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Feedback on New Contract E-Book

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Pay_My_Claims:
huh?? the post asked about collecting on the money received in the office, so you are CONTRADICTING the post. You are not sending out a statement or tracking payment on something that has already been paid up front. I might agree with you on the work that you do in order to get money that you send out in statements for the provider. I PERSONALLY don't do % based billing because of that. When you think about it, I post an EOB (client gets hers in mail at same time). The EOB applies everything to the deductible. The client sends in the payment. I do statements once a month. Client has ALREADY paid the provider because she got her EOB. She gets my statement since provider has not notified me of the payment yet. He tells me patient paid a week ago.....do I get a % of that money???  Regardless of how I do my client billing, I INCLUDE everything in the flat fee. This is why a cost analysis is done of a practice before you quote a % or a flat fee. You have to include your time, efforts, and supplies into the cost. I PERSONALLY feel trying to get money from something that was done in an office is "nickle & diming" someone. Anyone can disagree, but its not what I promote. Getting paid for your time is. I get my fee regardless of how many copays are collected and or not. While others are out there sending statements for a 10 copay hoping to get 50 cent off of thier 5% commision, I have gotten my flat fee money up front!! This is how I get providers. I tell them my fee is all inclusive and other companies will do that "nickel & dime" you for everything you do. As an in-house biller you get paid for sending out statements included in your hourly pay.......being a provider I would think hum..... pay them 8% on the money they get in for me, and then money that WE collect in the office.....forget it, we will send our own statements....Thats my method of getting providers away from % based billers .......

off my box

medauthor:

--- Quote ---So you don't post, track, report and send patient statements? If so I would tend to agree with you. For those that are billing on a percentage, and tracking, reporting and sending patient statements I think it's bad advice to tell bilers not to charge for these!  NOW if you have a provider who is 100% perfect on collecting copayments and coinsurance (OOP) up front..KUDOS to you and again I would agree I would cut provider a break also.  Billers charging on a percentage are POSTING, TRACKING, REPORTING and sending patient statements .. bottom line if they don't bill the provider for those, they ARE losing money. PERIOD.that's a fact, not an opinion.
--- End quote ---

Linda,

Did you read what I wrote?  I stated TWICE that I was talking about co-payments that are collected at the time of service!  I said I DO collect a % on those in which I send patient statements.  So, what bad advice are you speaking of?

Alice Scott:
Linda,
Thank you for your kind assessment of our book.  We appreciate your support.
Alice

Pay_My_Claims:
As I didn't purchase the contracts book, I can't state one way or the other how it was. I wish you much success on it though. Currently it isn't a book that I'm interested in buying i am assuming it is more geared towards newbies. If not I'm ok with my contract writing abilities. Also as most know the PMBA does operate as an affiliate for your books so I'm sure its as good as the others posted up there. I did offer up my comments to Michelle's post, so I am assuming again, there is something in the book regarding collecting a % off of copays. I give you credit for asking for feedback on the book, because it is a hard thing to give as well as receive. Michelle allowed me a while back to see some of the reviews on her book (she is helping me with the ones that I am writting), and OMG they remarks were on opposite ends of the spectrum. There was one lady that showered her with praise and only used her book to teach, while another one was very critical. The issue isn't how well the book is written, but the use of the book for the purposes that THEY need it for. I can read your book, any of them and give it poor reviews simply because they may not be a benefit to me at my level of billing, but someone else in the forum could love it because it was good for them. When I finish my books, I know the hardest part for me will be the critiques of it, but in order to put out quality work and give my best I have to do it. The people that care the most will probably be your worst critiques.

jcbilling:
OK - I'm going to chime in here...I have a billing service that still charges based on a % and I DO charge my clients for the copays that are collected at the time of service.

Here's the reason, in the daily batch of superbills that are sent to us they include their daily payment log so that we can make sure all copays were applied to the patient's visit. Our policy is that any money that we post to a patient's account we get paid on. So far, I've never had a client refuse to accept those terms - they understand the importance of keeping the patient's account accurate and that is part of it.

To comment on the deductible side - even if the patient pays for the deductible at the time of the visit, the claim still needs to be filed and tracked with the insurance company - so we get compensated for the work tha is involved there.

Just my two cents...

~ Charity

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