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Tag: Money 

Should Your Practice Be Billing Codes For Telephone Consultations?

It seems these days as if practices are doing more and more patient consultations over the phone. A lot of this may be due to the current economic conditions and the fact that patients are trying to avoid having to come in and be seen and be charged a co-pay.

What ever the reason physicians are spending more time on the phone these days and are asking whether or not they can bill CPT codes for telephone consultations and get reimbursed.

Unfortunately, Medicare will not pay for patient consultations performed over the phone. In terms of other payers, you will have to check with them on a case by case basis.

If this issue has become a big problem for your practice and is absorbing a lot of your time, you may want to consider billing your patients for this service.

Telephone services are typically billed using two sets of codes added to the CPT index in 2008: codes 99441 – 99443 are for phone services by physicians, while 98966 – 98968 are for services by “qualified non-physician healthcare professionals.” Again, none of these codes are covered by Medicare but more and more private payers are starting to reimburse for this code so it is certainly worth checking with them to see if they will pay.

If you do decide to bill patients for these codes, here are five things you must know about these codes:

  • They may be billed only for “medical discussion” that IS NOT related to an E&M service that was provided within the last seven days and DOES NOT lead to an in-office visit within the next 24 hours or earliest possible date.
  • The phone conversation must be documented by the provider that took the call.
  • Though Medicare does not pay for these codes, both sets of codes have relative value units (RVU’s) assigned to them that you can use to help determine what fee you will charge your patients for these codes.
  • The patient must initiate the call in order for you to bill the service.
  • The codes are valid for established patients ONLY, according to the CPT guidelines.
  • If your practice is performing a significant amount of phone consultations, that revenue can add up over the course of a year and make a difference in your practice’s earnings.
  • If you are considering billing for phone consultations, here are some tips that should help you get paid:
  • Negotiate with private payers – The key is to document every instance over the course of a year that you provided a telephone consultation. The amount of consultations could be significant and show your physicians and other providers provided the service 120 times over a year. When you renegotiate your managed care contract, you can show the provider relations department of that payer the documentation supporting your 120 phone consultations and explain to them this is what you did. You can then ask the provider relations for an allowance from the payer for these consultations. If one payer

What is Sales Financing?

Running a business is a difficult process and one which is constantly fraught with unexpected financial difficulties. Balancing acts are constantly required to ensure there is enough money in the business coffers to cover wages, rent, tax and other regular bills, as well as stock and equipment purchasing.

For all businesses, one of the key factors of success involves ensuring the quick release of funds in order to enable further purchasing or investment decisions. If funds are tied up rather than available for use, then the entire business process can screech to a halt.

One of the most common problems in business usually occurs when large sales are successfully made and the work is invoiced to the client, but payment is not immediately forthcoming. This means that there is a lot of cash tied up in sales ledgers which are not available for use on other projects such as restocking. This is an all too common situation which can prove disastrous to many companies – especially smaller businesses and start-ups who are usually the least able to effectively deal with these types of situations due to generally low levels of liquid assets in the first place.

This has lead to the creation of a number of business and sales financing products by larger institutions and specialist business finance organizations to fill the gap in corporate finance. These days, many banks can provide business banking services such as factoring, invoice discounting, and stock finance to enable their clients to free up many of the assets that they normally have access to for working capital.

Sourcing a financial institution to deal with the recovery of funds tied up with stock or invoices and to help deal with sales ledgers can enhance a business on several fronts. Not only does the company not have to worry about chasing up debtors, but the money is quickly made available for reinvestment; and the risks of suffering from bad debt are significantly lowered, as it can become the province of the factoring company to pursue reticent debtors. Factoring companies will often also make available additional debt recovery litigation services if they should become required.

While some businesses may see the costs of using sales finance services as cutting into profit margins, the benefits of having funds made accessible for use towards working capital – rather than sitting with inaccessible funds which do not for the company – can prove to be invaluable in enabling company growth and stability.…

How To Start A Roasted Corn Business

Corn roasting is a simple yet very profitable small investment business. The successful corn roasters make full time living working just the summer months.

To start a roasted corn business you will need to acquire permits and business licenses from the health department and from the state. The following is a typical checklist to start your business.

1. Decide the size and the scale of the operation.

2. Decide on the menu for your concession business.

3. Purchase your equipment and tools.

4. Register your business.

5. Apply and obtain all the required licenses and permits needed to run a food concession business.

6. Secure events and have fun running your concession stand.

Permits, Licenses, and Inspection

Every state has laws governing business licenses and permits. Most likely, you will have to register your business with the state agency, so you can do business in the state. A tax ID number, business license number, and tax registration number can be issued to your business, depending on the state in which you are operating. You should verify with the city or county that the business location is zoned for that activity. You must have commercial liability insurance, both for your business and for your vehicle and trailer.

Health Department and Food safety

As a business owner and a food worker, you will be preparing food for other people. Contact the health department of your county or state to receive a copy of a food safety guide that will help you greatly in learning more about food safety. Roasted corn is considered a less hazardous food, but if you are going to sell potatoes and turkey legs you may have to pay higher fee.

Start-up Costs of a Corn Roaster Business

Brand new corn roaster with warranty: 10,000-$12,000.

Used corn roaster: $5,000-$8,000.

Additional equipment and accessories: $1,200-$2,000.

Used van or truck: $2,000-$10,000.

Food cost for first two events: $300-$1,000.

Event sign-up fee: $800-$3,000.

Fuel, utilities, and miscellaneous: $200.

Equipment Required to Start a Corn Roasting Business

A professional corn roaster, minimum 200-500 corns per hour.

Hot plate for melting butter

Steam table for storing cooked potatoes and turkey legs.

Two 20-lb. propane tanks

Fire extinguisher

Commercial quality tent

2 tables,

Hand washing unit (portable) very easy to assemble one

Mics. Little things

Google “Corn Roasters” and search for companies that will help you get started before buying the equipment if you are strapped for cash. One of the company Texas Corn Roasters help.

How to Find Events and Festivals

There are many sources for finding festivals and events, such as your vendor friends, the local Chamber of Commerce, auto racing, fairs and festivals, flea markets, rodeos, and theme parks. The Internet is one of the greatest sources for finding events. Many good sites provide this information. Always send a professionally done proposal with your application if you want to beat the competition.

Suppliers and Producers

Suppliers and produce wholesalers are your key to success in this business. You cannot afford to buy …

Public Adjusting Pros and Cons

Is public adjusting a scam? Sometimes it can be, but sometimes it can be beneficial. Here are a few tips about public adjusters in general.

1. Make sure you have a valid first party claim (a claim against your company, and not another’s). A public adjuster represents policy holders against their own insurance company only. They are supposed to be highly trained and in most States, they are required to be licensed, although in some States acting as a public adjuster is illegal. The main benefit to having an adjuster is that they will do the legwork and negotiation for you, and they will make sure you obtain the maximum benefit your policy provides.

2. Evaluate the potential value of your claim. The cost of using this service varies, but if you have a good and ethical adjuster the cost should be worth the benefit. If you have a claim that is valued at less than $5000.00, they should be ethical enough to explain the potential loss you would incur by paying for adjusting services. Most adjusters charge around 10{4917788a0bd7aa7369c2a945027b4fe6c9853cda4150a24fe1255b18ce3083dc} of the claim value, so a $5000.00 claim would cost you approximately $500.00. If they can’t increase your claim value by at least his or her fee, then it is only logical to assume the service they provide is not worth the fee.

3. Read up on the law regarding public adjusters in your State. If a license is required, make sure you check to see if they are properly licensed.

4. Ask to see the adjuster or firm’s liability insurance policy or a copy of a liability bond. If they don’t have one or the other, run.

5. Use your head. If the adjuster or firm won’t answer your questions over the phone, or they have solicited you, then think again. A good public adjuster builds his or her business on word of mouth, and not by monitoring catastrophe’s and soliciting victims of property damage.

6. Public adjusters cannot represent anybody for an injury claim, and they are not supposed to refer you to an attorney.…

Why Ambition is Important – It Can Take You Places

There are many reasons why ambition is important in your life. This is because there are many different times and reasons you need ambition. You need it in your career and in your family. You also need it for yourself. Fulfilling dreams that matter to you on a personal level is one of the greatest things a person can do with their life. This could mean you running a marathon simply to do it or writing a poem because you wanted to do it. Regardless of what it is you want to do for yourself, you need ambition to accomplish it.

The main reason why ambition is important is because most things are not just handed to you in life. You have to really want something and know why you want it. When you really want something out of your life, you will be more willing to work hard to accomplish it. It also helps to have ambition whenever things are not going so great in your life. Having ambition in times like these will lead you to get yourself out of them and find happiness and success. If you have no ambition in your life, you have no drive for anything. Nothing will seem important.

Another reason why ambition is important is because it is your own ambition. No one can take away your ambition, which is why no one can give you ambition. You might be inspired by others, but the ambition to accomplish something comes from within. This leads to you viewing your life differently. You will be grateful for what you have because you were able to recognize what was important in your life. You then can use ambition to continue the happiness. It also helps you realize that what you make out of your life is up to you. Having ambition will help you accomplish your goals and dreams.

When you have ambition in your life, more things will seem possible. You no longer will have to look at your dreams and hopes as mere dreams. This is why ambition is important. Instead of looking at something you want from a distance, ambition allows you the motivation and strength to make it a reality in your life. This could be ambition to lose weight, ambition to get a better job or even ambition to start your own business. It really can change your life when you have a little ambition.

David Nuka…

The Scope And Importance Of Personal Selling And Sales Management

Personal selling is usually a beneficial vehicle for interacting with existing as well as prospective customers.

Characteristics of Personal Selling and Sales Management

Personal selling consists of the two-way flow of transmission involving a customer and vendor, frequently in a face-to-face experience, made to affect a person’s or maybe group’s purchase choice. Personal marketing also happens by phone, via video teleconferencing, as well as Web between customers and also sellers.

The responsibilities associated with controlling personal selling contain: (1) setting goals; (2) coordinating the workforce; (3) enrolling, choosing, coaching, and paying sales staff; and (4) analyzing the efficiency of individual employees.

Personal Selling in Marketing

Salespeople coordinate company interests with Client requirements to satisfy both parties within the exchange procedure. Salespeople symbolize what a corporation is or tries to be and are frequently the only personalized contact a client has with the organization. Personal selling could perform a dominant function in a firm’s marketing program if a firm employs a press marketing approach.

Creating Client Value through Sales staff: Relationship and Partnership Selling

Sales staff can generate Client value in numerous ways:

  • Determining innovative methods to Client difficulties.
  • Easing the Client buying procedure.
  • Following through right after the sale.

Relationship selling is a process of creating ties to clients structured on a salesperson’s attention and dedication to Client needs after a while. It:

  • Consists of common esteem and confidence among customers and vendors.
  • Works with developing long-term customers, not one-time sales.
  • Partnership selling (or enterprise selling) is the process where customers and vendors merge their knowledge and methods to generate personalized alternatives, dedicate to joint planning, and also share client, competitive, and company details for their common benefit, and finally the customer. It:
  • Depends on cross-functional business experts who apply their expertise and abilities to obtain better efficiency, reduced cost, and greater Client value.
  • Complements supplier and channel partnering.

Relationship and partnership selling characterize a further facet of Client relationship management (CRM).…

Effective Ways To Make Money From Your Sugar Daddy

Sugar daddies are financially stable older men seeking a relationship with sexy young women. They know that women who get involved with them are primarily aimed at getting money and financial support from them in exchange for their company. If you are new to sugar daddy dating and it worries you that you might get a thrifty kind of man who will control you and give you a lot less than what you had imagined, here are some effective ways to make money from him without directly asking.

• Sugar daddies know exactly how to spend their money which is how they became rich. If you have a sugar daddy, expect that he will not give you money for just anything. Before he gives you the money, he will make sure that he is spending on the best that his money can afford. So on your first date and future dates; make sure that you look your best. Dress up and be sexy. Be hotter than you’ve ever been before. If he finds you amazing, he may give you more money without you having to ask for it in the future.

• Share your dreams and ambitions with him and seek advice on how to achieve them. You have to make it a financial dream or ambition of course. They love to show off to their sugar babies. They like giving support to their sugar babies especially when it comes to achieving dreams and ambitions. You have to thank him for it so he will want to keep doing it.

• Be the super caring wife even if you are not there yet. Some people think that to show care, you should cook for him, prepare his bath and clothes, do the shopping and groceries for him. And, of course, remember to complain how expensive the groceries and everything else are these days! He may increase your shopping budget for that or just hand you his gold credit card.

• Show him how thankful you are for every gift you receive from him. Show him how happy you are about it and give him a really warm, genuine hug. Your sugar daddy will definitely please you again with another expensive gift. They love making their sugar babies happy and they would do anything for that sincere and warm hug.

• Talk about your dream travels, your dream gadgets, your dream accessories. You do not need to ask; you just have to talk about how you have been dreaming about them and the next thing you know is that your he is making that dream come true.

• Talk about how you worry about your family’s financial stability and how hard it is to be the breadwinner of the family. Your sugar daddy will definitely be proud to help you through it.

If you are worried about seemingly asking too much of your sugar daddy, take note of this: You did not ask, you shared your thoughts and he did it. …

5 Disadvantages Of Not Having Life Insurance

Not everyone believes in life insurance, since others think its main aim is to make money from you. Of course insurance is a business, but its business is taking care of you while you are here and your family after your death. Therefore, if you are not yet insured, here are some challenges you may face along the way.

  • High unforeseen costs

The whole purpose of life insurance is to assist you financially. In life, anything can happen to you the minute you step outside your front door without a warning. Most of us are aware that expenses always pop up when you do not have extra money. You can imagine not even being able to pay your hospital bills! Spare yourself the embarrassment of having to borrow money anytime something goes wrong.

  • Lack of peace of mind

Without life insurance, you always worry and live a life with limitations even for your dependents. Life insurance gives you one reason not to worry. Having dependents makes you always alert and guarded of what happens to them. Even after you die, it ensures that your loved ones are well taken care of financially; they continue with their education, maintain the current lifestyle and just cater for daily expenses.

  • Loss of assets

Majority of you have debts or loans that are secured by some of your assets. That is good for you, if you are insured. Otherwise, after your demise, there is a high possibility that the debt collectors will be visiting you residence soon. This means all the investment you had (assets) will be owned by these companies, until the outstanding balances are cleared.

  • Can be a burden to loved ones

Your loved ones deserve peace of mind as well. Without insurance, you risk burdening them financially. This could be hospital bills, mortgage bills, funeral expenses, school fees etc. which they them-selves had not planned for. Just when they think they are done with one sad event, they receive numerous phone calls from the banks, bills and even personal visits to talk about your debts for years. All this can be avoided by getting insured.

  • Lose investing your money

It will come a time when you will age and retire. Not everyone plans for his or her future and instead of choosing the best life insurance policies; you prefer having a savings account that you probably withdraw every now and then to cater for your luxurious life. The result is regrets of not investing while you had the chance. Moreover, financial institutions are likely to decline your loan application, because you do not have enough proof that you have a source of revenue.…

How Much Does It Cost To Start a Snow Cone Business?

The snow cart business might sound great, but any smart person’s going to ask the same question whether it’s snow cones or any other business: how much does it cost to start? This is a big question since not many of us have a ton of cash on the side…if we did we wouldn’t be looking for an awesome cash business like snow cone stands!

Licenses

In most states, and even in some counties and cities, you will need to make sure you have all the business licenses available to operate. In some states these cost as little as $50 total, while in many others it may run up to a couple hundred, but it shouldn’t run any more than that. The cost also varies if you have a lawyer draw up business papers for you, or if you choose to do it yourself and hand the application into the courthouse personally. These fees can usually be made up with one or two good days.

The Snow Cone Cart

Prices can vary greatly depending on what type of a cart you buy to get started with. In fact, this expense is the single biggest factor in determining start up costs. Snow carts range anywhere from $400 to $4,000 for brand new shaved ice carts. There is also a ton of variety between these two extremes, but many people decide to start out with snow cone carts that are well under $1,000 starting out, and many make their money back in short time with just a few really good cash days.

While many people will do very well starting out with a small cart, don’t rely on price alone. There’s nothing wrong with starting cheap and working your way up (especially with how often the shaved ice business doesn’t even feel like work), but what if the early demand for your snow cones is three or four times what you can provide? Not only do all those profits walk away, but you will end up having to buy a larger and more expensive snow cone stand anyway. Take the time to make sure you’re making the right decision on this one.

The Shaved Ice Machine

The next most expensive piece of equipment is the shaved ice machine itself. The machine, along with your stand, is one of the cornerstones of your business starting out, and entry level machines are most commonly found in the $400-$600 range. The best place to find a good shaved ice machine is from an actual vendor or online website that specializes in them. Many of these sites will actually have several machines for easy comparison, making it easier for you to look at the deals available and decide on the best one for you.

Buy Supplies Wholesale

While prices can vary for the supplies you need to run the snow cone business, most of these will at least be in the same price range. For materials like paper cups, plastic spoons, or Styrofoam cups, never be …

How To Ask Your Sugar Daddy For Money Or An Allowance

Okay, you’re not confident about asking a SD for money because you keep seeing advice against telling him about your financial troubles. I will be among the first to admit that flat out asking a SD for money is anything but easy. You have to remember that when you ask for nothing that is exactly what you’ll get. I learned that lesson the hard way. There is a difference between discussing your needs, expectations, etc., and whining about your bills. It’s all in the approach.

With men you meet through a sugar daddy dating site, it’s a question of who takes charge first. Do not wait to talk about what you expect from them. They signed up knowing exactly what kind of website they were on. Your expectations should be a topic that is discussed very early in your relationship. If you have a brief first meeting and there is no time to bring it up then (and you should bring it up), talk to him about it before your second encounter. If you don’t, you will have given up control. All you have to say to get the conversation going is, “we need to talk about what each of us expects from this.” You don’t have to ask for much. If you see him 3-4 times a month, $200 every time you get together is a reasonable place to start. For an out-of-town sugar daddy you see once a month, aim for $400-500. In either case, you can get him to increase his contributions a little at a time.

Now then, if the man in question is someone you met “on the street,” he may not even know that he is a sugar daddy. This approach may be a bit sly, but try to get something from him every time you see him. At first, maybe you want to “go out with your girlfriends”. Next time, perhaps your “car needs some work.” Make sure he isn’t a whiz mechanic if you go for that one (unless your car actually needs work and you don’t mind him doing it). He will come to anticipate your needs and will begin to freely give you money on a regular basis.

With either type of sugar daddy, you can work your way into him paying your car payment, rent or mortgage. You can also convince him to pay for you to go back to school or to help you start a business. The key is to get over being hesitant about letting him know what you need. Very few of the sugar daddies I’ve known were shy when it came to what THEY wanted.

Let’s assume you’ve been regularly seeing a sugar daddy who showers you with gifts, but what you really need is money to pay your bills. After you’ve been seeing a sugar daddy for awhile it is going to be more difficult to broach the topic than with someone new. In any case, you still need to test the waters. …