Starting a Medical Billing Business > Starting Your Own Medical Billing Business
BILLING FEES
melissa_2004:
I agree. I bill for a therapist and charge per claim. Each claim can have up to 6 different dates of service on it for that patient and be counted as 1 claim.
medauthor:
FLAT FEE will solve all of this!! ;)
QueenAlicia:
Michele,
How would you determine the flat fee?
Anand:
--- Quote from: QueenAlicia on November 22, 2010, 05:07:11 PM ---Michele,
How would you determine the flat fee?
--- End quote ---
With flat fee pricing the medical billing company charges a fixed dollar rate for each claim submitted regardless of the size of the claim.
Similar to percentage based agreements flat fee per claim pricing can vary significantly depending on the volume of claims and the extent of services provided. In its most basic form a fee per claim medical billing service might provide only claim generation and submission services for as little as a dollar or two per claim. In this case it would be the practice’s responsibility to follow up on claims. Of course flat fee per claim pricing can also include other services such as follow up with carriers patient invoicing etc. With these additional services practices might expect costs to increase to $4 $5 or even $7 per claim or more.
- Anand
Michele:
Actually another way is a flat monthly fee. So if a provider sees 100 patients a month and the average claim is $500 (based on an inpatient claim for multiple visits) and you anticipate it taking you approximately 30 hours a month then you may want your flat monthly fee to be $3000 per month with a limit on the number of claims/patients. If they exceed the limit the fee goes up. There are other factors to consider as well, I'm just trying to present an idea of what goes into calculating monthly fees. The specialty will make a difference. You need to consider how involved the claims may be in terms of follow up/appeals, etc.
Michele
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