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What to CHARGE

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tonyat:
Good Morning All,
I currently have a Mental Health provider that has added two clinics  and wants me to do the billing, and  obtain authorizations for all three locations. I currently was charging them  by a percentage of what is paid, but with the majority of their patients being Medicaid/Managed Medicaid it take a while before I see money so I am going to move to Flat Fee billing. I am not sure what to charge to bill for all 3 clinics and obtain authorizations. I want to be paid for all my time and hard work, while charging them a rate they will have no problem paying. Please advice!
Thanks!!

Michele:
Is there a way you can estimate how much time the new clinics will take?  You need to find a way to estimate the amount of time it will take for your work to be able to give a flat fee.  Also, can you estimate how many patients they will see? 

tonyat:
Right now I have been working part time about 5 hours a day everyday just doing the billing for the 1st clinic, so I am sure I will need to increase the hours I put in once billing begins to generate for the other two clinics. I came up with 6 hours a day for 4 days a week which is 24 hrs x 4=96 then multiplying that by an hourly rate of $25.00,
which would be $2400.00. My only concern is that the will have sticker shock because they also pay per provider to use the billing software and they are big on keeping their expenses to a minimum.

kristin:
1. I think you will need more time than you have allotted once they add the other two clinics, depending on how busy they are. But that remains to be seen.

2. They will have to pay for billing software regardless of whether you do the billing, or they do it in-house. That should not come into the equation on their part.

3. If they had to hire an employee(s) in-house to do what you have been doing already, and will be doing in the future, at a reasonable wage, they would also have to pay taxes for that employee(s). So they need to consider that, if they think your rate is too high. Not to mention training someone new, which will take time and money also. If they get sticker shock, be sure to mention these things.

4. Every provider wants to keep expenses to a minimum, but there is being penny wise and pound foolish, and they should not skimp on one of the most important parts of the business, which is the part you are doing. If they have the money to open up two new locations, they have the money to pay you what you are worth.

Michele:

--- Quote from: kristin on September 19, 2016, 10:05:37 PM ---1. I think you will need more time than you have allotted once they add the other two clinics, depending on how busy they are. But that remains to be seen.

2. They will have to pay for billing software regardless of whether you do the billing, or they do it in-house. That should not come into the equation on their part.

3. If they had to hire an employee(s) in-house to do what you have been doing already, and will be doing in the future, at a reasonable wage, they would also have to pay taxes for that employee(s). So they need to consider that, if they think your rate is too high. Not to mention training someone new, which will take time and money also. If they get sticker shock, be sure to mention these things.

4. Every provider wants to keep expenses to a minimum, but there is being penny wise and pound foolish, and they should not skimp on one of the most important parts of the business, which is the part you are doing. If they have the money to open up two new locations, they have the money to pay you what you are worth.

--- End quote ---

Ditto  -  I couldn't have said it better.  :)

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