Starting a Medical Billing Business > Starting Your Own Medical Billing Business
starting a medical billing business
kwardbilling:
Michele..I noticed in one of your replies you stated that you have seen fees for claims from $1.50-$5.00, is this just for the claim submission? Just wondering as my service includes authorization/eligibility call, payment tracking, bi-monthly for insurance claims monthly for patient statements, and up to 4 re-submissions for rejected claims. I have a flat rate for startup fee and then charge $6 per session....I've been tracking my payments and it seems to come out pretty even to approx. 7-8% of payments collected. Any thoughts?
Karen
Michele:
That sounds good Karen. When we charge a per claim fee, it usually is for no other services. If we have to include any additional to just claim filing, the fee goes up.
Michele
Michele:
DME
In the post right before yours, Steve said his brother is losing his home for not following the laws of his state. It is crucial that you find out what the laws are for your city/state.
Michele
wharta:
How can we find that out, can we not charge on a % basis for all clients? If we work in Indiana and have clients in Virginia, Texas and California, do we have to have different basis for all states?
Michele:
Many states have fee splitting laws so charging a % may be violating those laws. You need to know whether the provider is in a state with a a fee splitting law then you shouldn't charge a percentage. You don't have to have a different basis for all states, but you shouldn't charge a % in the states with fee splitting laws.
Michele
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