Medical Billing Forum

Starting a Medical Billing Business => Starting Your Own Medical Billing Business => Topic started by: asilva03 on June 29, 2011, 01:22:23 AM

Title: Billing for the Patient
Post by: asilva03 on June 29, 2011, 01:22:23 AM
If a provider's office does not accept insurance but gives the patient the information he or she needs to submit the claim and they want to hire you, would you use the same formula or per fee claim that you would for a doctor's office?  Would the patient have to sign something stating that he or she is giving you authorization to bill on their behalf?

Thanks.

Title: Re: Billing for the Patient
Post by: Michele on June 29, 2011, 10:38:54 AM
So they are hiring an outside service to provide the information to the patient?  If that is what they are doing and they don't want you to do any tracking/follow up, etc I would probably charge a per claim.
Title: Re: Billing for the Patient
Post by: asilva03 on June 29, 2011, 09:24:38 PM
There is a mental health provider here that only takes cash, check, or credit card.  They will give the patient the information that they need to submit the claim if they want to be reimbursed by their insurance company.  I was wondering how to charge the patient to submit the claim and follow up on it if the patient contacts me and wants me to provide those services to them.  I can see charging per claim if there is no follow up involved, but if there is follow up, would I charge for my time, just like I would a provider?

Sorry for the confusion.
Title: Re: Billing for the Patient
Post by: Michele on June 30, 2011, 01:08:02 PM
So the patients pay for your service??  That's a new one.  You could charge a per claim with a separate charge for addt service such as follow up or resubmission.  I'm curious to see if others have come across this.

Title: Re: Billing for the Patient
Post by: PMRNC on July 11, 2011, 06:33:12 PM
Those are CAP services.. (Claims Assistant Professional) and pretty much obsolete.  Only thing you are doing is addressing the claim and sending it out.. CAP's used to do these by submitting CMS forms, but patient's got wise that they could send in their superbills.. Appeals are mostly done by the provider's office since most times appeals will need further medical office documentation..   

What else do they want you to do besides putting the itemized bill (required by law to be given to the patient) into an envelope and sending it in?  I couldn't even tell you how to charge for this, because I'm not sure I could even charge someone for this.. all of 2 minutes time.