Starting a Medical Billing Business > Starting Your Own Medical Billing Business
Fees and Reimbursements
Michele:
When I say, "take into consideration the area the provider is in" I mean a couple different things. For example, NYC vs Smalltown USA. All things in NYC tend to be more expensive, where small towns tend to be less expensive. I'm not saying you should charge NYC providers more straight across the board, or small town providers less. Just that you do need to take into consideration the geographical location. Sometimes it won't matter, sometimes it will. There are a lot of other things to consider as well, like services provided, specialty, volume of claims, etc.
Hope that helps! Nothing is black and white anymore!
Michele
MMBS1:
Hi Michele
Yes that helps. It makes perfect sense. I guess my brain was on overload from the information I've learned in the past 2 weeks. Thanks!
Ashley
heritagemedicalbilling:
Michele
Does the 6-9% include any coding or straight billing?
Diane
Michele:
We do some simple coding occasionally when billing and we just charge our regular fees. But if it gets to be where we are actually coding all claims, then we may need to negotiate a higher fee with the provider.
Michele
billingfromhome428:
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
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