Ramification of Direct Billing

[ventana]

so on the drive home today was thinking

 

The ability to direct bill just drastically changed the landscape for practice ownership - there is no need to assign your benefits to anyone or any corp - it can be just under your SSN/UPIN

This might seem trival but I think it is not.

For instance, how many PA support a LTC facility - and their employeer takes 50-70% of their generated revenue

If we can direct bill that makes it a lot easier to have out own practice, with out having to have a corp and another owner (99% max ownership of corp for medicare regs)

So we can all of a sudden (1/1/22) direct bill and could have out own companies with much less struggle

There are only a few things left that we can not do

1- certify hospice

2-provide hospice monthly f2f

3-order DM shoes - but podiatry can do this

BUT we can

Certify and order VNA, provide hospice care, sign death certs (in my state) and direct bill - all with in the past few years....

 

I am down on the work place right now cause I am burned out with two young kids, and 9 months of covid, but overall I really wonder if we are not making huge steps in the right direction - now if we can get the 3 things above addressed and 100% reimbursement cause running a business still costs the same, we might be on the right path

 

remove the SP from the equation totally and we might have a prayer....

[sas5814]

A couple of things come to mind..... first it cuts one more cord that makes us dependent on physicians. Second you could work 1099 and just tell whoever you work WITH you'll do your own billing and collections. Then you eat what you kill