Medical Billing Forum
Starting a Medical Billing Business => Starting Your Own Medical Billing Business => : williamportor November 21, 2017, 12:31:30 PM
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What do you do when a prospective client wants you to do their billing, but will not agree to a flat monthly fee? I've run into this on more than one occasion. I won't do percentage billing, so my alternative plan is to charge by the claim (in other words by each HCFA submitted) then add on fees for each additional service, such as posting of payments, direct billing of customers w/ outstanding balances etc. Not a perfect system, I'll admit, but rather than lose the business to a competitor, this arrangement has allowed me to add 3 more clients that I normally wouldn't have. Does this sound reasonable? What do you folks do when a prospective client won't agree to a flat monthly fee?
Also-
If any of you have a Linkedin account, please beware of a person named Daniel Lopez (I doubt that's his name!) He is a front guy for a company in India who is trying to obtain subcontracting agreements with American medical billing companies. His emails were getting pretty pushy before I designated his email as spam.
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Believe it or not we haven't run into an issue with anyone refusing the flat monthly fee. There is so much information out there now about percentage billing that most providers are aware, at least in the states where it is prohibited. I think I would ask what the objection/concern to the flat fee is. Then see if I could overcome it. But it makes me think of other situations. When a provider is difficult to come to agreement about the fee/contract, they are usually difficult to work with. This might be a warning sign.
I receive many requests to outsource part of our work. It's really annoying. Yeah, let me fire my nephew, my daughter's boyfriend, or my friend to give you work that you will not do to the level of quality we do it. NOT. We are like a family here (or kinda like the herd from Ice Age!). My workers rely on this job to feed their families. I don't blame them for trying to earn money either, but don't think I'm going to hand over my work to you.
Thanks for the heads up!
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I don't haggle at all and won't budge. I state my fees and if they come back with something else or want to do something else I just wish them well and be on my way. I give them my business card and I warn them about things such as states that prohibit the physicians from fee-splitting. I just don't haggle and where there is one client that doesn't want to pay there are 3 that do.