Author Topic: New Business - Pricing Questions...  (Read 4645 times)

Michele

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Re: New Business - Pricing Questions...
« Reply #15 on: December 16, 2011, 08:26:36 AM »
That is really up to you.  It must be spelled out in your contract.  You need to decide how and on what you will be paid.  Most services that charge a % (which I am not recommending) charge it on what is paid.  If you are charging a per claim, it is on what you send out.  And if you charge a flat fee you would base it on all the work you do.
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chrisbran

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Re: New Business - Pricing Questions...
« Reply #16 on: December 30, 2011, 09:58:30 AM »
Thank you for your reply Michele, it was very helpful! Since this post I have purchased and read your book on pricing and it was extremely helpful!

Michele

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Re: New Business - Pricing Questions...
« Reply #17 on: January 01, 2012, 01:43:26 PM »
Glad to hear, that's what we wrote it for!   ;)
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chrisbran

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Re: New Business - Pricing Questions...
« Reply #18 on: February 23, 2012, 10:54:34 AM »
I have more questions now. I thought I had everything set but my boss (owner) of the company wants things a bit different so now the pricing seems to be a bit confusing. I was trying to come up with fees that were flat rate but being that she is in collections she wants to use % rates, which is fine in our state. When I took training with my software company, the lady told me if I use percentage that rates should be different for surgeons as they make more money and should be charged less. I have also been told to make sure I get paid for copays if I am doing A/R because I need to input it in my software and track it. We do not have a set client yet but we do have clients from our collections side that keep asking us when we will be ready. They are all different specialties, which is fine but I don't want pricing to be confusing. This is what I have so far which I think needs to be amended.

One-time Non-refundable setup fee of $500-$1000 (time, services, setup)
PACís (Past Age Claims) 90 days or older= 12%
For non-surgeons :
6% of each claims processed
3% of each co-pay:
Patient statements: 3% of each statement

Surgeons
One-time Non-refundable setup fee of $500-$1000 (time, services, setup)
PACís (Past Age Claims) 90 days or older= 12%
4% of each claim processed
2% of each co-pay
Patient Statements: 2% of each statement


Thoughts?
Thanks!

PMRNC

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Re: New Business - Pricing Questions...
« Reply #19 on: February 23, 2012, 04:32:51 PM »
Quote
Sorry, just starting out as well...so we get paid % or flat rate fee depending on the claims we send out, right? Or is it on what claims actually get paid?

The latest consensus is that this model of pricing is phasing out, billing companies using this model are not being reimbursed for all their efforts/time.  BUT if you are going to do it, then what you base it on depends on what you put in your contract. Your contract should be VERY detailed and specific. Some billers using that model charge based on % collected and others based in on just % of collections collected from insurance carriers. Again, you want to make sure your contract is VERY clear.
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