General Category > General Questions

Fee

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PMRNC:
Hey Michele, I wasn't implying you didn't, I didn't mean to give you that impression! I was just speaking in general terms because so many of us became accustomed to %. I'm including myself in there too.

Pay_My_Claims:
I didn't take it that way, but I must say that it is a matter of choice which way you decide to bill. There is no right or wrong in that. If I take a florida provider, can i bill by %? Do I want to have separate fee's for each provider I deal with. Each specialty has a difference. Some are high volume, but low charges. So in this case % billing would over-work you and get you less reimbursements than flat fee billing. Some are low claims, but high reimbursements, where % billing may bring you in more money. There are a lot of factors involved in deciding how to bill and how much. I decided to choose flat fee billing for a variety of reasons. It will give me a consistent expected monthly revenue. It eliminates the stress of worrying about client termination how much they owe me. It eliminates states with the fee splitting law, and for providers it will be a consistent payment. There are cases where you can replace 3 billers and % fee will still benefit the provider. What about specialty practices (cardiology, DME) where the claims are low, but reimbursement is high. Providers that only have 1 biller, but high reimbursements??  It is a whirlwind of decisions, and a choice that is eventually the decision of the owner.

Michele:
I agree with all of that.  The other methods make my income more consistent.  I think that most people that enter the field for the first time come in thinking that % is how you bill.  The post I was responding to seemed to be someone new to the field.  People are mislead, by so many out there that are doing it wrong, and teaching it wrong.  It is an uphill battle.

Michele

Pay_My_Claims:
Michelle you have said a mouthful!!  I have learned so much just by joining forums, reading and researching. When I first decided to become self-employed I had visions of "sugar plum fairies" in my head. Bam!! reality hit me hard. OMG all the different specialties, the different scenarios. Linda and her fee splitting warnings..LOL This has to be what I want to do, because I am still here. As a "newbie" (i still feel like one) we owe ourselves to help ourselves. These forums are to help you, but sometimes we use it as a crutch. When I see you, Linda, or steve post a question in the group, it makes me feel good. It lets me know that the learning process never ends, and I'm headed in the right direction.

Michele:
When you think you know it all it's time to retire!  JMO but there is always more to learn.  I'm thankful to the people sharing on this (and other) forums because I'm learning a lot.  And I love to see other peoples viewpoints and opinions.  I may not always agree  :) but I still love to see them, and sometimes (not too ofter) I may find out I was wrong!  LOL.

Michele

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