Author Topic: Help!  (Read 6878 times)

PMRNC

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Re: Help!
« Reply #15 on: September 19, 2009, 09:15:23 AM »
I agree, 40 hours for one client seems rather high, you need to address the issues causing you to over work yourself on the account, then figure out the time YOU should be spending on the acct.. just a tip but going flat fee you can ackomplish your hourly rate goal but at the same time the value perception will be greater to the client.. meaning it will look better as flat fee rather than hourly because you want to remember the benefit/reasons of outsourcing. Also you can figure in expenses per client. 
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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carnilent

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Re: Help!
« Reply #16 on: September 19, 2009, 10:06:44 AM »
ok, they were three months behind in their billing and I have been overworking myself.

jaymeetme

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Re: Help!
« Reply #17 on: October 12, 2009, 09:52:14 PM »
Ask both of them to join you for the dinner to a very good restaurant and order their favourite food and see the magic after that day!!!

carnilent

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Re: Help!
« Reply #18 on: October 13, 2009, 10:05:36 AM »
I appreciate all your help.     I mailed a letter to my client advising of the split fee law.

she called me saying she agrees with me. ( she did some reasearch -  and she would like to meet with me at my office ( home office)
well, we're meeting on Thursday here at my house,   to this date she hasn't paid me for all the work I've done since May.     I am really disappointed with her.  I'm going to see what she is going to tell me.


Any advise?

( my husband says I should get paid on Thursday and then let them go. )

 :-\

Pay_My_Claims

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Re: Help!
« Reply #19 on: October 13, 2009, 12:19:54 PM »
did she know going in that you were based out of your home?? A lot of them don't take "home billing services" serious

PMRNC

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Re: Help!
« Reply #20 on: October 13, 2009, 12:26:11 PM »
There's no reason you have to ever disclose you are home based, that's up to you to decide whether to disclose it or not and of course taking into account the status of your office setup, business, etc. I've had clients who knew and never had a problem and then i have and had clients who may not have known, she's been with you and owed you money since May? I would have cut her off in June. You should probably inform her right off the bat that you expect a check for whatever she owes you at that meeting. If she does not have the check, there's no reason to meet and I would talk to your attorney and go from there that's 4 months.. I hope you have not been working the account this whole time.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Pay_My_Claims

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Re: Help!
« Reply #21 on: October 13, 2009, 12:29:22 PM »
There's no reason you have to ever disclose you are home based, that's up to you to decide whether to disclose it or not and of course taking into account the status of your office setup, business, etc. I've had clients who knew and never had a problem and then i have and had clients who may not have known, she's been with you and owed you money since May? I would have cut her off in June. You should probably inform her right off the bat that you expect a check for whatever she owes you at that meeting. If she does not have the check, there's no reason to meet and I would talk to your attorney and go from there that's 4 months.. I hope you have not been working the account this whole time.

I agree with you Linda *faints*, and I have personally NEVER disclosed that I was home based. i have had only one client ask me that specifically and I have been honest with them about that. I also agree that you should not continue to work when they owe you. Doing so makes them feel you 'NEED' the money. Just as in this business if a client has an outstanding balance he does not receive future service until that balance is met. Now you are in months behind in payment.

PMRNC

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Re: Help!
« Reply #22 on: October 13, 2009, 12:31:40 PM »
Yup. If I can't pay my mortgage after 90 days I'm getting an ACT 91 in the mail (1st step in foreclosure)
it just stands to reason any business would have limitations. 4 months without getting paid is way out of line and personally IMO I wouldn't have let it go on and if I was in your shoes right now, I wouldn't meet with them unless the check was in their hand at the door. JMO  My attorney would be right there with me.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Pay_My_Claims

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Re: Help!
« Reply #23 on: October 13, 2009, 12:45:31 PM »
Yup. If I can't pay my mortgage after 90 days I'm getting an ACT 91 in the mail (1st step in foreclosure)
it just stands to reason any business would have limitations. 4 months without getting paid is way out of line and personally IMO I wouldn't have let it go on and if I was in your shoes right now, I wouldn't meet with them unless the check was in their hand at the door. JMO  My attorney would be right there with me.
AMEN!!

carnilent

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Re: Help!
« Reply #24 on: October 13, 2009, 04:35:25 PM »
her receptionist faxed over the other half of the work for Sept.  I haven't even printed the work, I'm not touching anything until I get paid.  She did know from the beginning that we are home based.   

I have billed her a total of $96,000. in claims.  They have been so disorganized and uncooperative from the beginning that it's sickening.     

You're right, I'm going to contact my attorney. first thing in the am.

 

PMRNC

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Re: Help!
« Reply #25 on: October 13, 2009, 06:57:39 PM »
You should run a report on reimbursements/collections from June that shows total billed, total collected  attach a FINAL invoice and a termination letter, send it certified return receipt (proof you sent termination) and if you have to send her to a collection agency first. You are better off taking your chances with a collection service if your contract was based on a percentage in a state that prohibits that, than going to court (small claims)
I have a couple of clients I sent over to collections and only one I had to file with small claims but he paid me before we got to court. Doctors don't like their credit messed with.  ;D :o ;)
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

carnilent

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Re: Help!
« Reply #26 on: October 14, 2009, 05:08:05 AM »
How do I word the termination letter?   Is it basically a run down ( in a professional manner) of the way they have been doing business with us? and then the termination?


thanks,   :-\

PMRNC

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Re: Help!
« Reply #27 on: October 14, 2009, 05:21:01 AM »
No, in fact the opposite get right to the point and be clear and concise.

Dear Dr. Smith, Due to the fact that your payment is now more than 120 days past due, XYZ Billing company will be exercising our termination clause of our contract dated XX/XX/XXXX effective immediately. According to our records our last billed date of service on your account was XX/XX/XXXX. Please remit your final payment in the amount of $XX immediately. Once your payment has been received we will forward all final reports for your practice. We regret that we could not continue to work together and wish you well.

Something similar to that. I usually attach a copy of the contract for their reference and highlight the breached areas. I don't go into details and keep it short / simple (KISS) 
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

carnilent

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Re: Help!
« Reply #28 on: October 14, 2009, 07:58:42 AM »
about the charging;     Since my client has not faxed over the EOBs showing payments received.
I only have record of cigna and blue cross payments received.  which total $136.75.
( Would I be able to charge her a flat fee since July when I first started doing all electronic billing for her?)
being that florida has the split fee law I think she doesn't want to pay me a percentage of the amount collected,   ( I billed her in Sept. for the percentage of the amount collected and she didn't send me a check ( I didn't even get a call reg. not paying it. )

I don't want to lose money, cause I've really been working hard for her.


thanks for all your help

carnilent

MBP

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Re: Help!
« Reply #29 on: October 14, 2009, 10:07:50 AM »
So you were only sending claims out, you were not applying payments? you were getting % of what she was making but she never told you how much that was right? i wish you luck tomorrow, hope your contract is bullet proof and she will pay you!!