Starting a Medical Billing Business > Starting Your Own Medical Billing Business
Fees
PMRNC:
In our subscriber area we have several resources on this subject along with case summaries and legal verbiage. The states that are clear are NY & Florida, and some states it's prohibited to bill a % for Medicaid. Illinois was one of the states with a prohibition but it was recently overturned.
dfranklin:
I am very interested in charging a flat monthly fee going forward. Does anyone have a sample agreement they could send me so I can see how to word it for a flat monthly fee? Particularly one that has a sliding scale option in the agreement?
I would greatly appreciate it!
;D
Thanks!
Pay_My_Claims:
--- Quote from: dfranklin on November 15, 2009, 10:03:15 AM ---I am very interested in charging a flat monthly fee going forward. Does anyone have a sample agreement they could send me so I can see how to word it for a flat monthly fee? Particularly one that has a sliding scale option in the agreement?
I would greatly appreciate it!
;D
Thanks!
--- End quote ---
who did your original contract??? The problem with others showing you their contract is, maybe like me, they may have paid a lawyer do one for them and someone gets a copy of it for free. There are plenty of "sample" contracts online. A contract is simply what you want to say put in legal terms.
dfranklin:
I understand, They don't even have to give me the whole contract...just the wording they used for the flat monthly part. I actually paid $20k to be part of a group that provided me with contracts etc that were professionally prepared but none had "monthly fee" in there only per fee and percentage. So I did pay a lot of money for what I have but would love to see how I can modify my current contracts that I already have to include the flat monthly since this is a new and growing way to charge the providers.
PMRNC:
All your doing is replacing under "payment' within your contract the % with the flat fee. Depending on how you have this setup you might revise the "terms" section as well:
for example:
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In consideration for the services rendered by BILLING CENTER, CLIENT agrees to pay the BILLING CENTER the following fees:
All Setup fees are non-refundable and required prior to the commencement of services performed, including the setting up of CLIENT’s accounts. The standard Setup fee includes setting up CLIENT and practice into BILLING CENTER’s database and with clearinghouse.
The standard Setup fee is $<<Insert Amount>> plus an additional $<<insert Amount>> per patient for setup in BILLING CENTER’s database. The $<<Insert Amount>> per patient fee is for each and every new patient that must be entered into BILLING CENTER’s database on an ongoing basis.
Fees for services rendered, as outlined within this Agreement, are invoiced at a flat rate of <<Insert Amount>> monthly.
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Another thing you can do is simply attach a separate fee schedule as an exhibit with all charges, and word your contract like this:
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Rate of Payment for Services. Client agrees to pay Billing Company for Services in accordance with the schedule contained in Exhibit B attached hereto and executed by both Client and Billing Company.
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