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How much to charge

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noahdog17:
Starting a new home based billing biz, but i cant seem to find the going rate for the Orlando/Tampa area. I have a friend who charges by the hour. I would like to charge by the percent. Is there anyone out there that can lead me in the right direction.

PMRNC:
In Florida, healthcare providers are prohibited from entering into a fee-splitting arrangement.. yes yes I know "But everyone else is doing it" But yes it is illegal for the PROVIDER to enter into any type of fee-splitting arrangement.

There are many ways to charge for your services, mainly you don't want to create a "shop n stop" type of style. Instead it's more professional and more efficient to base your charges on each individual client. Since each client will be different, so will the work, the amount of work, and the time involved on each account. There's hourly, monthly flat fees, with/without sliding scales, etc.

noahdog17:
So I guess per claim is considered fee splitting also.  :(

Michele:
No per claim is not fee splitting.  That is a set fee for a form, not dependent on the prices for the services, or the amount received by the insurance carrier.

Michele

Steve Verno CMBS, CEMCS:
A provider in the Orlando area paid his billing company, $10 per claim.

The same provider paid me 35% andof what I collected. on the AR work and $200 per hour for the non A work.  This is not typical. This was special.   He fired his billing company because they stopped everything once they sent the claim.  There was no follow up by the billing company. So, tons of money sat rotting.  He had almost $3,000,000 in outstanding revenue.  He did sue the billing company and won. 

I wasnt doing his billing. He hired a full time staff member whom I trained.  I was there to do contract negotiations, AR clean up, provider enrollment and appeals.  Most of the claims I worked were very old where some would condider as uncollectable.  But, the original claim was sent.  SO, to me, there was hope.  If this violated the fee splitting law, I dont know, I'm not a lawyer.  It took me 3 years to clean it all up.  When it was done, he sold his practice. 

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