Billing > Billing

What to charge?

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DavidZ:
What do you usually charge a client to do a Follow-up on unpaid insurance claims?

PMRNC:
If you are billing based on a percentage of collections, this would be included because it goes with FPM.
If you are billing by claim, then again your claim costs should be calculated into your per claim fee.
If you are billing on flat rate or hourly rate.. same apply's

The only time you would charge (IMO) would be if you were billing on a "PER" service fee..

And as always, consult your contract.

DavidZ:
This was just a question from a provider that is not on a contract with us yet, to see what would the cost be.

Pay_My_Claims:

--- Quote from: DavidZ on September 23, 2009, 01:52:03 PM ---This was just a question from a provider that is not on a contract with us yet, to see what would the cost be.

--- End quote ---
it would all depend on what he is expecting. The closest I do to this is cash recovery, and I base this upon the outstanding AR, the age of the claims, and the type of payor and services rendered. I charge a FLAT fee and offer no guarantee of payment. This is a very time consuming task, and documentation is key for me. I give constant updates on claims. When all claims are finalized, paid, or all appeals exhausted, they get the final report.

cquinn:
I have a meeting with a potential client tomorrow.  He is a general surgeon.  I am in Florida and have been informed that I cannot bill by percentage, as it is considered fee-slipping.  I am a little confused on how or what I should charge this type of physician.  I have spoken to a dr (chiro) friend of mine and they are telling me that since I am not collecting the insurance checks, I should be able to charge the % rate and it is not considered fee-splitting, I am just charging my fees. 

Can anyone let me know if how the insurnace checks come in actually make a difference in how "fee-splitting" is determined?  Also, would appreciate any input from people who bill general surgeons on what they charge.

thansk.

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