between your level of marketing activity and your
results. In general, we’ve seen many of our billers gain two to three clients per
year. We feel their success is a reflection of the training and knowledge we provide
that gives them confidence and poise in selling to doctors.
"Don't let the fear of the time it will take to accomplish something stand in the way of your doing
it. The time will pass anyway.” -- Earl Nightingale
Q. Buying a medical billing business program is not inexpensive. Why should I spend
that much money on starting my business this way?
Starting any business is expensive. If you were opening a retail store or a restaurant,
your costs would be five or ten times the cost of starting a medical billing business.
Nearly any business you decide to start will entail upfront fees.
Medical billing is actually one of the least expensive businesses to start,
considering its potential, low level of risk, and minimal expenses to launch the
business. Unlikely many franchises, it is a true investment in yourself and a professional
career that you can be proud of. You will be involved in an exciting, growth-oriented
business, working with doctors and other healthcare professionals, providing services
they need. You will also have tremendous flexibility to create the work/life balance
you desire, earning a good income while also having the freedom of working when
you want and as much as you want rather than locked into commuting to an office.
Most importantly, when you work with ClaimTek, you will be treated with
respect and concern. We want our licensees to be successful and we seek to empower
you by helping you acquire new skills, knowledge, and purpose. We provide you with
the right mix of ingredients that propel you to success—time-tested marketing approaches,
superior software, personalized training, and a genuine commitment to help you achieve
your dreams.
Our programs are priced at a very reasonable level given
all that you receive: top-rated professional software, extensive training and support,
a website, marketing materials and software to perform detailed financial analysis,
presentation materials, business contracts, technical support, and access to many
other services. We have taken care of just about everything you need to get into
business.
The Market for Medical Billing and Competition
Q. Is there room for me in the medical billing marketplace?
There are more than 1.6 million healthcare providers in the United States, including
physicians, dentists, chiropractors, acupuncturists, physical therapists, mental
health professionals, and other specialists who must do medical billing. Among this
number are nearly 700,000 physicians, and as our American population both grows
and ages, more MD physicians will begin practicing in the coming years. In short,
the US medical marketplace is enormous and growing.
The key to your business in this huge marketplace is the fact that the majority
of healthcare providers must file medical claims to insurance companies and Medicare.
According to the US National Center for Health Statistics, 83.6 percent of all adults
have contact with a healthcare provider in each year. There were 928 million office
visits to doctors in 2014, the latest figures available.
These statistics represent an enormous number of medical billing claims that must be filed. Many
healthcare providers still do not file claims electronically. Moreover, those providers
who already file electronic claims are often overwhelmed by the process and frequently
filing their claims incorrectly, leading to unpaid claims. In short, the market
is wide-open for someone who wishes to establish a Medical Billing business that
offers professional billing services along with many other services such as those
the ClaimTek helps you establish.
Electronic claims filing as a service
in itself is the product of technology and is therefore less than 25 years old.
But the business has evolved into far more than “just billing.” Today, the key to
the business is offering “full practice management” – meaning that you do more than
file medical claims for your client healthcare providers. With the type of professional
Medical Billing business that ClaimTek sets you up to do, you will be able to offer
many varied services to healthcare providers.
So as to whether there is
room for you in the marketplace, the answer is YES, and particularly if you are
trained by ClaimTek so that you learn every element of the business to become a
true medical billing professional offering comprehensive services. In today’s market,
your ability to provide knowledgeable, superior services coupled with superior products
is what will set you apart from any competitor. Those who can consistently provide
top-notch services and solutions are the winners. Doctors are busy professionals
and in general they are not experienced business people. They prefer to deal with
a dependable vendor who can offer them the solutions they need to operate a profitable
medical practice.
Q. Will I have a lot of competitors?
First off, it’s a fact of life – there are competitors in every business. Whether
you buy a franchise sandwich shop or you open a retail store, it is very likely
that you have competitors somewhere in your area.
However, our guarantee is that when you work with ClaimTek, we train you to
be among the top professional medical billing and full practice management companies,
setting you apart from most competitors. Your knowledge of the billing business
and claims filing, your ability to talk to doctors in their language and understand
their problems, and your professionalism will shine through every competitive situation.
As a ClaimTek-trained billing service equipped with the latest solutions and technologies
you will create an attractive edge for your new company, ready to enter the field
to provide the best and take on the best.
Q. How much money can I make by having a medical billing business?
This is, of course, a very important and common question we receive. It is difficult
to answer because business opportunity companies are not allowed to make an income
promise to you. However, we can give you some sense of the income potential of this
business, but be aware that it is not a guarantee because it always comes down to
your individual effort. It is no different than someone who opening a retail shop
or a restaurant or a home repair service – no one can promise you a certain income
because it always depends on your initiative, motivation, commitment, and capabilities.
However, as you will read throughout our website and in these FAQ’s, we train you
comprehensively and extensively, more than any other company, with one-on-one training
from experienced medical billers who know the ins and outs of running a successful
medical billing company. You learn first-hand how to do professional medical billing,
how to talk to and sell to doctors, and how to build a viable business.
Our website contains two calculators that help you make some “guesstimates”
about your income potential. One is a
Simple Calculator that lets you do a fast calculation of your potential
gross income from medical billing. It does not take into account your expenses.
The other is a
Detailed Calculator,
in which you can project your income by inputting the number of doctors you hope
to acquire over time, the average number of claims per doctor, your estimated expenses,
and other inputs. We guide you along the way to understand what types of estimates
are reasonable and likely for each input. The calculator will then show you an estimated
monthly income potential in each quarter of the first year, plus accumulated cash
flow over one year, plus projected annual income over 4 quarters.
Q. Why does ClaimTek believe medical billing will not become obsolete in
the future by automation using the Internet?
We've heard this argument since the mid-1990s and it's always been proven wrong.
Even with the introduction of the Affordable Care Act (Obamacare), medical billing
did not disappear. In fact, the need for medical billing is even greater, since
the Act enabled millions more people to gain access to health insurance and the
opportunity to see their doctors more often.
The fact is, medical billing is a detailed and involved process; it cannot
be treated as if medical claims were simple banking transactions. There are so many
laws, regulations, and constant changes that it is impossible to fully automate
the claims billing process. In fact, the most successful billing services are those
that provide personal attention to the needs of their doctor clients. In today’s
world, the healthcare industry is confusing, complex, and chaotic; there are few
simple standards when it comes to health insurance and claims reimbursement. Those
billers who bring expertise and solutions to healthcare providers are the ones who
succeed. We help our ClaimTek licensees be those experts!
Q. If medical billing is so easy to learn, why don’t doctor's just do it themselves?
The fact is, medical billing is more or less easy to learn, but it takes time, skills,
and professionalism to do correctly. We teach you to do medical billing and that
is why it is easy to learn. Our trainers make it very learnable.
But doctors’ offices are not in the business of training their staff—and doctors
want to practice medicine, not do their own billing. There is usually a very high
turnover in healthcare offices and many billers who work for doctors never get proper
training. On average staff in billing positions come & go every 3-6 months! This
means that the typical healthcare office is often billing incorrectly. The result
is that the medical claims are denied by insurance companies, or they are paid late,
or they are “downgraded” so that the doctor does not receive the proper compensation.
The frequent changes in staffing also create potential income gaps between filing
claims. When new staff members are hired they’re under pressure to learn the software
and collect on past claims that were not yet filed or were filed incorrectly. So
sure, doctors can buy software and seek to do their own billing, but their problems
won’t go away if their staff is doing billing incorrectly.
Medical and dental billing truly needs a more professional and dedicated person who knows how
to handle the intricate details in order to reduce or eliminate rejections while
maximizing reimbursements. Your goal as a professional medical billing service is
to bring awareness to doctors that this area of their practice truly needs much-needed
attention and stability. As a ClaimTek professional billing service, you will be
equipped with advanced tools to get the medical billing done correctly, which will
provide better cash flow for the doctor, lower office costs, and bring stability
to their practice.
Let us add another factor to answer this question.
As we pointed out in other FAQ questions, ClaimTek provides you with the ability
to offer numerous additional services to doctors, such as Electronic Funds Transfer,
Collection Services, Remote Backup Services, Well-Care Services, and Digital Scanning
of Medical Records. These services are often needed by healthcare providers, and
these are services that clearly office staff cannot provide them since they require
specialized tools and knowledge. This is another reason why healthcare offices will
be interested in hiring you --- you can fulfill more of their needs than just their
medical biller can.
There will always be segment of the marketplace among
doctors who prefers to handle their billing in-house. But we know that the trend
is to off-load billing to professional 3rd-party companies like you will become.
As a ClaimTek licensee, you will be in the best position to capture a doctor’s business.
And take note: When you sign up with our Preferred or Principal program,
you actually become a reseller of our software, earning 40% and 25% discounts respectively.
This means that when you encounter a doctor who wants to do their own billing, you
at least can offer to sell them the most advanced and feature-rich medical billing
software available. This can be to your advantage, as sometimes, a relationship
you begin with a doctor may start from this angle (buying software for in-house
use.) Then it often happens that when that doctor loses their billing staff person,
they come back to you asking you to take over their billing. This has happened to
more than a few of ClaimTek licensees.
Doing Business With ClaimTek
Q. Is this a franchise? Will I need to pay ClaimTek royalties on my earnings?
Buying a medical billing business opportunity from ClaimTek is not a franchise.
You own your own business, which you can operate in any way you choose (sole proprietor,
LLC, partnership, C-Corp, S-Corp—it’s your choice). You do not pay royalties to
us as you would in a typical franchise. You can choose your own company and operate
it as you wish. Your purchase of one of our programs entitles you to all the rights
and benefits of running your own business and you will never pay any further fees
to ClaimTek other than additional purchases you choose to make yourself, such as
software upgrades.
However, working with ClaimTek offers you benefits. You can benefit from associating
your brand with the well-known ClaimTek brand, and you have limited access to leverage
some of our federally-registered trademarks. This provides you with greater credibility
in the marketplace.
Q. How does ClaimTek differ from other medical billing business opportunity sellers?
ClaimTek Systems differs from other sellers of medical billing in many distinctive
ways. Frankly, we consider ourselves to be the premier company offering medical
billing business opportunities and for good reasons.
First, we have been in business perhaps longer than any other medical billing
business opportunity company. We began more than 20 years ago, and we have maintained
the highest levels of excellence through the decades. We have the A+ rating from
the Better Business Bureau (BBB) and the highest triple AAA level from the Business
Consumer Alliance (BCA).
As a company, ClaimTek Systems offers billing,
collections and complete office automation services to doctors; networking, hardware
setup and software installation. Through our vast experience, we have a deep and
up-to-date knowledge of the healthcare environment. We understand the complex details
of medical billing and claims filing, and we teach that to you better than anyone.
Third, ClaimTek offers you more business solutions to provide to your
doctor clients. With our packages, you can offer your clients three ways of processing
medical claims as well as many services needed to do “full practice management.”
You can process claims and handle many other billing functions using 1) the traditional
method (picking up the claims information personally, or 2) using electronic transfer
via our MedOffice® software, or 3) using our Claims Converter software.
Fourth, ClaimTek Systems is the creator and owner of the software we provide you.
We spent years developing and programming MedOffice®, which is designed especially
for billing claims centers. Our software has the most features of any other medical
practice management software to make it easy to use, attractive on the eye, and
accurate. Our system is designed to make your business as automated as possible
so you can do more in less time. Ask our competitors if they created the software
they sell you or if they are just a third-party vendor of another company’s software.
We’ve built our software based on our extensive knowledge of medical billing, we
own it, and we take great pride in maintaining it and adding new features every
year. With ClaimTek, you have great potential of turning your billing center into
a full-service Medical Management Consulting firm offering a wide array of value-adding
practice management products and services.
Fifth, we provide you the most
personalized, in-depth training you can find. Most of our competitors bring you
into a big workshop with many other people, which restricts the pace and personalization
of your learning (and makes you feel that there are competitors all around you).
We assign you a personal trainer who works with you on your schedule to walk you
through the software, teaches you about medical billing, and builds your knowledge
so you can talk to doctors with comfort and confidence.
Sixth, ClaimTek
Systems is constantly developing new services that you can offer to your clients.
We help you have the potential to offer more than 10 services to clients so you
can find new ways to earn income beyond just medical billing.
We highly
advise you to investigate before investing your money in any business opportunity.
Compare our program to that of other companies. Look into their software solutions,
the quality of their marketing materials and the training setup. You will find that
our company offers the most comprehensive program packages. We are not just saying
this or are biased...It is true!
Q. Do you offer a medical billing certification?
Yes, ClaimTek will issue a certificate for you and your partner if any as a professional
medical billing consultant. Overall, there is no industry standard for medical billing
certification, so among all various agencies that are offering certification, no
single one means more than another one. Our ClaimTek certification is top-notch.
Our certification reflects the fact that we have been in business for more than
two decades and are the developers of the MedOffice® software system, the most advanced
medical practice management software available. In other words, you are working
with one of the longest standing companies involved in medical billing, with a solid
reputation for professionalism.
Note: do not confuse a medical billing certification with medical coding certification.
The two are not the same. To do medical coding, you need to be certified by your
state after going to a specialized training program. You do not to know medical
coding to do medical billing or to open a billing service. However, if you grow
your medical billing business by leaps and bounds, and you begin taking on large
accounts, you may have a need to have a coder on staff to assist in more demanding
situations.
Marketing to Doctors
Q. How does ClaimTek help me start my business and get clients?
ClaimTek recognizes that this is the key factor in helping our licensees succeed—and
we therefore take this responsibility very seriously.
• We train you to be completely professional so that when you solicit business
from a doctor, you will come across as knowledgeable and well versed in medical
billing and practice management problems. All of our programs include training before,
during, and after each sale you attempt to make.
• We teach you the essence of filing medical claims with the utmost accuracy and timeliness as well as the entire spectrum
of medical practice management.
• We provide you with many marketing assets to announce
and promote your business in professional ways. Our marketing materials (brochures,
flyers, post cards, presentations, a website, and contracts) can be fully customized
to your business (with your business name, address and logo).
• Finally, ClaimTek provides you with the ability to offer your clients multiple add-on services that
provide extra income-generating opportunities for you. This is an array of valuable
services that many medical offices need and can use, including medical transcription,
electronic medical records, electronic fund transfer, medical collection services,
medical coding review, Medicare Audit protection, and more.
In short, ClaimTek seeks to have every one of our licensees succeed in the business. We train
you to be a professional, we make ourselves available for your questions, and we
build your confidence and comfort in being to approach healthcare providers and
sell them your services.
Q. How can I inspire doctors to call me or agree to an appointment so I can sell my services?
First of all, ClaimTek provides you with a very comprehensive set of printed marketing
materials that allow you to launch your business quickly and promote your services
to doctors. All our programs include brochures, flyers, presentation folders, flip
charts, multimedia presentations, and more.
One of the best ways we recommend to inspire doctors to engage with you is to offer
a free Procedure Code Review (PCR) and Billing Cost Analysis (BCA)—and we provide
you with the tools to do these. They are an excellent way to make initial contact
with potential clients so you can begin a conversation about how your services can
help them earn more money from their filed claims and save on the costs of billing.
• Procedure Code Analysis is performed with the MD Code Reviewer software we provide
you with. This software allows you to evaluate all the procedure codes that a doctor
commonly uses to ensure that the codes are correct, up-to-date, and that they are
being used correctly. The software compares each code used by the doctor against
a current database of approved medical codes. The system reports on the number of
incorrect or questionable entries, thereby allowing you to inform your potential
client if they are experiencing rejected claims due to incorrect coding. Some doctors
are literally losing tens of thousands of dollars because of incorrect or incorrectly
done coding. The MD Code Reviewer does both medical and dental code analysis.
• Billing Cost Analysis is done with ClaimTek’s MD Practice Analysis Wizard. This
software is designed to let you compare the actual costs of the doctor’s in-house
billing operation versus the potential costs of using your service. For example,
the software will tally the cost of the internal staff’s labor in the doctor’s office,
the cost of errors, the cost of postage, claim forms, and envelops, overhead, and
other factors. It then compares those total costs with your costs, using convincing
side-by-side tables and graphical comparison charts. In most cases, this enables
you to show potential clients that they can literally save money by outsourcing
their billing to you.
ClaimTek also helps you develop an effective, persuasive marketing campaign in many
other ways, based on our decades of experience in the market. Call us to discuss
the many tools we provide you and the serious and professional training we take
you through to turn you into a confident, persuasive sales agent for you company.
Q. If a doctor already has a biller in their office or is using an outside
billing service, how can I capture their business?
ClaimTek will certify you as a professional medical biller upon completion of our
one-on-one training course. We teach, train and help you implement our tested and
proven 3-pronge approach to market your business and provide you with all the marketing
materials, software and a website to present a professional image. We provide ongoing
one-on-one trainings and consultation sessions to work with you hand-in-hand to
help you sign up doctors and grow your business!
Most of all, ClaimTek prepares you to offer the highest quality professional work
and the most number of services compared to other billing companies out there. Here’s
how you’ll be able to capture clients as a ClaimTek Licensee:
• You are able to bring hospital-level efficiency to any private practice in the
sense that you will be trained to help doctors file claims quickly, avoid rejected
claims, and improve their cash flow.
• You can show doctors how much you can save them in billing costs using our Billing
Practice Analysis tool and you can also analyze their coding using our Procedure
Code Reviewer to assess if their coding is correct.
• ClaimTek’s business infrastructure allows you to offer more than a dozen profitable
services to your clients, and few other billing services have the tools to do this.
• You can provide doctors with a single-vendor solution for their practice management,
billing and electronic health records needs.
• You can connect your software system to many others, reducing the need to switch
a doctor’s software to work with them.
• You can provide new integrated software technologies for their offices if they
wish to implement a complete practice management or electronic health records systems.
• You can provide software technologies on different platforms so doctors can work
locally or on the cloud, however they wish to work and store their data.
• Your service offerings can change dynamically as a doctor’s office grows or needs
to change the way in which service is provided to them. This can help you retain
clients.
• ClaimTek’s MedOffice software will enable you to keep an extremely low overhead
when providing service because it is the only software on the marketplace build
and designed specifically for medical billing companies. It allows you to offer
lower prices for your services than other billing companies paying hundreds or thousands
per doctor per month for software.
With ClaimTek, you can work with any doctor, in any medical/dental specialty, in
any city or state across the US.
Medical billing is a professional service – along the same lines as a CPA or attorney.
There is always room for professionals that can provide better services at better
prices, there is no market saturation in the business of medical billing. There
is a tremendous amount of opportunity right now for ClaimTek licensees to acquire
new business and grow because we show you how to get doctors and how to service
them right!
Training for the business
Q. What is the difference between ClaimTek’s training vs. that furnished by other Medical Billing sellers?
Training programs generally fall into two categories. Most of our competitors say
they cover everything needed by having you read their materials and then attend
a large group training seminar at their office or in a hotel meeting room. The pace
of your learning is therefore dictated by the pace of the majority of people in
that room with you. All in all, group training is really done to help our competitors
keep their costs down, at your expense. They can train many people in a single room
all at once using one instructor and you usually don’t get the personal attention
you deserve for the investment you have made.
Add to this the fact that, although there is a level of camaraderie you may get
from being in a room with other future business owners like you at the same time,
it can develop into a sense that you are actually surrounded by your future competitors.
ClaimTek does not agree with this type of “mass market” training, as we do not feel
it is the best choice for someone who is starting a medical billing business. You
will benefit most with totally personal training. We take your education into this
business very seriously—and as a result, we believe that you need to have your own
instructor, who teaches you one-on-one at your own pace, answering the questions
you have when you have them. It is vital to your success that you learn to be a
true professional, and that means obtaining a complete understanding of how to do
medical billing, how to use our software, how to sell to doctors, how to offer a
wide range of services, and how to run your business.
We compare your training to flight training; you must have individual training with
your hands on the airplane controls to fly. That is why we designed a training program
in which you sit at your computer keyboard, while our trainer is on the telephone
with you, using an online access program to see your screen. Both you and our trainer
then walk through every instruction procedure step-by-step so you can learn the
rules for processing medical claims, what type of mistakes to watch out for, and
how to fix any mistakes, as they do happen.
Our method of training you is far more costly for ClaimTek in terms of money and
time than the 4-5 day seminar that our competitors invite you to. That is because
we want you to be a success, a true professional. ClaimTek’s trainers are experienced
billers with extensive claims processing, accounts receivable billing, business
and marketing experience, which means you will be talking with an expert mentor.
We could go on-and-on with this answer, but let’s say we are convinced you will
learn more and faster with ClaimTek training than with our competitors who send
you some documents to read ask you to attend a large group seminar at some fly-in
costly hotel meeting room.
Please read our training section to see how we help you gain the most knowledge
through a 3-step hands-on training process.
Q. How long does the training last?
We provide a continual 3-Stage one-on-one training process to help you learn, market,
acquire and maintain your clientele which is imperative to becoming a successful
business owner. We provide such an in depth training so you never feel alone throughout
the whole process. It’s like having your professor on speed dial available to answer
all of your questions even after you graduate.
Stage 1 of the training process is performed in private one-on-one sessions ranging
from 1-2 hours per session. Your mentor will assign homework between sessions. Depending
on the program you choose, you can receive up to 28 hours of focused one-on-one
medical billing training. Our take-you-by-the-hand approach is highly effective
because you will receive personal guidance from a professional medical billing trainer
manager about all aspects of running your business, from how to use our MedOffice
software and file claims, to how to market to doctors, to how to sell doctors additional
services.
During Stage-2 is where we prepare you for your presentation or interview with your
prospects, the health care providers. Here, your mentor will consult with you before
and after every one of your meetings with doctors to help you develop a strategy
and to help you accurately price your services and make your contract proposals.
This is similar to preparing you for the job interview!
During Stage-3 of your training is when you sign up your account. The focus will
be on performing all billing functions for your new client. You’ll be trained to
understand the billing specifics of that doctors’ medical specialty and how billing
may differ from other specialties to provide excellence to your new account. We
don’t expect you to remember every single thing you learned in stage-1 of your training
which is why we don’t structure our training over the course of a few days. Your
trainer will ensure your signup procedures are handled properly with each new doctor
client and they will help you set up your client’s database, and also oversee the
first transmission of claims.
The type of training you will receive through ClaimTek is truly unlike any other.
We will give you the blueprint for success based on more than two decades of medical
billing experience, as we help you build and grow a profitable business in medical
billing and practice management.
Q. Do you offer other ways to reinforce my learning in addition to your instructor-led training?
Yes, our training includes not only the one-on-one sessions with a professional
trainer, but we also have three other ways by which we help you learn to become
a professional biller & business owner:
• Manuals -- Comprehensive, easy and fun to read, these medical billing training
manuals includes everything you need to know about medical billing and starting
your business. Our medical billing course covers marketing & advertising training
too! These manuals will guide you step-by-step through the process of setting up
your own Medical Billing Company! These are the most comprehensive medical billing
training manuals available!
• Audio – We offer you a three-audio CD library that provides additional valuable
information on marketing and daily operations. If you don’t enjoy reading, the audio
training is great.
• Videos – We offer you a comprehensive video library to use at your home. These provide
an in-depth overview of the actual running of a medical billing service. This seminar
is hosted by a billing service owner who, just like many of our customers, had absolutely
no experience in this business. In just four-years, she grew her business into one
of the most successful billing services in the country, earning a six-figure income.
This video provides training on how to process claims and the day-to-day operation
of your billing center with tips on do's and don'ts. It is an excellent tool to
keep as a reference. You can save the high cost of traveling, lodging and live seminars
by watching this. The videos focus on advertising, sales & marketing details and
strategies, how to charge for your services, how to overcome objections, how to
schedule an appointment with the doctor or office manager, how to conduct your presentation,
what to say, how to make a formal proposal for business, and how to sign up the
doctor.
Q. I have never been a salesperson. Do you think I can sell this service,
not being an experienced salesperson?
There is a common myth that you must be a pushy, fast talking, aggressive person
to sell a product or service to people. We do not endorse that type of selling,
nor do we practice it! We believe that when you demonstrate your professionalism
in talking to doctors and explain what you can offer them (which we will be teaching
you), you'll get attention and respect from doctors. They will see your authentic
sales pitch to be a sincere attempt to help them, not a sleazy effort to rob them
of their money with a half-rate service.
In addition, to back up your personal sales, we provide you with top-notch, professionally
created marketing materials that you can use to kick off your marketing campaigns.
We offer you a highly professional website, brochures, and many other tools to support
your sales efforts. In addition, ClaimTek's MedOffice® software will sell the doctors
on its own when they see all the benefits they will receive by working with (and
if they are interested, receiving a FREE version of the software for their office
to coordinate with you.
Read the section on marketing and you will see all the tools that we provide to
make your sales presentations persuasive and professional. Doctors are always looking
for ways to be more profitable and have office efficiency. They will see the profit
advantages of your comprehensive services.
Q. Do I need business or computer experience to start a medical billing business?
If you have previous business experience, of course, it will certainly be an asset.
The same goes for computer experience.
However, you don’t need to be an accountant, computer pro, or prior business owner
to succeed in medical billing. We have designed our programs for just about anyone
who desires to work in this field.
For first-timers who are just starting a business, we offer a complete program that
teaches you many elements of running your own company, from soup to nuts. For experienced
entrepreneurs, we offer a package that provides the necessary ingredients so you
can be up-and-running and ready to succeed without having to pay for what you already
know. If you are goal-oriented and determined to succeed, then our programs are
tailor-made for you.
Q. Do I need to know medical terminology to start this business?
We train you to understand medical billing and the level of detail you need to know
to do medical claims filing. You do not need to know medical coding, as the codes
needed to process medical claims are provided to you by your clients. Our training
program and materials include a Medical Coding and Fees Manual that explains the
format and use of ICD-10-CM, and CPT4 codes. You will quickly learn the basic principles
of medical coding, but you don’t need to do any coding yourself. And if you come
across a term you are not familiar with, you can look it up in one of the reference
books we provide you with. If you are determined to succeed you will learn these
details in no time.
Furthermore, we are available to you to answer any questions you may have about
a claim. Whatever confuses or baffles you, we know the answer and we are ready to
help you at any time.
Operating your business
Q. How much time do I need to spend on my business day to day?
There are two parts to answering this question.
First, in terms of how much time does it take to file claims, the answer is that
in the beginning, it takes longer as you are in a learning curve. But once you learn
to file claims, and you are building the database of your doctor’s patients, the
amount of time to actually file claims decreases substantially. For instance, in
the beginning, you may need a few minutes per claim, but this will soon reduce to
literally seconds per claim.
Our experience proves that an experienced billing person can handle 4-5 doctors’
accounts each month, working less than full-time using the traditional method and
between 7-9 accounts if the doctors are using the MedOffice® Cloud system along
with you. Overall, the MedOffice® system provides you with great flexibility to
make your business day suit your desired lifestyle.
As to when you work, medical billing business provides tremendous flexibility. For
most billers, this is a work-where-and-when you-please business. As the owner of
your own business, you are in charge of determining the hours when you do the billing.
You can operate from your home or a small office, with your cat or dog sitting right
next to you. Many people who take up medical billing opt for a full-time work load
anyway, because they want to maximize the high earning potential of this business.
With the high profits that are possible, it's easy to see why. You can find work
anywhere in the U.S. where medical services are offered and have as many clients
as you can handle.
Q. What happens if I need to hire employees for my growing business?
MedOffice is unique software compared to the vast majority of systems. If you build
your business beyond the number of doctors you can handle yourself, and you need
to begin hiring employees, MedOffice facilitates the process. Your employees can
work either at your place, or out of their own home. What’s unique with our system
is that you can track the amount of time and the activity of any employee using
our cloud system. This is a truly valuable feature not found with other web-based
solutions.
Q. What type of doctors can I do billing for?
We built our billing systems to allow you to handle virtually any type of doctor,
dentist, and healthcare professional who needs to bill commercial insurance companies
as well as Medicare/Medicaid. This is especially vital to you to have this flexibility
because when you first start marketing your business, you don’t know what type of
specialty you may encounter as your first client. You need to be able to handle
any medical specialty that comes your way.
Eventually, when you're up and running, you can choose to specialize in certain
types of medicine if you wish, such as chiropractors, pediatricians, internal medicine,
surgery, or any other specialty. But when you are first starting, you need to be
confident that you can do billing for any specialty that hires you. For example,
ClaimTek's software can handle both the CMS-1500 and the CMS-1450 insurance forms
as well as billing for specialties like Dental and DME (Durable Medical Equipment)—which
many other software systems our competitors offer cannot do.
Click Here to see a list of the type of doctors you can market your services
to.
Q. How do I get paid?
You will be collecting money for doctors from insurance companies, and the most
common method is to charge a percentage of what you collect for them on a monthly
basis. This is only fair, as if they don’t get paid, you don’t get paid. Your job
is thus to maximize their collections by ensuring that all claims get paid. On rare
occasions, you might charge a fixed fee per claim or flat monthly fee.
In general, you invoice your client doctors at the end of each month based on your
agreed-upon method of charging.
Q. What type of expenses will I incur running a medical billing business?
Overhead to run a medical billing business is minimal in the long run. Once you
purchase a package from ClaimTek, you will have very modest expenses in your first
years of operation. Don’t forget, we provide you with many types of marketing materials
(many types of brochures, presentation folders, telephone script, and much, much
more). We also provide you with a website, templates for legal contracts, and many
of the other things that a new business typically needs to spend money obtaining.
Otherwise, you will need a computer (you probably already have one), with an internet
connection, a landline phone or cell phone dedicated to your business calls, and
not much more. If you work from a home office, you can also keep your expenses down.
Q. Are there any legal liabilities of medical billers?
Medical billers have no significant additional liabilities than any other service
business. In general, you won't have clients coming to your home or office, but
like any business, if you do, you may want additional liability insurance. However,
if you end up performing coding for your doctor clients (which requires you to become
a certified coder), you will need to have Errors & Omissions (called E&O) insurance.
Q. Do I need a contract with the doctors and healthcare providers who sign up with me?
As with any business service arrangement, you need a contract that spells out responsibilities,
duration of the agreement, fees due, payment schedules, and other elements of a
binding legal agreement. We provide you with template contracts that you can customize
to your business. This alone will save hundreds of dollars on lawyer fees if you
use our contracts.
Q. If I need to leave town for a few days to attend to some other business, visit a relative, or go on vacation, how can I continue to service my doctors?
First of all, even if you need to travel, you can likely continue filing claims
with your laptop. You do not need to be at your home to file claims, as long as
you have access to a secure Internet connection. You can literally go to a beach
resort and file your claims in the evening in your hotel room, but be sure you have
a secure Internet connection.
However, if you have an emergency or just need a few days of vacation with no cares
in the world, ClaimTek backs you up. We are there for you with our Emergency Support
Service, or ESS. This service is available if your doctor clients have the MedOffice®
system. If you need to leave, let us know and we will take over, using remote access
to process your claims for you. This valuable benefit to our licensees is available
for up to a full month! So rest assured you are not alone, but you always have someone
at ClaimTek who is competent, reliable, experienced, and available on short notice.
This is your insurance policy. You can't buy it or find it elsewhere among our competitors!
We charge $2.50 per claim to take over your billing on a temporary basis in the
event an emergency prevents you from doing business. Our support is based on helping
you maintain your clients. The support is limited in duration and is not intended
for us to make a profit, but to help you stay in business. We are interested in
a long-term relationship with our ClaimTek licensees.
Q. Have there been any changes lately in how the medical billing business operates and what can we expect in the future?
We are in the computer and electronic age, as are most other businesses. ClaimTek
is on the leading edge of the advances in "Electronic Billing" systems. Our company
is ahead of the pack in this fast moving electronic age and has invested extensive
money and time to develop innovative, new software to do medical billing. We give
our licensees the very best and we stay ahead of any competitors when it comes to
software features and marketing support. We furnish you with all the premium up-to-date
software programs and any future advancements that the market begins adopting.
When you work with us, you will be furnished the MedOffice® medical billing system
among other things. None of the competitors have anything as advanced as our software.
This program was designed and developed from scratch. You may hear of other billing
programs that a competitor to us will claim can do a few similar things. But it
is like comparing an old clunker car with a new Mercedes Benz. No other company
has a superior software program like ours . . . only our clients and associates!
When you have the very best of tools, you will find building your business is exciting
and profitable. Additionally, you will enjoy a winning edge over your competitors
in finding new clients.
ClaimTek® software
Q. Why do you say that your MedOffice program is the best and most advanced software?
We built our software from the ground up. We spoke to dozens of billers and physicians
for feedback and painstakingly designed every screen and command in our MedOffice
software to be eye-pleasing, intuitive, and pleasant to use. The program was created
to make medical billing and practice management as easy to learn and use as possible.
This minimizes the chances of mistakes, and makes learning how to use our program
easier than learning to use many common programs such as Excel. In addition, MedOffice
produces over 100 types of reports and thousands of sub-reports including graphics
that help doctors understand their cash flow, accounts receivable, and detailed
analysis of their business. Click here for details.
Q. What is meant by using MedOffice “on the cloud”?
We have configured MedOffice to be used in any of three possible ways:
• On the cloud – We provide MedOffice to you from our ClaimTek cloud server. You
simply log on to MedOffice over the Internet. We provide the cloud software, all
updates and upgrades for free, and free support. You simply pay a low monthly fee
to access the software, and our rate is reasonable and low – only about 10% of what
any of our competitors ask you to pay. Click here for details.
• On Your Cloud – You can alternatively create your own cloud on your own server
and run MedOffice off of that. You can even sell your cloud space to others. We
charge you a setup fee, but no monthly fees. Click here for details.
• On Premise – We can provide you with a copy of MedOffice to install on your own
computer at home or in your office. You do not need Internet access to use MedOffice,
since it runs on your machine just like most software used to. This means no monthly
fees, only the initial purchase fee and any upgrades you wish to buy as the years
go by.
Q. Why would I want to give doctors a FREE copy of the MedOffice software?
Some doctors want to be able to see the billing for medical claims that you do for
them. They also want access to the many types of reports that MedOffice can produce
for them to summarize their cash flow, receivables, past due accounts, and so on.
When you provide doctors with a copy of MedOffice, their staff typically enters
the claim information, but you then do the filing. This actually helps you to some
extent, in that you are not responsible for keying in the claims. This arrangement
offers many advantages to how you work with some doctors as it provides them with the
level of comfort and trust they made need in order to outsource their claims to
you.
To maintain a competitive edge, it's important for your business to offer multiple
solutions in order to help you with client acquisitions and retention. By making
it convenient for your doctors to use your software locally or on the cloud, ClaimTek
makes it possible for you to build ever-lasting relationships with doctors.
Q. What does a USER mean in the MedOffice software?
A user is generally defined as anyone with a username and password who uses the software in some capacity,
such as inputting data or viewing information. As an administrator, you have the ability
to provide user access to employees or doctors that wish to have access to the software to view files or input information.
The definition of users differs between healthcare systems depending on the platform. Some systems focus their
value on free users and some on the value of unlimited databases (doctor accounts). You’ll have to decide which
brings your costs down and makes more sense for your business. It’s important to compare apples to apples
when comparing cloud platforms, so let’s compare ClaimTek’s cloud solution to a typical cloud setup other companies offer...
ClaimTek defines a “user” as a biller. So think of a 10-User version of MedOffice as a 10-Biller system,
for example. In this case other “users,” such as the doctor and their staff are unlimited and free of
charge on the ClaimTek cloud. ClaimTek’s cloud model is such that you would have a set number of billers (10 in our example) and we only charge per
biller rather than per account (doctor). Any additional “users” (the doctors and their staff) are unlimited and free.
Since each biller can usually handle billing for 5-10 doctors, with a 10-biller system your company would be able
to handle 50+ doctors and all of their staff with minimal costs. This cost would be less than 10% of what it would
cost if you were to use most of the cloud systems in the market that base their fees on accounts (doctors) not billers.
Take a look at the tables at this link.
To illustrate the cost difference, if you have the 10-user version of MedOffice and have 5 billers working for
you with each biller handling just 5 doctor accounts, you can then handle a minimum of 25 doctor accounts.
If you use a cloud system that charges per account, you would be paying heavily for having 25 doctors as
the web-based cost is typically around $250 per provider account at minimum--25 accounts x $250 = $6,250 per month!
You can avoid such heavy monthly fees when using our MedOffice software and still enjoy online access.
(Click here to view a table comparison of costs associated with users and accounts when using different software platforms).
Even with just one biller handling 5 doctors, your monthly costs with ClaimTek would only be as low as $99 vs. $1,250 per month elsewhere.
It’s worth noting that you can even eliminate these monthly costs altogether with ClaimTek if you’d like to download MedOffice on your
own computers or create your own cloud. We give you the opportunity to scale your business to a large level, accommodate unlimited clients,
and keep complete control over your business. ClaimTek owns and controls our software, cloud, and pricing,
so we will always have our licensees’ best interests in mind and will never make drastic changes that could damage your profitability.
Not all of the doctors you work with will be considered users on your software.
Some doctors already have software systems in place that they will use for their
inner office administration and our MedOffice software has the ability to connect
to other software systems to create a seamless flow of information from one system
to another so you do not need to make a doctor switch their system to work with
you. This increases your ability to pick up new clients!
Q. What about software upgrades? How often do you do them and how do I get it?
If you are using MedOffice on our cloud, we take care of all updates and you pay
nothing extra beyond our monthly cloud fee. If you are using your own cloud, or
you have installed MedOffice on your computer at home or in your office, we will
update the software for you whenever you desire the update. Usually, we have a software
upgrade every 12 to 18 months that adds new features, or makes changes to comply
with new medical billing issues that are regulated by insurance companies or Medicare.
Like any software, it is not always mandatory that you get every single upgrade;
you can continue to work with your current version without some of the new upgrades
if you prefer. We leave the upgrade choice to you to decide. We do not force to
take an upgrade just to make money off of you. We believe that you should choose
which upgrades you want.
Q. What is an electronic medical records system? And how do I sell that?
You can help doctors implement a certified Electronic Medical Record (EMR) or Electronic
Health Record (EHR) system to improve patient charting efficiency in their clinics
and avoid Medicare and Medicaid penalties. An EMR/HER is an official health record
for an individual (the patient) that is shared among multiple health care facilities
and agencies. Digitized health information systems improve efficiency and quality
of care, and they ultimately reduce costs.
You can sell EMR/EHR capability to your clients and create a steady and amazing
income stream for yourself! This also helps you build a stronger relationship with
doctors by bringing a state-of-the-art EHR system to them for less. As a ClaimTek
licensee, you can help clinics implement EHR systems that improve their productivity
in their daily workload while avoiding the potential penalties that Medicare and
Medicaid impose on doctors that do not use EHR. Clinics that participate in Medicare
and Medicaid can be penalized a few dollars for every claim submitted to them if
the clinic doesn't use a meaningful use certified EHR system. The average cost a
health care provider pays for using comparable EHR system is around $399 per month.
As a ClaimTek licensee you'll get a huge break in pricing! Your cost per provider
will range from just $99 (for the Director program)
to $199 per month (for the Principal & Preferred) programs clients - Requires the
addition of EMR enrollment & training package) leaving you room to make incredible
monthly residual income when you resell this to doctors.
Q. What does becoming a "Reseller" with ClaimTek mean?
When you buy our Preferred program, you become a ClaimTek authorized “Preferred
Reseller”. With the purchase of the Principal program you become ClaimTek authorized
“Standard Reseller”. Preferred resellers receive 40% discount on future purchases
of the MedOffice® software. Standard resellers receive 20% discount. Here’s how
this benefits you:
Let’s say you go out on 10 appointments pitching your billing services to healthcare
providers. Chances are a couple of your prospective doctor clients might prefer
keeping their billing operation in-house because they may feel they have reliable
staff for the time being, but they like the MedOffice software and would love to
purchase it. In such cases, you can sell them the software along with training and
support. We feel that it is important for you to be able to satisfy a new client’s
needs at whatever level you can. This is how you build a relationship with them.
There is also good money to be made in this area. Software sales to healthcare office
typically entail training and support. You can charge somewhere between $55-$125
per hour for training (depending on your geographical location and area demographic)
and about $1,000 for annual support or you may charge for support on a per call
basis. There are many people nationwide making great revenue as software resellers.
What is important here is that you retain professional relationship with your doctor
clients. Their needs may change in the future if their reliable billing person is
no longer there. You never know if one day, the same doctor may decide to outsource
the billing, and you are likely to be the choice given the trusting relationship
you will have already established.
So try to build a relationship with your prospect in any way you can. By selling
them software, training and support, you guarantee a professional relationship going
forward and you make good money too! Click here for details.
Q. You have indicated that your software is able to accept voice dictation. What does that mean?
This means that if you purchase from ClaimTek, we give you the ability to provide
your doctors with a copy of MedOffice and, by doing that, they can purchase this
optional tool to do their own voice dictation. MedOffice is programmed
to work with the best dictation software out there, Dragon Naturally Speaking Medical
Edition. This is an optional module. Dragon's software has received the highest
rating for dictation transcription accuracy and speed. A doctor can speak at a fairly
normal rate and the software transcribes it with very high accuracy. Doctors must
still review it for accuracy, of course, but it saves them money over dictating
into a digital recorder and then hiring an outside transcription service.
Q. What is a procedure code review? Is this mandatory for doctors?
It is vital for doctors to inspect and update their CPT codes annually. We encourage
our licensees to offer this service for FREE to doctors as part of their marketing
strategy. We have found among our ClaimTek licensees that doctors appreciate this
offer and most accept it.
Support
Q. What type of support do you offer after the initial training?
ClaimTek provides you with support that goes over and above anything you have experienced.
Our Medical Billing Training & Support team is available between 8:00 a.m. - 7:00
p.m. Pacific Standard Time (PST) Monday-Friday. Our support staff is just a phone
call away. You'll always speak with a real live person during the business hours
cited above. They are also available by e-mail during after-hours and on weekends.
In other words, this amounts to 24/7 support in one form or another. Our training
and support staff fully know the ins and outs of our software as well as the entire
insurance and billing business.
When you associate yourself with ClaimTek Systems, you receive the benefits of an
entire "DATA RESEARCH and DEVELOPMENT" team, with extensive software development
and engineering capacities -- without the additional overhead and expense! This
is particularly useful when you or your clients need additional customizing of the
MedOffice software. Over time, we will also be developing new types of software
interface and management tools that will make your medical billing operation run
even more smoothly and efficiently. This will reflect in your ability to have all
the BETTER, SMARTER, FASTER, more EFFICIENT methods that are essential to stay on
the competitive edge. This is yet another significant reason to associate yourself
with ClaimTek Systems.