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dialysisbiller
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« on: February 14, 2009, 01:34:50 PM »
Hi everyone, after reading so many posts, i decided to join the board. I am an actual medical biller specializing in dialysis billing and deal with all insurances including medicare and medicaid( this includes medicare and medicaid assigned plans). Some people may be confused about the billing process and I hope I could help ease people's concerns with such things as billed charges on your claims that can be almost $80,000 for a month. I cannot say the company I work for but am here to offer up advice to those who may need it or just want to understand it better.

I am on the phone daily with insurance companies as well as ensuring proper billing procedures for the dialysis centers that I manage.

I think it's important for the centers main concentration be on patient care and as a biller, to ensure patient's don't stress over billing issues.

 :flower;
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jessup
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Gemma - the tucker monster
« Reply #1 on: February 14, 2009, 01:42:23 PM »
G'day and  :welcomesign;
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Sluff
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« Reply #2 on: February 14, 2009, 01:51:17 PM »
Welcome to the board dialysisbiller,

Thanks for taking the time to join, your perspective should be very informative for many members here. Hope you enjoy your visit and come back often.

Sluff/Admin
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dialysisbiller
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« Reply #3 on: February 14, 2009, 01:57:41 PM »
I'll do what I can to help if someone needs it or point them into the right direction. I go to battle everyday for my patients and enjoy it. (I know who would enjoy calling insurance companies daily to argue?)
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Dan.Larrabee
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Dialysis Dan
« Reply #4 on: February 14, 2009, 02:00:40 PM »
:waving; Hi and thanks for joining..
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AKA Dialysis Dan
Feeling the best I can because of Home Hemo
Doing it the best way I can by making it Nocturnal
Sharing it to help everyone feel they best they can
www.youtube.com/dialysisdan
dialysisbiller
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« Reply #5 on: February 14, 2009, 02:35:03 PM »
well, hopefully I'll be able to get on here at least once a week

for now, nite and thanks for the welcome
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kellyt
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« Reply #6 on: February 14, 2009, 02:37:35 PM »
Excellent!    :2thumbsup;     It's good to have you on board.  You know, they always say it's good to have a lawyer in the family.  Well, I for one will welcome a biller to the family any day.  We could use some insite...


Welcome!
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
monrein
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Might as well smile
« Reply #7 on: February 14, 2009, 03:01:38 PM »
 :welcomesign;  I don't live in the US and so do not deal with billing but your perspective and advice will be most welcome for those of our members who do.  I look forward to knowing more about the system from your perspective.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
willieandwinnie
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« Reply #8 on: February 14, 2009, 03:07:02 PM »
:welcomesign;  dialysisbiller. Glad you joined and I'm sure you will be getting loads of questions. My hubby was on dialysis for almost 6 years and underwent a transplant. That was a shocking bill to say the least. Hope we hear more from you.  :cuddle;
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"I know there's nothing to it, but I want to know what it is there's nothing to"
Joe Paul
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« Reply #9 on: February 14, 2009, 04:32:28 PM »
Welcome dialysisbiller, good to have you aboard.
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"The history of discovery is completed by those who don't follow rules"
Angels are with us, but don't take GOD for granted
Transplant Jan. 8, 2010
Tinah1968
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ME
« Reply #10 on: February 14, 2009, 08:11:07 PM »
Hola and :welcomesign;
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Tina
Fistula Oct 2007
Started Dialysis May 22, 2009
Zach
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"Still crazy after all these years."
« Reply #11 on: February 14, 2009, 08:57:47 PM »
It's good to have you here!
 :beer1;
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
monrein
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Might as well smile
« Reply #12 on: February 15, 2009, 08:56:00 AM »
Am I the only person here thinking that sick people ought not to have to deal with this crap on top of everything else.  Thank God I live where I do.  What a system.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
Bajanne
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Goofynina and Epoman - Gone But Not Forgotten

WWW
« Reply #13 on: February 15, 2009, 09:02:51 AM »
Welcome to our community, dialysisbiller!   I am very gratified that you would take the time out to show an interest in the patients' welfare (financially speaking)  Like Monrein, I am not from the US so it would not apply to me, but I do appreciate your input.  You are a great addition to all the different people we already have as part of our family  :grouphug; patients (HD and PD), pre-dialysis, transplantees, donors, caregivers, loved ones, nurses, techs, doctors.  So please keep posting.
Looking forward to hearing more from you




Bajanne, Moderator

[N.B. Question asked about Medicare split from this thread and new topic started in Frequently Asked Questions]
« Last Edit: February 15, 2009, 09:09:11 AM by bajanne2000 » Logged
"To be found in Him, not having a righteousness of my own ...but that which is based on faith"



I LOVE  my IHD family! :grouphug;
boxman55
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« Reply #14 on: February 15, 2009, 09:54:32 AM »
Welcome to IHD. your insight will be helpful here. Glad you joined.


Boxman,Moderator
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"Be the change you wished to be"
Started Hemodialysis 8/14/06
Lost lower right leg 5/16/08 due to Diabetes
Sister was denied donation to me for medical reasons 1/2008
willieandwinnie
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« Reply #15 on: February 15, 2009, 09:57:45 AM »
Quote from: monrein on February 15, 2009, 08:56:00 AM
Am I the only person here thinking that sick people ought not to have to deal with this crap on top of everything else.  Thank God I live where I do.  What a system.

I agree Gail.  :waving;
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"I know there's nothing to it, but I want to know what it is there's nothing to"
David13
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A meow massages the heart.
« Reply #16 on: February 15, 2009, 01:03:11 PM »
Welcome to the board, dialysisbiller.  I am sure your perspective will be appreciated, and I think you might gain some insight from the patient's perspective as well.

 :welcomesign;
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“The first human being who hurled an insult instead of a stone was the founder of civilization” - Sigmund Freud
dialysisbiller
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« Reply #17 on: February 15, 2009, 07:12:34 PM »
I really do want to hear what it's like on the other side. I absolutely feel horrible when I get a denied claim and think 'the patient is going to freak if this bill isn't paid by the insurance' ... it motivates me, no one asked to be on dialysis yet here these people are, having to endure such a thing.

my heart goes out to all the patients.(even crabby ones, cos i'd be crabby too if it was me)
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