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

Medical Biller Fees

(1/2) > >>

Asher:
I have been billing from home for a therapist for 2 years. I have taken medical billing, terminology, etc. classes to improve my knowledge of coding/billing. This has led to more therapists looking for a biller. I am not sure what fee I should be charging. I work part time for 1 provider. Really need help in sorting out the cost to the new therapist. I appreciate your knowledge in the field and hope this subject is ok to inquire on. I do not have certification.

Thank you.

Pay_My_Claims:
Asher, you don't need certification, thats just a personal preference. As far as what to charge, there is no set fee in that area either. You can charge per claim, percentage or a flat fee. You have to figure out what your time is worth, plus your experience. This is how we determine our fee schedules.

PMRNC:
I agree with Charlene but also want to clarify that those methods of charging are based on an individual business structure. You mention you work part time for a therapist, if you will take on others you will have better luck in creating a business model rather than as an "employee". That will involve business setup and you will want individual contracts per client.

blhoffman:
How do you know what to charge, seems to be what is most asked and is at the forefront of my mind also.

I understand taking into consideration the amount of claims you will be billing, the time to load the information and what your time is worth working the account. I guess this is what I need to know.

How do you come to that figure? Example -  never billed for a Chiro provider and you get them as a new client. First client, have no idea how much time it will take to load their info. in your system. Don't know how many claims or how long it will take to bill said claims, yet.

How do you figure the amount out and give a fee to the provider to sign off on a contract, if you have no idea how much time and how many claims you will actually be doing. How do you come up with the first client fee to agree upon?

Pay_My_Claims:
I ask for their current AR, to do a cost analysis, plus I have a provider form that I send to potential clients. Its just basic information (how many locations, physicians, visits per week, etc) Also even if you have billed for other chiro's, each practice is different as well. One thing I would do starting out is staying true to my own specialty. No biller can bill for every specialty. There are things that occur in each one that can throw you for a loop. I started billing for a lady that was 4 months behind. She hired previous "contract" billers before. She is mental health, but not in the sense most think of. Her billing was horrible. It takes so much out of you to correct what others have done. This messes it up for every other great biller who is looking to obtain a client.

Navigation

[0] Message Index

[#] Next page