Crash Course in Billing and Reimbursement for IBCLCs by Donna Sinnott and Annie Frisbie
Crash Course in Billing and Reimbursement for IBCLCs by Donna Sinnott and Annie Frisbie
Everything you ever thought you would need to know about insurance billing and reimbursement for lactation services. Whether you are out-of-network or in-network, you’ll learn what you need to know to maximize what your clients get reimbursed and what you can get paid for lactation services.
“Thank you so much for all of your amazing resources! I also just purchased the new Crash Course in Billing and it has already been so helpful in clarifying many things that have been making me crazy lately. Can’t thank you enough, I feel like your resources are exactly what I’ve needed and I’m so glad they’re available. : ) ”
“This book is essential reading on how to navigate the murky waters of insurance billing and coding, both as an in-network provider and for understanding responsibilities associated with out of network billing. It’s well written, easy to understand, and for something written on my least favorite subject, surprisingly enjoyable to read!”
In this book, you’ll develop an understanding of the billing process from start to finish so that you can create the billing policies and procedures that make the most sense for the way you want your practice to work. You’ll learn all about billing, coding, and documentation, both in-network and out-of-network.
Basically, we’re all tearing our hair out trying to figure out how to get ourselves paid and our clients reimbursed. Any frustration you are feeling has been felt throughout our community. However, the fight for reimbursement is absolutely worth fighting. We may not win, but the law is on our side and we can harness the tools available for good and get our services covered.
Topics covered include:
Understanding insurance codes and applying them to your specific situation
In-network billing
Out of network billing
Creating and submitting claims
The in-network application process
Working with a biller
"Incident to" billing
Avoiding insurance fraud
Detailed, granular billing workflows for popular EHR charting platforms, including ChARM, Jane and Mobile Lactation Consultant
Step-by-step workflow for Navinet
Controversies in IBCLC insurance billing—where you’ll get all sides of the story
“I read through the book and I have to say it is great. It is comprehensive without being overwhelming and has a wonderful flair of fandom and geeky-ness. Everything you have here is what I’d tell people, only you have put it far more eloquently. ”