Medical Billing Forum
General Category => General Questions => : abney November 22, 2015, 11:12:32 AM
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Hello,
I am new to the forum and I hope you could help me with a situation.
My ex-employer, a medical billing and coding company, has asked if I would be willing to do the provider's applications, Medicaid, Medicare, and other insurances. I will be following up until completion. Also will need to get some providers credentialed and in network with the insurance companies in the area. I will also have to keep CAQH up to date. I will be doing this remotely from home.
I am to decide how much I would charge per application. I will greatly appreciate any information on pricing and also what measures should I take legally when doing this from home considering it is outsource work, I will be doing this as a 1099 contract.
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First you need to check your local and state laws to make sure it is ok to work out of your home. I have seen people get into serious trouble by working out of their homes when it is not allowed.
As far as charging, the fees vary greatly. Without experience I would make it clear you are only doing basic credentialing, not contract negotiation. For Medicare the fees by many companies vary greatly. When I was doing Medicare apps I charged from $175 - $325 depending on what apps they needed. Solo provider enrolling individually on the lower end, group with multiple docs on the higher end. Commercial carriers really vary. Some have a very simple process while others have apps of MANY pages! CAQH we used to charge $150 to complete.
Hope that helps.