Business Basics: Ask A Biller: What A New Practitioner Should Consider, With Cortney Nedeau
Are you a new practitioner and getting ready to launch your clinical practice? Maybe you are not so new, worked for someone else and are now ready to experience the entrepreneurial life. Taking insurance might help you get to financial stability much more quickly…. depending on where you live.
I interview Cortney Nedeau in this episode who owns PDXpert Medical Billing in Portland, Oregon. I learned SO much and am excited to share with you information that we did NOT get in school.
Are you considering taking insurance to jump start your acupuncture practice? Here are some things to consider that I bet you didn’t learn in school.
ACU-057 Are you a new practitioner and getting ready to launch your clinical practice? Maybe you are not so new, worked for someone else and are now ready to experience the entrepreneurial life. Taking insurance might help you get to financial stability much more quickly…. depending on where you live.
I interview Cortney Nadeau in this episode who owns PDXpert Medical Billing in Portland, Oregon. I learned SO much and am excited to share with you information that we did NOT get in school.
you’ll learn
Why most billing companies don’t want to work with you.
What credentialing means and how and where to do it.
Why you should be familiar with your “scope of practice” and the people who wrote it.
Why it’s important to belong to your state organization.
What diagnosis, CPT and E&M codes are.
Why it’s important to have a non-discriminatory policy for providers in your state’s regulations.
How to find out if your state has a non-discriminatory policy for providers.
Lastly, we do a deep dive on our treatment codes. They are time based, but should also be treatment based.
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today’s guest
COURTNEY NADEAU
Cortney founded PDXPERT Medical Billing LLC (PMB) in 2016. It was born out of a desire to help practitioners create a more fulfilling practice and become a leader in business ownership & ethical business practices. Cortney worked in the alternative health care field for 14 years as a massage therapist and witnessed the hurdles in building and sustaining a thriving practice. She retired as a practitioner and spent 5 years training as an insurance biller and manager in a multi-disciplinary clinic before launching her own business. Cortney seeks to provide a more cohesive bridge between practitioners, clinic owners and medical insurance providers so that patients can receive better and more comprehensive care, and their providers are properly valued for their work.
Cortney grew up in a military family and was learning about contracts and organizing files at 8 years old. Her father, a brilliant nuclear engineer who spent two decades on a nuclear submarine and another two decades at a nuclear power plant in Arizona, is a shining example of having a good work ethic and a positive attitude. It was through his guidance that Cortney developed her meticulous sense for detail, and her mother’s tenacity and perseverance has certainly influenced Cortney when dealing with insurance companies. These traits are essential in this work and she delights in utilizing them to help people navigate the business of health care. She advocates for a more transparent and honest system, one that educates health care providers in school and sets everyone up for greater success.
Cortney lives in Portland with her husband, son and two perfect dogs, and loves all that the Pacific Northwest has to offer.
Resources
TRY JANE HERE! BE SURE TO USE THE CODE ACUSPROUT1MO AT SIGN UP.
Insurance Billing for Acupuncturists
In this episode we discuss the back end of insurance billing. How codes are created and how we are legally permitted to use them. After this podcast you will have a clear perspective of how the insurance system works.
insurance billing for acupuncturists
When I graduated from school I immediately took an insurance billing class. I was pretty sure I didn’t want to bill insurance, but I needed to know for sure. I commenced to take both of Mori West’s classes and they were amazing! She really left no stone unturned.
This episode was intended to give new Acupuncturists a snapshot of what to expect. with regards to insurance billing and some pitfalls to avoid. Unless you really have a great grasp on this beast, you really need to up your game and get some guidance. This is YOUR money and YOUR license. Be responsible.
today’s guest
MORI WEST CBC.
Mori West CPC is a certified professional coder and owner of Acuclaims, a Medical Billing company that works with Acupuncturists. For over a decade she has volunteered with various state and national Acupuncture associations and is currently the Insurance Chairman for the ASA, American Society of Acupuncturists. In addition, through her company Mori West Seminars she teaches insurance billing seminars on behalf of Acupuncture state associations, providing real world experience with up to the date information.
you’ll learn
Who the American Society of Acupuncturists are and why it is important for you to belong to your state association.
The AMA owns the CPT codes and why it is important that we are represented on the board.
Why the wording on codes is SO important and what we need to be watchful of with regards to wording.
What is the latest hoopla with CMS (Center for Medicare and Medicaid Services) and their invitation for Acupuncturists to treat low back pain.
Why new Acupuncturists need to learn about codes, billing and charting even if they decide not to take insurance.
What new practitioners need to be aware of if they are employed and not processing their own billing.
Stick around to the end and find out what has changed with regards to telehealth and mindfulness medicine.
resources
Centers for Medicare and Medicaid - CMS
Acuclaims billing service.
Learn about insurance billing at www.moriwestseminars.com
Learn about American Society of Acupuncturists here www.asacu.org