Starting a Medical Billing Business > Starting Your Own Medical Billing Business
How to approach the office manager
Michele:
--- Quote from: Bill the Biller on April 09, 2019, 03:04:13 PM ---He is primarily interested in the billing itself and not in the EHR or similar practice management services that I offer. and I offered to start at 4.5% of the gross collected amount. Now I know this is low, especially that he is only seeing patients 4 hours of the day. Here I need advice what to write in the contract. Should I do a short contract of 6 months or so and then go up slightly with the fee if necessary?
--- End quote ---
Hopefully you are not in a fee splitting state. 4.5% is definitely low but we started out low to get our foot in the door when we first started out. Definitely do a shorter term contract so that you can raise.
--- Quote from: Bill the Biller on April 09, 2019, 03:04:13 PM ---He also wants me to enter about 2000 patients in the system (btw is 2000 patients a large base or a small base?) to which I said I will make a one time $500 - $750 charge depending on how time consuming it ends up being.
--- End quote ---
2000 is a lot of patients. In a good PMS that you are familiar with you can enter about a patient a minute (that's a fast pace to keep up) so it will take over 30 hours.
--- Quote from: Bill the Biller on April 09, 2019, 03:04:13 PM ---Then, I explained to him how we will send each other information. And here I wasn't sure, does the doctor need to provide me with the diagnosis and procedure code? I know I can look it up and suggest better codes if necessary, but usually who initiates the coding info, doctor or billco?
--- End quote ---
Provider absolutely must provider CPT & ICD codes. Unless you are a certified coder with access to the patient chart you can't possibly code. Also, be careful not to get into a position where the provider is expecting you to alter his coding to maximize his reimbursement, that could be fraudulent. The claims should be coded to represent the services performed. It is illegal to change coding to increase reimbursement. Sometimes providers expect billers to do things like that. It is ok to notice a possible mistake and go back to the provider to ask if they need to correct something. But not ok to simply change.
--- Quote from: Bill the Biller on April 09, 2019, 03:04:13 PM ---Also I left after we agreed that he'll follow up, he took my info and all notes that we've gone over.
--- End quote ---
I would follow up in a week if you don't hear from him.
--- Quote from: Bill the Biller on April 09, 2019, 03:04:13 PM ---I think I made some mistakes like not asking him his patient volume, not making a clear follow up plan before I left, etc, or rather let's call it some things could have been done better. I would really appreciate if any or all of you can tell me a. what mistakes I've made to correct for the future with him and with others. b. how to proceed on following up and on closing the deal.
Thanks a Bill ;)
--- End quote ---
The best way to learn is thru mistakes. Just make sure you remember them the next time. They weren't deal breaking mistakes so you should be fine.
PMRNC:
Agree with everything Michele said, especially 4% being too low. I'm not a fan at all of % based billing as every billing company loses money (time=money) on the deal.
Thoughts on the entering of the patients..check to see if the PM system you will be using has a conversion, find out and if so how much and pass cost on to the provider. Of course if they had no PM system then I think that setup fee is very low also.
We do learn from mistakes like Michele said. ;)
mainiaDup:
1 Phenylalanine mustard L PAM in the management of primary breast cancer a report of early findings <a href=https://priligy.me/>dapoxetina generico</a>
unorgobug:
<a href=http://doxycycline.world/>buy doxycycline</a> Tet2, Tet2 fl fl and Tet3 fl fl mice have been described previously 12, 17
royagma:
050 Search in Google Scholar PubMed <a href=http://lasix.autos/>lasix med</a>
Navigation
[0] Message Index
[#] Next page
[*] Previous page
Go to full version