I wont add to this I wont take away from it, I am going to explain it EXACTLY how it is,
I taught a friend how to do medical billing to the best of my ability. Later on she lands a job at a company that is like 2 companies in one. The husband owned the investigation side for pre employment background . The wife owned the clinics already where they do pre employment and DEPT OF TRANSPORTATION DRUG TESTING, So they combined their business when they got married. When covid hit the wife decided to do covid vaccines, She had never billed insurance before. Fast forward my friend gets a job there in October, Over hears wife talking about all claims have been denied for over a year,
Friend opens mouth and says I can help with that, Never asking for a dime, Doing it on her own time, Now with in 2 months claims denied have had payment decision reversed for a total deposit of 30, 721.85.
She did tell my friend thank you in an email and asked her how she did it, Told her she will give her a percentage but then withheld money from her paycheck, What is a fair % ? TO me 30 grand in 2 months proves she is doing something right compared to every claim before was denied, And for petty reason like no NPI on file NO TIN so what would be a fair % to you guys if that were you
100% truth, It took her hours upon hours she had to redo each claim open projects with United health finally all was completed those payments were made to the owner, Then my friend got mercy care to pay, after a years worth of rejected claims, Keep in mind this is not her day job . Now she needed surgery on her jaw took 2 days off she is contract not hourly.
You guys as providers if this were you would you have docked her those 2 days she already gets paid the lowest of any in her area with same job title,I just want to hear other providers how would you handle if someone got 30 grand paid to you, would you withhold 300 from their check? I want my friend to see others opinions, Not all providers are the same .