Author Topic: starting a medical billing business  (Read 24517 times)

kwardbilling

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Re: starting a medical billing business
« Reply #90 on: January 11, 2010, 07:20:46 AM »
Michele..I noticed in one of your replies you stated that you have seen fees for claims from $1.50-$5.00, is this just for the claim submission?  Just wondering as my service includes authorization/eligibility call, payment tracking, bi-monthly for insurance claims monthly for patient statements, and up to 4 re-submissions for rejected claims.  I have a flat rate for startup fee and then charge $6 per session....I've been tracking my payments and it seems to come out pretty even to approx. 7-8% of payments collected.  Any thoughts?

Karen

Michele

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Re: starting a medical billing business
« Reply #91 on: January 13, 2010, 09:39:18 AM »
That sounds good Karen.  When we charge a per claim fee, it usually is for no other services.  If we have to include any additional to just claim filing, the fee goes up.

Michele
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Michele

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Re: starting a medical billing business
« Reply #92 on: January 13, 2010, 09:40:36 AM »
DME

   In the post right before yours, Steve said his brother is losing his home for not following the laws of his state.  It is crucial that you find out what the laws are for your city/state.

Michele
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wharta

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Re: starting a medical billing business
« Reply #93 on: January 13, 2010, 01:45:14 PM »
How can we find that out, can we not charge on a % basis for all clients? If we work in Indiana and have clients in Virginia, Texas and California, do we have to have different basis for all states?

Michele

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Re: starting a medical billing business
« Reply #94 on: January 14, 2010, 05:51:16 PM »
Many states have fee splitting laws so charging a % may be violating those laws.  You need to know whether the provider is in a state with a a fee splitting law then you shouldn't charge a percentage.  You don't have to have a different basis for all states, but you shouldn't charge a % in the states with fee splitting laws.

Michele
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QueenAlicia

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Re: starting a medical billing business
« Reply #95 on: January 23, 2010, 12:10:43 AM »
It's 10 pm pst and I just read this whole topic and found it to be VERY helpfull.  I am mad though that Xena charges $149 and I was going to go with NueMed whichs charges $1500 to set up and train and then $100 or so per provider.  I like the fact that it had unlimited users but I am mad that I almost paid that price.  I started my business last may and due to funds have been putting everything together slowly.  I am working on website content, contracts and busness assoc agreements.  I think I will be goin with Xena.

kwardbilling

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Re: starting a medical billing business
« Reply #96 on: January 23, 2010, 10:18:15 AM »
As far as the software goes, I have been using Therapist Helper for 3 years, I know some of you haven't liked it, maybe I like it because it's all I know and I'm a small billing servie.  They have been very supportive with any questions I've had. I just started electronic claims with them and it's been going smoothly so far. 

I will probably look into something new when my contract with them ends now that I've heard of so many others, Xena in particular.  I guess I'm afraid to change, I feel like I know this one pretty well.

Pay_My_Claims

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Re: starting a medical billing business
« Reply #97 on: January 23, 2010, 06:01:46 PM »
It's 10 pm pst and I just read this whole topic and found it to be VERY helpfull.  I am mad though that Xena charges $149 and I was going to go with NueMed whichs charges $1500 to set up and train and then $100 or so per provider.  I like the fact that it had unlimited users but I am mad that I almost paid that price.  I started my business last may and due to funds have been putting everything together slowly.  I am working on website content, contracts and busness assoc agreements.  I think I will be goin with Xena.

Glad it worked out well for you. One of the most important tools for your business is your software program. Its very important to compare shop. I have seen some run higher than that.

Brenda09

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Re: starting a medical billing business
« Reply #98 on: February 15, 2010, 09:54:59 PM »
Hello Everyone,
I am starting a new billing company also and I appreciate all of you taking the time to share your knowledge. I have more questions if you don't mind.
Do medical billing companies need an agent number (or to register)with the carriers also, or just the clearinghouses? If so, can it be done with the popular carriers prior to getting a client or not until after?

Thanks,
Brenda

Michele

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Re: starting a medical billing business
« Reply #99 on: February 16, 2010, 07:22:25 AM »
The only time a billing service needs to register with carriers is to obtain submitter numbers for electronic claims.  This can sometimes be done prior to getting a client, but it depends on the registration process with each carrier (it varies).  Most require some information on the provider that you will be billing for.

Good Luck!   :D

Michele
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Brenda09

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Re: starting a medical billing business
« Reply #100 on: February 16, 2010, 04:32:58 PM »
Thank you Michele,
I am so happy I found this forum!

Brenda