Starting a Medical Billing Business > Starting Your Own Medical Billing Business

Fees and Reimbursements

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Pay_My_Claims:

--- Quote from: billingfromhome428 on February 10, 2009, 03:31:50 PM ---I have had a potential chiropractic client ask for a tier percentage plan.  Basically start charging him 8% and then in 6 months if his receiveables have increased by "x" then his percentage would decrease by "y".  I have never worked with this before and I am not sure what the variables should be.  I was thinking like if the average monthly was 5k and in 6 months his has increased to 10K reducing the percentage to 7.5%.  Does that sound fair?  I apperciate any and all input.

Thanks!
Cara

--- End quote ---

That sounds a little backwards to me. I think that you would want to start him lower and then increase the % rate. My scenario...new biller, physician is leery, I offer him a discounted rate of 5% then after 3 months if his revenue has increased and his AR decreased I go to 6% if it rises after 3 more months we go to the top charge of 7%. Why should you get less if you bring him in more money???

Michele:
If 8% is your normal fee then I wouldn't go down if the receivables go up, especially for a chiropractic account.  I would only consider going down if it were a higher end provider, surgery, etc, where you are getting higher reimbursements per claim. 

Pay_My_Claims has a good point.  If you are the reason the receivables are increasing then you definitely shouldn't take a cut after doing a good job.

If you really don't have a choice then I think the 7.5% is fair, but make sure you're not cutting your own throat.

Michele

cquinn:
I was under the impression % was not legal for billing purposes.  Can you help clarify.  Iam in Florida and have a potential psychotherapist client.

thanks.

Pay_My_Claims:
Uggh Florida, and yes I think you are correct that you can't bill percentage wise in Fla.

cquinn:
What is a reasonable fee per claim to charge for psychotherapy?

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