Starting a Medical Billing Business > Starting Your Own Medical Billing Business

Do you charge a percentage of billed amount or collected amount?

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patricia1016:
Hi Alice and Michele,

I have a question regarding how much to charge. I understand it is usually a percentage, however, I am unsure if it is the billed amount or the insurance approved/paid amount? Thanks for your help.

Patti

Michele:
Hi,
   Most services charge the percentage on what is collected, not on what is billed out.  As we all know, reimbursement is usually less than the amount billed out.  From my personal experience, providers would have a problem paying on the billed out amount, as opposed to the collected amount.

Thanks
Michele

gderilus:
Hi Alice

I also have a question about the amount you charge. When you charge your clients, do you charge them about 5, 6, or 10% of what is collected. I'm not sure exactly how much to charge them. And also, Do they give you a check for what you charge them or you take it out yourself

Michele:
The amount you charge is going to be based on several factors.  Where you are located (rural, city, etc), what type of provider(s) are you billing for, what services you are providing (complete billing, medicare claims only, insurance only) .   For example, we charge a slightly lower percentage for a couple of providers that we do Medicare only billing for and they are usually repeat patients.  It is very easy, redundant work and we can get away with charging less.  But for our family practice drs that we do complete billing including patient billing, we charge a little higher.  We bill our providers once a month on the first for all that is collected in that previous month and they cut us a check.  It is suppose to be within 10 days, but drs aren't usually good with that!

Hope that helps.
Michele

gderilus:
Thanks Michelle

your answer really help, but can you tell me a little bit more about the complete billing service. what exactly included in a complete billing service.

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