Author Topic: Flat rate billing  (Read 2862 times)

Charlesg

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Flat rate billing
« on: September 04, 2011, 07:33:13 PM »
The following is the format we are thinking of using in our contract . What does the group think of this format. I am in the state of Ga and doctors are not allowed to engage in percentage fees.

Our billing fee is as follows:
   1 . Primary insurance claim filed $ 7  this includes:
      a. Filing appeals
           b. Refilling claims rejected because of errors.
            c. Refilling claims lost in transmission

       2. Secondary insurance claim filed $ 5 this includes :
               a. Filing appeals
               b. Refilling claims because of errors
          c Refilling claims lost in transmission   
    
     3. Billing patient $3 this includes:
          a. Sending initial bill
          b. Sending two additional bills if needed
          c. If not paid after three billing cycles, send to collection service with             
                  provider permission.

Michele

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Re: Flat rate billing
« Reply #1 on: September 06, 2011, 10:11:02 PM »
I was holding off on answering hoping that some others would respond first.  Personally we usually go with a flat monthly fee as opposed to a per claim fee.  We do some per claim fee accounts, but they are usually small and only have us submitting to one particular carrier such as Medicare.  The problem that I see with what you have outlined is that there is no mention of payment posting, tracking the claim.  Whose responsibility is it to know if the claim was paid, and paid correctly?  Also, for someone coming in for an office visit with Medicare prime and UHC secondary the provider could spend $15 for the one visit.  Seems high.  ($7 to Medicare + $5 to UHC who usually doesn't pay + $3 to patient).  If the provider is billing for a moderate ov they only get $50 so $15 seems rather high.  JMO but it seems to be broken down too much.

Any others??

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DMK

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Re: Flat rate billing
« Reply #2 on: September 07, 2011, 03:48:58 PM »
I was biting my tongue a bit.  We get $31.58 from Blue Cross for a visit.  I wouldn't be able to afford to pay someone else a fee like that and stay in business.  A monthly fee seems more appropriate with a sliding scale for the # of claims filed and adjusting for practice growth.  JMO.

Charlesg

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Re: Flat rate billing
« Reply #3 on: September 07, 2011, 04:47:38 PM »
Thanks for the comments, you can bet I will listen to what you said. That is why this is such a good forum, there are a lot of good people involved and they don't mind sharing good info.

PMRNC

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Re: Flat rate billing
« Reply #4 on: September 13, 2011, 09:40:07 AM »

Quote
Our billing fee is as follows:
   1 . Primary insurance claim filed $ 7  this includes:
      a. Filing appeals
           b. Refilling claims rejected because of errors.
            c. Refilling claims lost in transmission


You need to spell out what you consider to be 1 claim
You also need to spell out what type of errors, their errors, your error's, etc.


   
Quote
    2. Secondary insurance claim filed $ 5 this includes :
               a. Filing appeals
               b. Refilling claims because of errors
          c Refilling claims lost in transmission   

Again, spell out what constitutes one claim, and what type of errors
   
   
Quote
3. Billing patient $3 this includes:
          a. Sending initial bill
          b. Sending two additional bills if needed
          c. If not paid after three billing cycles, send to collection service with             
                  provider permission.

This is fine, but I would actually be sure to specified these are patient statements
Linda Walker
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Re: Flat rate billing
« Reply #4 on: September 13, 2011, 09:40:07 AM »