If you are starting your own business as a medical biller and coder, what kind of insurance do you need?

It might be tempting to say “not much,” especially if you are setting up a computer in a home office and working part time. But then you start to think. What would happen if your computer was lost or stolen and you were not able to keep working for a period of time? What would happen if a client who stopped by to see you slipped on your front steps and got injured?

According to the U.S. government’s Small Business Matters resource for small businesses, here are some kinds of coverage that you would be wise to consider before starting a small business of your own:

-     Home-Based Business Insurance – According to Small Business Matters, homeowners’ insurance policies generally do not cover home-based business losses. While you may be able to add property damage riders to your policy, you may need to purchase additional policies to cover other risks, such as general and professional liability.

-     Commercial Property - This covers losses and damage of company property due to fire, smoke, severe weather, vandalism, and other events. It can cover lost income, business interruption, buildings, computers, company papers and even money that you have on hand.

-     General Liability - This insurance can provide protection against accidents, injuries and claims of negligence.

-     Professional Liability - If you provide a service, this insurance protects against malpractice, errors, and negligence in the services you provide to your customers. (Let’s say, for example, that a client incurs a loss because of errors you made.) Some state governments require certain professions to carry such a policy. To check your state’s requirements, click here.

Where can you find out more about the coverage you need? Speaking with an insurance agent in your area can be a good place to start, since local agents are likely to be aware of state and local laws and legal precedents. The Independent Insurance Agents & Brokers of America, a not-for-profit professional organization, offers a “find an agent” service that you can search online.

If you are offered a second or a third job as a medical biller and coder, should you take it?

It can be tempting to say yes. After all, logging only a few hours in the evening could provide extra income. If a local urgent care center, chiropractor or other care provider has a backlog of insurance claims to process, the result can be a second income stream for you.

So if you are offered an additional job, should you take it?

Only you know whether you have the extra time to invest in a second or third job. But one other important consideration can come into play:

Did you sign a non-compete agreement with your current employer? A non-compete agreement could have been a separate document that your employer required you to sign – or it might have been a small clause buried in other paperwork you signed when you accepted  your current job. If you signed a non-compete, you agreed not to work for one of your employer’s competitors for a specified period of time after you left your current job.

To learn more about non-compete clauses, take a few minutes to read about them in About.com’s online library of articles about Human Resources.

How enforceable are non-compete clauses? At least one recent court case has raised that issue. In case your current employer decides to question your right to work for another organization, to be safe, you  might consider the issues before you start moonlighting..

So, to moonlight or not to moonlight? It’s a question to weigh carefully as you expand your earnings and build your career.

Is New York State a good place to build a career as a medical biller and coder?

If you have been following the news from New York, things do not look too rosy at first glance. On January 19, New York Governor David Paterson released his proposal for a budget that will attempt to close a projected $7.4 billion deficit for the 2010-11 fiscal year.

According to the Greater New York Hospital Association, that budget “contains major cuts and taxes for health care providers” that will put construction of new hospitals on hold. But the issue is more complex than that, for several reasons:

-     First, Governor Paterson is also trying to pass a new bill that will raise $650 million through new taxes on the sale of cigarettes and sugared beverages. If that bill passes, those funds will be earmarked for improving public health – and that spending could spur job growth for medical information processors.

-     Second, Governor Paterson recently announced that he will not seek re-election. That might not impact the passage of the new bill mentioned just above, but it does throw the long-term prospects for healthcare funding into uncertainty.

A Little Perspective

The 2009 Federal Issues Book: New York Hospital and Health System Priorities, a downloadable report from the Healthcare Association of New York State (HANYS), helps put these recent events in context. According to HANYS, New York State’s 300+ hospitals have continued to offer many opportunities for healthcare professionals.

-     New York hospitals employed 357,780 full-time workers in 2009.

-     New York hospitals also created an additional 671,730 support jobs throughout the state in 2009.

-     New York hospitals paid $26.8 billion in direct wages and fringe benefits to employees in 2009.

-     Every year, New York hospitals provide 2.6 million inpatient hospital stays, 44 million outpatient visits (including 7.9 million emergency room visits), and deliver more than 250,000 babies.

Other trends are at work too. As billers and coders, we know that hospital cutbacks do not always correlate directly to job losses for members of our profession. When hospitals downsize their staffs, for example, they can outsource billing and other functions to outside firms. And as hospitals cut back on services, the result can be an increase in the number of urgent care centers and other non-hospital care providers that employ medical billers and coders. One example: According to The Urgent Care Association of America, the number of urgent care centers in the U.S. grew from approximately 8,000 in February 2009 to 8,700 in February 2010.

And here’s one more piece of data that supports the view that New York is a good state for medical billers and coders:

-     According to 2008 data from the U.S. Bureau of Labor Statistics (the most recent data available), 9,200 people in the state of New York were employed as Medical Information Technologists, earning an average of $37,100 a year. According to those same statistics, the national average income for Medical Information Technologists was far lower – $32,960.

So is New York State a good place to build a career in medical billing and coding? We all need to stay alert for news about whether Governor Paterson’s soft drink/cigarette tax bill passes. But as the statistics above show, New York needs us. We’re all hoping that once the recession is over, a boom will occur – both in New York State and nationwide.

As we mentioned in a previous post, Five Reasons Why Medical Billing and Coding is Booming, General Electric is one of several major corporations who have invested in creating the best, and most efficient, system of electronic medical records (EMR). The video below was released by General Electric to provide a glimpse into one of its EMR systems at Westchester Medical Group.  Dr. Simeon Schwartz discusses the benefits of digital health records to individual patients, as well as to the American healthcare system as a whole.

Do you have any insight into any system of electronic medical records? Let us know about your experiences!

If you are thinking about taking a course in Medical Billing and Coding or are already in a course or working in the field, then you should be thinking about becoming a Certified Professional Coder with the American Academy of Professional Coders.

Certifications allow medical billers and coders to validate their knowledge and expertise in various medical environments. It will also help you earn approximately 20% more than non-credentialed coders, according to the American Academy of Professional Coders.

These credentials are nationally recognized by employers, physician societies and government organizations.

Being credentialed may also give you and your employer more confidence in your ability to capture lost revenue for the payment risk and protect their practice from unfavorable audits.

As a credentialed billing and coder, doors may open up for you faster in:

•  Physician offices or groups

•  Hospital-associated physician offices or groups

•  Health system-associated physician offices or groups

•  Home health agencies

• Physician groups at a university and or in a teaching setting

•  Compliance auditors or forensic auditors of physician claims

•  Physician billing services

•  Ambulatory Surgery Centers (ASC)

•  Outpatient hospital services not reimbursed by Ambulatory Patient Category (APCs) groups

•  If you are a consultant, educator, legal counsel, physician or other care-giver seeking a credential to demonstrate your command of outpatient medical billing and coding for physician services.

So get certified today if you are working in the field. If you are taking a course, be sure to take the certification exam shortly after your course is complete. There are also preparatory classes offered to help you prepare for the certification examination. Do it for yourself. This is a great accomplishment and will bring much more value to your degree.

After hours of working on your computer do you find that your wrists are sore and tired? If you are planning on entering a career in medical billing and coding, wrist fatigue could be a huge factor in preventing you from working efficiently. Medical Billing and Coding Blog has outlined the key medical problem associated with wrist fatigue, Carpal Tunnel Syndrome.

What is Carpal Tunnel Syndome?

According to WebMD, Carpal tunnel syndrome “occurs when the median nerve becomes pinched due to swelling of the nerve or tendons or both. The median nerve provides sensation to the palm side of the thumb, index, middle fingers, as well as the inside half of the ring finger and muscle power to the thumb. When this nerve becomes pinched, numbness, tingling and sometimes pain of the affected fingers and hand may occur and radiate into the forearm.”

What causes Carpal Tunnel Syndrome and what are its symptoms?

While there are several possible causes of the disorder, normally it springs from repeated movement of the arms, wrists or hands, often times by typing at a computer for long hours. If you work long days on a computer and your hands and/or fingers feel tingly or numb at night, or if you experience a burning or shooting pain up your forearm, you could have a case of carpal tunnel syndrome.

How to Prevent Carpal Tunnel Syndrome?

According to WebMD, to prevent this wrist fatigue disorder you can:

• Sleep with your wrists straight or use a splint.
• Keep your wrists straight when using tools but try not to use splints.
• Avoid flexing and extending your wrists repeatedly.
• Perform conditioning and stretching exercises.

How Can I Cure Carpal Tunnel Syndrome?

There are a few methods to resolve your issues with wrist fatigue, or carpal tunnel syndrome: anti-inflammatory drugs can be taken to bring the swelling down and relieve the stress in your wrist ligaments/tendons, or you can also try and immobilize your wrist at night in a splint or wrap. If these conservative measures don’t work, then there is a surgical option where a doctor can manually cut the affected ligament to relieve the stress. Surgery is very effective at relieving wrist fatigue, but being aware of the causes of the syndrome is crucial for long term relief.

It is very important for any aspiring or current biller and coder to be aware of the above information. Carpal Tunnel Syndrome can be incredibly harmful to anyone preparing for, or currently in, a billing and coding career. For more information on preventing and treating this type of wrist fatigue, visit WebMD for more details.

“Hot Jobs: Medical Coders Are in Great Demand,” an article by Scott Andron in The Miami Herald, reports encouraging news about the growing need for medical billers and coders in Florida.  “Health information management might be for you, and a job as a medical coder might be the place to start,” Andron writes.

The Miami Herald is not the only publication that is optimistic about opportunities for medical billers and coders in Florida. According to Orlandojobs.com’s Employment Outlook for Central Florida report, healthcare jobs are among the fastest growing employment opportunities in Florida. The report points to fast-growing opportunities for physical therapists, registered nurses, licensed practical nurses, medical coders and medical billers.

What’s driving this growth? One significant force is the construction of new medical facilities in the state. One of the more promising could be the planned “medical city” in Orlando’s Lake Nona area. According to a recent article in The Orlando Business Journal, the development of this medical and research park has the potential to create 30,000 high-paying jobs in just a decade.

So, is Florida a good place to start and grow your career as a medical biller and coder? It certainly seems to be. We’ll be watching the trends in Florida and other states in the coming months and reporting on them here.

This is a wonderful and exciting time to be entering the allied health field.  No matter what work setting you are in, allied health professionals are in demand.  As costs continue to rise, there are greater demands for improved quality and safety in patient care.  To tackle these problems, the U.S. healthcare system is turning to technology.

Why do allied health students need to know about electronic medical records? The answer is simple – because you will use electronic health records to accomplish tasks once on-the-job.  The transition from paper records to electronic health records affects everyone working in health care today.  Consider just a few examples of the changes electronic health records bring to these jobs:

• Medical assistants enter patient information, such as vital signs, into the electronic health record.
• Coding professionals review electronic documentation in the electronic health record to determine the appropriate code for an encounter.
• Technicians working in blood and chemistry labs, radiology, nuclear medicine, cardiovascular medicine and other areas respond to electronic orders and send test results electronically using an electronic health record.
• Billing professionals use information in the electronic health record to prepare insurance claims and patient statements.

As you can see, many allied health careers require the use of computers, and because of this, there is great demand for graduates to have a background in healthcare as well as experience with computers.  In addition, employers are seeking individuals who are capable of operating within a constantly changing work environment.

To be successful, workers must be willing and able to learn new things throughout their career.  In addition to education, certification from a nationally recognized organization, such as the American Academy of Professional Coders, brings more employment and advancement opportunities.

Are you currently working or planning to work from home? Are you concerned about the huge amounts of data that are piling up on your home computer? Billing and Coding Blog has outlined some of the best data backup systems, and their benefits for home-workers.

Carbonite – This online data backup system installs a small application on your computer that automatically backs up data on your computer for only $54.95 per year. This price remains the same regardless of how much data you need to back up! Carbonite goes to sleep when you are active on your computer, and the software only works while your computer is idle; this ensures that you never lose any speed or functionality while you work! Click here for more information and to start your free trial.

Other online storage services to consider: VaultLogix, Data Deposit Box

External Hard-Drives – These serve as extensions of your computer’s hard drive and are available in a variety of sizes and prices, depending on how much data you need to backup. Depending on the speed of your computer, and the size of your hard drive, backing up your data could be a time consuming process. Also, if you lose the hard drive – which can be as small as a wallet – all your data will be gone.

Click here to read PC World’s list of the Top 10 External Hard Drives

CD/DVD – This is the cheapest available option, and since most PCs are now equipped with CD burners, there are few obstacles in getting started. Since this is the cheapest option, however, there are some concerns; it can take considerable time and discs to backup large drives, and CDs can be easily scratched and ruined without proper caution. If you only need to backup a little bit of crucial data, and are confident in your care for the discs, then CD/DVD may be your best option for data backup.

Do you have any advice on the best data backup options? Please leave us a comment and let us know what has worked for you!

What is the best way to keep your eyes and your vision in tip-top shape, despite long hours at the computer?  Here’s some advice from Dr. Suzanne Offen, an optometric physician and founder of Offen Eye Associates . . .

Remember, your reading glasses might not be right for computer use. “When people are reading, they typically hold books or magazines about 16 inches away from their eyes,” Dr. Offen explains. “Compare that to 24 inches, which is the typical distance from a computer screen.” Her advice: You might need a separate prescription for the glasses you will use at your computer.

Turn down your office illumination. Dr. Offen states that if you are using a computer, you should keep your office illumination only one-half as bright as you would keep it for other office duties. “This is one of the biggest mistakes that computer-users make,” she states. “And it can really contribute to eye strain and fatigue.”

Avoid using older computer monitors. “Most new flat-screen monitors already cut glare,” Dr. Offen states. “But if you have to use an older monitor, equip it with an anti-glare screen.” Also: To further reduce eye strain, don’t locate your computer near a bright window.

Review your prescription if you wear contact lenses. First, you might need a different prescription if you work at your computer for extended periods. But there’s another reason too. “Many computer users complain of eye dryness,” Dr. Offen states, “which happens because people generally blink less often when they are using a computer. If you wear contact lenses, this problem can often be helped by changing to a lens for users who complain of dry eyes.”

Take breaks. “I recommend that computer-users take one 20-minute break every two or three hours,” Dr. Offen says.

Dr. Suzanne Offen is a board certified optometric physician in New York and New Jersey. She received her Doctor of Optometry from the State University of New York and has been practicing optometry since 1983. She began her practice in 1987 in Westfield, New Jersey. In 1988 Dr. Offen became certified as a Fellow of the College of Optometrists in Vision Development and became board certified in children’s vision.