Medical Billing Forum
Starting a Medical Billing Business => Starting Your Own Medical Billing Business => : wpj371 April 08, 2016, 01:29:33 PM
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Would anyone care to share how your contract addresses the issue of providing data or reporting to the provider at termination? What information will you provide? When? Are you specific about the format it will be in? I think this is the last thing that my attorney and I are trying to solidify in my first contract. I did read the "kick-butt" contact book for starters.
Thanks all!
Will
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It depends on the provider but if it is a provider that we are billing in our system we provide a report of all patient balances (if we were responsible for patient billing) and a report of any insurance balances still out from our billing with and explanation as to why they are not resolved yet. Usually when we finish we take up to 60 days to close out. That allows us to get most insurance balances resolved. There are sometimes a few that are involved and cannot be resolved.
So in our contract we basically state that upon termination we will clear up any insurance claims within 60 days, providing a report of any claims that are not able to be resolved and a reason why. We also state that we will provide a report of patient balances.
We really try to end on a positive note whenever possible and cooperate with the provider for the transition. Sometimes it isn't possible, but usually it is. We have had providers contact us months later asking for information or proof of a claim, etc.
Hope that helps.
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Would anyone care to share how your contract addresses the issue of providing data or reporting to the provider at termination? What information will you provide? When? Are you specific about the format it will be in? I think this is the last thing that my attorney and I are trying to solidify in my first contract. I did read the "kick-butt" contact book for starters.
This is usually where most billing company's contracts fall short. When I first started and for a few years after my contract stated that my database was mine, I had a clause that included how they could obtain their data, software, etc. Then I decided to switch business models to where I didn't maintain or absorb any software costs so that really helped clear up any "exit" clauses as it's a clean break, they own software, they have the data, access, etc. If you are licensing your own software make sure your contract is completely clear about your data as well as exactly what you will provide upon contract termination. Leave no stone un-turned.