Medical billing. Ads for pre-packaged businesses - known as billing
centers - are in newspapers, on television and on the Internet. If you respond, you'll get
a sales pitch that may sound something like this: There's "a crisis" in the
health care system, due partly to the overwhelming task of processing paper claims. The
solution is electronic claim processing. Because only a small percentage of claims are
transmitted electronically, the market for billing centers is wide open.
The promoter also may tell you that many doctors who process claims electronically want
to "outsource" or contract out their billing services to save money. Promoters
will promise that you can earn a substantial income working full or part time, providing
services like billing, accounts receivable, electronic insurance claim processing and
practice management to doctors and dentists. They also may assure you that no experience
is required, that they will provide clients eager to buy your services or that their
qualified salespeople will find clients for you.
The reality: you will have to sell. These promoters rarely provide experienced sales
staff or contacts within the medical community.
The promoter will follow up by sending you materials that typically include a brochure,
application, sample diskettes, a contract (licensing agreement), disclosure document, and
in some cases, testimonial letters, videocassettes and reference lists. For your
investment of $2,000 to $8,000, a promoter will promise software, training and technical
support. And the company will encourage you to call its references. Make sure you get many
names from which to chose. If only one or two names are given, they may be
"shills" - people hired to give favorable testimonials. It's best to interview
people in person, preferably where the business operates, to reduce your risk of being
mislead by shills and also to get a better sense of how the business works.
Few consumers who purchase a medical billing business opportunity are able to find
clients, start a business and generate revenues - let alone recover their investment and
earn a substantial income. Competition in the medical billing market is fierce and
revolves around a number of large and well-established firms.
How to Protect Yourself
To avoid losing your money to a
bogus medical billing business opportunity, the FTC advises you to:
-
Ask the promoter to give you
the names of many previous purchasers so that you can pick and
choose who to call for references. Make sure you get many names
from which to choose. If the promoter provides only one or two
names, be careful: The contacts may be "shills" - people hired to
give favorable testimonials. Interview the references, preferably
where the business operates, to get a better sense of how the
business works. Ask for the names of their clients and a
description of their operation.
-
Consult with organizations for
medical claims processors or medical billing businesses and with
doctors in your community. Ask them about the medical billing
field: How much of a need is there for this type of work? How much
work does medical billing entail? What kind of training is
required? Do they know anything about the promotion or promoter
you're interested in?
-
Check with the state Attorney
General's office, consumer protection agency and the Better
Business Bureau in your area and the area where the promoter is
based to learn whether there are any unresolved complaints about
the business opportunity or the promoter. While complaints may
alert you to problems, the absence of complaints does not
necessarily mean the company is legitimate. Unscrupulous companies
may settle complaints, change their names or move to hide a
history of complaints.
-
If the medical billing
opportunity sells another company's software, check with the
software company to find out whether company representatives know
of any problems with the medical billing promoter.
-
Consult an attorney, accountant
or other business advisor before you sign any agreement or make
any payments up front. An attorney can review the promoter's
contract and advise you on how best to proceed.
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