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KLA:
Charlene -

I have posted ads on craigslist to hire sales people and they are nuts! - Well thats if I can even get them to answer the phone for an interview but I have to say, I have had 3 good one come out of it and they are my best employees!  I am curious how you go about your marketing online.  I have a website and an ebrochure - arent the office managers just getting the emails and deleting them?  I give you praise with the patient you have and think that everyones post especially yours are great and informing.  May I ask if you bill flat fee or % and what you feel the pros and cons are of both?  Thanks so much!

Pay_My_Claims:
KLA
i don't post my company on Craigs List. It does open the door for spam. Even when I apply to some of the ads online, I run into the "crazies" but we take the good with the bad. If I was seeking to hire help, which may come very soon, I would probably look for someone in my association. It is what I believe is one of the benefits to joining...networking and growth. As far as how I bill, I have since I started in 2009 ONLY BILLED FLAT FEE. The obvious advantage to % billing is the more you bring in, the more you make, but its also that same theory that brings the disadvantage. Every beginning of the year you deal with the Medicare deductibles not being met, private insurance deductibles starting again. So although you are putting in the work and billing the claims out correctly, the balance drops to the deductibles and its a zero pay claim. You have to hope the patient pays, and for some practices if the money is collected in the office it does not count towards the billers fee.

KLA:
Charlene,

Thank you so much.  I think I want to transition over to the flat fee just so I dont runinto a legal issue.  I am just a bit stumped on how to figure out the flat fee.  Maybe a formula???  As far as the salespeople.  They were all Pharma sale so they know how to deal with the delicate doctors staff.  It really has done well.  I have focused my PM business of Pain Management - it seems that is my strong suit.  A pain in the butt, but my strong suit.  Do you have a niche?  I have run into a few mental health but I dont know enough about it yet to want to take them.  I am going to take some refresher courses soon.  Stay well and as always, thanks for all your info!!

Pay_My_Claims:
DME is my biggest niche, but also facility billing for substance abuse, PCS services, Mental health (for community support, respite care etc)
I have other specialties, but DME is my fav.

KLA:
DME is a moster in of itself.  That's awsome that you have that niche because billing companies are tough to find that are good.  I mean real good.  There is a big company in NJ called Arcadian Healthcare that I did billing for - I don't know how your office is set up but they are always looking for a good company.  I did their billing when they had it in house.  I got pregnant with my son and left.  I wonder if you sent them an ebrochure what would hapen.  They do O2/Resp.  is your office set up for that type of long communication?  I do it with my NJ/NY clients.  It is a challenge but well worth it.  I just am not as passionate about DME as you!  I have the whole Pain Management thing going with orthapedic spinal surgery!  Say that ten time fast!

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