Starting a Medical Billing Business > Starting Your Own Medical Billing Business

Termination Agreement

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Pay_My_Claims:
I don't think my approach is "burning a bridge". How often do you find yourself having to research for a client? What information can you possibly have that would be needed by the provider? Its called planning to me. The basis of your business if financial. I am the keeper of the "AR"  Have in your termination agreement that any reprints of financial reports required shall be available at $xxx.oo per request. It will be enough for providers to maintain the documents that you provide. I am NOT against providing something for a provider, but I am not looking to hold a provider by the hand either. I'm basing my answer on what the posted stated. Her post reads as though you are "looking to continue doing some work". If you plan and prepare, you can have a termination be smooth and easy for both. During the time you are no longer billing, you and that provider should be doing a review on the information sent and establish if any additional information is required. Maybe I'm not getting it, but records for courts etc should be kept in the providers office. If a provider uses a billing service, those reports are crucial, and he should be maintaining them according to state and federal regulations.

PMRNC:
I have to disagree with you a little charlene .. we are 50% practice management and 50% educators.. like it or not.
Doctors went to school to practice medicine, we know practice management. If you think you will have clients you won't have to hold hands with you are dreaming (lovingly said).

Even us old timers have to be prepared for hand holding.. it goes with the territory, it's part of the job. And I have had a few clients I have had to terminate and you are right about things coming up, they always do. Though my contract protects me I'm well aware that leaving a sour taste in a clients mouth is not going to be good business. If I billed it I work it and I see it all the way through, if there is a problem later with those charges I billed It's still my responsibility (not just contractually, but ethically) to finish it. And yes there is always something a terminated client needs.  ::) :o

Pay_My_Claims:

--- Quote from: PMRNC on September 16, 2009, 08:54:08 PM ---I have to disagree with you a little charlene .. we are 50% practice management and 50% educators.. like it or not.
Doctors went to school to practice medicine, we know practice management. If you think you will have clients you won't have to hold hands with you are dreaming (lovingly said).

--- End quote ---

No, if they are my clients......yes I know I hold their hands..I do it now with the providers that I work with, I am only speaking of termination. I have seen and REFUSE to deal with what some of other billers have dealt with after termination. My entire point is and it is how I choose to conduct my business is that I will not be going back and forth months later trying to find paperwork for a provider. I have to keep up with 3 providers information, and I know others who have more. I believe at one time you were dealing with 9 or 13 on your own. I believe that termination of services is just that. I released you, you released me. I can not think of anything that a terminated provider would need that he would not already have. We advertise monthly reports and quarterly reports. He has the last full AR noting any outstanding balances that his new service will take over, or his new biller. 30 days notice should consist of the transitional time of moving his practice back to where he wants it to be. Check list of things he needs in order to do this or that. Every billing service should have a record keeping system (state and federally mandated) and adhere to that. Unless someone can tell me of something that I have that the provider doesn't want, and until I run into that situation, I can't believe you should or have to be doing work months later.

Termination: upon termination of services, all financial and pertinent reports shall be given to the provider for his records. Provider has 30 days after termination to request any additional or duplicate reports . After 30 days any additional reports shall be available to the provider at a fee of $xxx.00 per report. Any research shall be at a rate of $xxx.00 per hr payable at the time of service.

If you are going to do it for the provider to keep your bridges unburned, incorporate it in your contract. There is no difference in writting it down than it is 3 months later and you are trying to determine how to charge. Its like you said Linda, some contracts are only a few pages long. Preparation is the key. If it could happen, cover it. Again. I'm not saying be heartless and unprofessional, but I personally just feel termination is termination. I will make any of mines professional and do all I can to make things go well (which we know not all will). I'm not burning a bridge, I am building one somewhere else. Also on that note, you can leave amicably and still have unpleasant things said about you. I have a friend who terminated a client because she failed to pay her. She had her on a payment plan to catch up her past due amounts and would resume once she caught up. She was used as a reference and the potential provider was slammed with falsehoods from the other provider. Nothing in business is clean cut or guaranteed. That bridge was left in-tac and not burned, but she got royally screwed by someone she bent over backwards to help.

NYMBS:
I just terminated my first provider due to non-payment for 5 months (I was being too nice).  I gave him a 30 day notice and returned all of his charges and payments. 

Two months later, his attorney sent me a letter requesting a list of all the doctor charges.  They are accusing me of causing him lost revenue and threatened to sue me if I don't comply.  I sent the data on a CD immediately.

Now, the office manager is asking me for a list of the patients who had outstanding balance.

When should I stop responding?  How serious should I take the attorney's threat?  The provider still owes me a significant amount of money.

All suggestions are needed.  I'm really concerned.

Thank you.

Pay_My_Claims:
Have you retained an attorney??
Do you have E&O insurance

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