Wynn Group Blog

You learn the most about any organization or business when you follow the money.

Case in point, Google’s new algorithms with Panda and Penguin;  why would Google intentionally take companies that were ranking first on page one of a search criteria and move them to a position where you cannot find them.

I had not given it much thought until yesterday when I ran a search for “medical billing services”.

Prior to Panda, AdvanceMD was number one on page one. After Panda they could not be found unless you actually typed in AdvanceMD.  Yesterday, the reason became clear.  AdvanceMD was now back on page one but only as a paid ad! The results are obvious even to the most untrained eye.

Google’s purpose with the two updates were not about improving the users ability to find what they search—they don’t care about you and your search—the purpose was to extort money from the companies who had done their homework, all the hard work and gotten themselves on page one.

It now remains to be seen when they will repeat the process and Penguin may well be it, to again remove those companies that got to page one so they can extort money from them too.

Now let’s look at the nuts and bolts of why Google did it.  For the search term above, there are 18,100 local queries per month.  AdvanceMD sitting in top spot was getting all those peeks for free.  Google didn’t like it.  They wanted money out of that spot and they also knew that AdvanceMD was hooked on getting those leads.

Now that AdvanceMD is having to pay to get those peeks, Google probably gets ten cent for every PPC.  That means Google can now reap $21,720.00 per year they were not getting.  Are YOU getting the picture?

Remember, Google didn’t just do this to this one entity they did it to thousands of such entities.  Let’s just say only 1,000 companies follow the lead of Advance; Google reaps $21,720,000.00 in additional revenues but the truth is the real total dwarfs that!!!

So now you know why: Greed, Money, and Control—Google in a nutshell.

For physicians to pay $80,000.00 to $90,000.00 and then have annual update expenses in the $10,000.00s to purchase an EMR/EHR software system to replace an inexpensive standard charting system that cost a few hundred dollars (at the most) a year to maintain is purely ludicrous.

Do you, for one moment, not believe those costs are going to be passed on to you as a consumer.  The practice cannot even pretend to absorb such costs.

Did you just fall off a turnip truck or what?  You will pay higher costs and have fewer freedoms.  Is that what you truly want?

Study after study has shown that EMR/EHR do nothing to improve patient care or help a practice’s bottom line.

The penalties alone for using EMR/EHR are going to outweigh the penalties for not using EMR/EHR by tens of thousands of dollars.  The audits have already begun and guess what, doctors are paying as much as $75,000.00 per physician in penalties and fines and not one doctor has gotten away without a significant penalty for using EMR.  Medicare is auditing practices that utilize EMR/EHR and without exception every practice audited so far has been fined.

Use your head, stop seeing Medicare patients and go back to what works.  When you let that Medicare and Medicaid patient leave your practice you will have more time to serve private insurance company patients and the number who visit your office will increase for two reason:  one, they no longer have to subsidize directly for indigent (Medicare and Medicaid) patients, and you now have the time to spend on them to actually provide a quality level of care.

Additionally, if you desire, I can increase your net revenues, decrease your expenses, eliminate your bureaucratic red tape, provide you with more private pay insurance patients and make your life enjoyable.

Otherwise you just become a civil servant (government employee), servant being the operative word with none of the benefits or the perks.

We service all 50 states and the District of Columbia.  Don’t remain a government slave.  The Wynn Group is an International corporation that can and will increase your net revenues and help you protect what is yours!

The 80% rule says that an insurance company must pay out 80% of its premiums in the form of medical coverage to the benefit of its patients.

Let’s keep this simple for a moment.

Say the insurance company is charging $100.00 per month for a patient’s coverage and of that $100.00; $50.00 or 50% goes to administrative costs in running the plan.

Do you really believe that the cost of administration is going to suddenly decrease by 30% ($30.00) just because the government passes a law forbidding the 50% rate—don’t be stupid like the government bureaucrat—the plain and simple of it is that the premiums will rise.  If it cost $50.00 to administer the plan it is still going to cost $50.00 to administer the plan.  If 80% has to go to the doctor it will!—but the insurance company is still going to get $50.00 per client as a result what was once a $100.00 premium will now become a $250.00 premium.

The doctor now gets 80% or $200.00 and the insurance company gets 20% or $50.00 just like it did before the law takes effect.

Win-Win for the doctor and the insurance company!!!

Lose-Lose for the patient and the employer!!!

This is not rocket science it is simply stupid law.  But what can you expect from a bunch who call a fruit a vegetable—the tomato.  By definition it is a fruit, but law it is a vegetable.  You can’t make this stuff up.

Join the satisfied ranks of our customers.  They are now and always have been our best advertisements. The Wynn Group, Inc.

Join the ranks of satisfied physicians using The Wynn Group, Inc who have increased their net profits by 30% while increasing their satisfaction with their life.  We provide medical billing services, certified EMR/EHR , practice management services, and other services to numerous to mention.  We have never taken on a practice that net revenues did not increase by at least 30%.  Could you use 30% more money in your pocket?  I think so too.  Call to today!! 800-232-8781 Ext 4308/4309

January 1 of this year we had to change the electronic transmission protocols for filing electronic medical claims.  As a medical billing service, we were proactive throughout 2011 getting the protocols in place.  As the January 1 deadline approached it became apparent that not everyone was quite so proactive.

We are now well into over a month of transmitting claims and the process seems to becoming more fraught with disaster.  The new protocols are referred to as 5010 and the old ones were 4010A.  The 4010s worked great and all the bugs were out of it but again the statisticians simply want more data, most likely data that could be held over physicians heads as a tool to coerce them into doing things not necessarily in the best interest of the physician and most assuredly not in the best interest of American medicine.

Today as I was reviewing the transmission reports it struck me as to the absurdity of some of the rejections.  From a claim standpoint, we still refer to a lot of the data as if we are looking at what was once called a paper form a HCFA1500 and now called CMS1500.  Basically the same piece of paper with two major exceptions, each provider had a spot for two numbers, his NPI and his legacy number and one column in section 24 disappeared and the rendering physician NPI and/or legacy number no longer was in 24K but was now in 24J, but I have digressed.  The absurdity is in box 32.

The bottom three boxes on a CMS1500 are 31,32, and 33.  Box 31 is the physician of record taking responsibility for the claim.  Box 32 is the name and location of where the service was performed and box 33 is the entity and address of where payment is to be made.  Here is the absurdity.  For Medicare, if the service is performed anywhere but the provider’s office, the data must be filled in.  But if it is in the providers office the box must be left blank or the claim will be rejected.  Now wouldn’t it be simple to just ignore that info if it is unnecessary?  But apparently they are too incalcitrant  into a format that they can’t!  And to compound the issue, United Health Care will reject the claim if the service is performed in the office and box 32 is not populated.  Besides, why have the box if you don’t want it populated.

The rules should be uniform but apparently they are not.  One will reject the claim if it is populated while another rejects it if it is not populated.  From the standpoint of attempting to keep them all happy it can be a nightmare.

So seriously folks, if the 4010A worked why change it just to gather more statistical information that will only serve to drive up the cost of health care.

If it ain’t broke don’t fix it.

Is your ability to drive an automobile a right or is it a privilege?

Every state in the union will tell you it is a privilege–they are wrong!

Before the union began people drove all over the inhabited continent.  They did so without license.  They drove wagons, they drove carriages, they drove buggies, they drove vans; they were usually powered or drawn by horses, which they also drove, but the fact of the matter is that they drove.  Simply changing the object driven did not change the right.

The Constitution of the United States of America is absent in any restriction of that right to drive.

It is controlled in no way.

The Ninth Amendment says, “The enumeration in the Constitution of certain rights shall not be construed to deny or disparage others retained by the people.”  The rights are retained–not for a day, not for a week, not for a month, but for perpetuity!

The Tenth Amendment says, “The powers not delegated to the United States by the Constitution nor prohibited by it to the States, are reserved to the States respectively, or to the people.”

I want you to pay close attention to the Tenth amendment especially the fourth from the last word.  That word is a conjunction.  It is a disjoined conjunction.  As such, neither the States nor the people may exercise a power without the expressed consent of the other.  The States are fairly static but the people–who are the people.  Are they the people living in the late 1700s?  No they are all the people–who are all the people?  All the people are those already gone, those here today, and those yet to come. Look at the wording, “reserved”–not for a day, not for a week, not for a month, but forever!   Unless you get a consensus from all the people (and you cannot because you do not have the right to vote away the rights of future generations and they are not here to cast their ballot) the rights go to perpetuity.

The States often point to the tenth amendment as the States Rights amendment.  They could not be more mistaken.  The tenth amendment is the States Obligations amendment.  The States are obligated to protect the people (all the people) from overreaching government!  Many would argue that the states build the roads therefore they have the “right” to control them.  The states build roads from road use tax.  This tax belongs to the people for the sole purpose of building roads–or at least it did until they began to bastardize the trust fund to force the people paying the use tax to subsidize those who do not.  The roads belong to the people, and the States have the obligation to maintain them.

I run a medical billing service.  In my line of work I spend a lot of time on the road moving from one practice to another, whether it is just checking up on an existing client or recruiting a new one.  My lively-hood is dependent on driving.  I have a right to work.  I have a right to expect the things that are required for my work.  To say it is a “privilege” to drive portends that I can be denied the right to earn my living.  Certainly the founding fathers would have disagreed!  None of them had driver licenses and they moved about freely.

I know you have all seen the ads on TV from the post office trying to push their service as better and more reliable than the digital domain. They promote all this personal service with the smiling postman while he is hand delivering a letter to a postal patron.  How many postal employees would it take for every letter to be delivered that way?  You guessed it more than the postal service has.

Today they are telling Post Office Box users that the mail that was being put in the box by 9 AM is now going to be put in at 10:30 AM.  They say this is to speed up the deliver of the mail.  What idiots.  If I mail a letter from my office in Dublin to my home in Glenwood, it goes to Macon to be sorted, then to Savannah to be resorted and then to Glenwood to be delivered.  I live 20 miles from my office the letter is going to travel over 300 miles just to go 20.  If I post the letter in Hazelhurst, 35 miles from my house it goes to Jacksonville FL, to Atlanta GA, to Macon GA, to Savannah, GA, then to Glenwood.  You add up the miles.  Either way, the first mailing or the second, there will be three to four days before the letter gets delivered.

Let me tell you story of a time when the post office was efficient and the cost of postage was two cents to mail a letter.  In the early 1930s my dad could write a letter (he lived in Glenwood) in the morning, take it to the post office that morning, and send it to his sister in Savannah and before the day was over he would get a return letter from his sister in Savannah! Today that process would take a week if not more. The postal service has lost all sight of efficiency.  I run a medical billing service and unfortunately we must use the postal service for some items, but the majority of what we do is electronic.  It is faster, more reliable, and less expensive than the postal service.  The electronics do not say “we never got it” because I have an electronic tracking of each and every parcel that goes out and it costs nothing to do that.  The postal deliveries are fraught with “we never got it” and if I want to track it the expense is enormous!!!

Now back to the commercial at the top of this article.  The postal service wants us to send everything through them because they claim things do not get lost while they transfer it.  Here’s the kicker; this week in my PO box was a notice from the postal service that they would now become a physical address for us and as an added bonus they would–and since you can’t make this stuff up I want to quote them exactly,

Real Mail Notification ^TM Services

–Receive an email or text message each day you receive new mail in your PO Box.  Monday through Saturday.  You will receive this notification only if you have mail.  Your time is valuable, and now you’ll know when mail has arrived.

Now ain’t that a hoot!!!  They say you can’t rely on email and text because it gets lost in

cyberspace but for some strange reasons theirs must not.

I’m telling you, you can’t make this stuff up.

By the way, also in the flyer is the following is the following paragraph:

“As a loyal customer, you are already aware of the many advantages of our PO Box^TM services, such as to convenience, privacy, security, and ability to easily manage your PO Box using PO Boxes Online at poboxesonline.com

Remember, you can’t make this stuff up.

Determining to do home medical billing is much less challenging stated than really doing it as portion of your when you’re conscious of for certain that you’ve a lot of research which needs to be done. Looking at all issues present, you will desire to evaluate which specifically you may be into when it comes to an activity or passion. It’s normally based on the concept that men and women finish up with a home medical billing. kfc coupons

Actually, you’ll wish to ensure that you simply consider all the research as likely. This really is of total significance although there is a fantastic deal which needs to be carried out with regard to acquiring their hands on the right data. You should be mindful of the truth that most organizations are home based more or much less; along with the beauty of all of it may be the generous income.

Take into consideration a viability study which you could obtain just as a lot detail relating to what may function as a home medical billing. This really is really important considering that a business prospect is all about receiving hold of many different profits and losses which could be there. And that means you should figure out something that you know for positive can have you superior revenue to say the least. There is plenty of analysis which you do desire to do, which is the reason it is in no way advisable which you quit your day job.

The really truth within the matter this really is that we now have numerous probabilities accessible. While making use of downturn finding into the front, you may fully grasp there is a enormous wonderful deal of change knowledge with the firm landscape. Therefore that soon after you might be searching for home medical billing, there are many probabilities that you simply can go ahead in your own and do what you might like. That’s naturally far much less tough to express instead of do once you popular for reality that lots of studies required.

Whilst all this guidelines with reference to a home medical billing will facilitate the demands you might have. Having made that very clear, what you should also figure out may be the reality that you will find there is great deal of data which really should be investigated intended for the location to start your personal large business. This is not the easiest thing that may be accomplished, yet what you are going to remember is constantly that when selecting a home medical billing you’ve got to ensure that it is possible to get all of the right advantages. As a rule of thumb, with regards to home medical billing you’ll need to know for positive that you simply can test it for about per year.

We all fall sick, at some point or any other. Most illnesses warrant us to seek expert medical care; right after which, sometimes, hospitalization may possibly even turn into a necessity. This, consequently, would result in submitting and following on claims to insurance companies, that’s generally known as medical billing. As with most individuals transactions; billing, too, may be completed electronically, and performing electronic medical billing is now advised with the Medical well being insurance Portability and Accountability Act (HIPAA), typically, no less than. kfc coupons

Generally speaking, electronic medical billing uses exactly the same technologies and standards as a achievable electronic claims transmission. Even so, the distinction in electronic medical billing is in the truth that there would be slight modifications in the transmission format; namely, it could incorporate formats X12-270 and X12-271 (which for your advantage of the uninitiated, refers to “Health Care Benefit and Benefit Inquiry Transaction” and “Health Care Benefit and Eligibility Response”).

Generally, electronic medical billing software covers a multitude of fields. As an illustration, additionally to medical billing, it’s going to typically help users within the area of practice management services, dental billing, collection solutions, transcription services, and so forth.

Electronic medical billing has many positive aspects. For example, prior to following a medical procedure and billing it, the eligibility of the patient for your stated method could be reconfirmed with the insurance provider, with no significantly ado. This reduces a lot of hassle for several parties involved, that’s one reason why electronic medical billing has grown in reputation, over the current past.

An extra that electronic medical billing is believed to own is that it cuts down on the occurrence of errors, considerably; roughly its proponents claim. Also, electronic medical billing expedites transactions; and thereby reimbursements, too, might be done, quicker.

When it comes to electronic medical billing, there are several agencies who provide this facility, this also is one instance where customers would indeed, be swamped with selection. A easy glance at the internet would bear ample testimony to this fact. Nevertheless, when scouting for electronic medical billing software, it really is advisable to decide on one which is time-tested and reliable. Also, if software assistance plus a professionally trained client assistance department is very easily available, to assist you users, if they meet difficulties; then this electronic medical billing facility under evaluation, certainly merits consideration. Needless to say, if all this is supplied at a cost efficient rate, and when the given software is compatible with HIPAA specifications; it appears like a near-perfect deal, which the majority are guaranteed to grab, with out hesitation.

Out of the box readily apparent, electronic medical billing is here now to be. So, committing to such software (must you haven’t already complied) is an option that is indeed, properly worth considering.