Medical Billing Forum

General Category => General Questions => Topic started by: bethcanare on January 21, 2009, 09:41:34 AM

Title: Contract termination
Post by: bethcanare on January 21, 2009, 09:41:34 AM
Hi!  This question came across my mind.  What if the provider decides not to use my medical billing service anymore after a certain period of time and wants all his information returned to him, i.e. patient demographics, claims filed, etc... How do you get all those information from the billing software?  How do you also bill him for all the claims that you already have submitted for him/her but have not been paid.  Just wondering how to handle a situation like this.

Thanks for your kind help in advance!

Beth
Title: Re: Contract termination
Post by: Michele on January 21, 2009, 09:04:43 PM
When we have a provider that discontinues our service we complete any claims that we have filed, meaning that we continue to get the eobs from the provider, track the claims, post payment, and follow up until all claims are paid at which time we send a final bill.  If we are unable to complete any claims we provide the provider with a report of the unpaid claims and why. 

As far as getting the info from the billing software, any information entered into your software by you or any staff you may have is your information.  If the provider wants his information returned to him you can give him back any original documentation he gave you, or if you want you could do a transaction journal type report to show the provider what you have done on his account.

You should be paid for the claims you submitted.  If the provider doesn't want to provide you with the eobs then you should estimate what he would have owed you and bill him for that.

I hope this helps.

Michele
Title: Re: Contract termination
Post by: Pay_My_Claims on January 21, 2009, 09:41:27 PM
Michele,
Are you charging by the claim or the %? For my general practice/family med I planned to charge by the claim, but with DME by the %. I can see f/u with the claims submitted if you are being paid by the %, but if you are being paid by the claim, I probably wouldn't. I would send him a complete AR of outstanding payments to allow whoever he is going have replace me, be able to know whats outstanding, pending or delinquent.
Title: Re: Contract termination
Post by: Michele on January 22, 2009, 06:52:52 AM
We charge a variety of ways depending on the client and the service we are providing.  If we are doing a complete service, submitting, followup, denials, patient billing, etc, we do a %.  But if they only need to have the claims submitted, no followup, then we do a per claim.  Some clients we have set up on a flat monthly fee (their request).

If you are doing followup it definitely works better (for us anyway) to do the %.

Michele
Title: Re: Contract termination
Post by: Pay_My_Claims on January 22, 2009, 09:28:46 AM
Yes, I see your point...