Starting a Medical Billing Business > Starting Your Own Medical Billing Business
Subcontractor
PMRNC:
I had a false interpretation of what an IC was too. It does make sense to me that the IC would set their fees, and yes I am also guessing there would be a contract as well as a HIPAA /HITECH BAA's. In terms of E&O.. again I am guessing here based on what I am learning as well about IC's it that they should be carrying THEIR own E/O. Also since they are IC's just like with Subcontractors you would need to inform your client and add a clause in your own contract with the client to disclose this fact. They in turn would also need your HIPAA BAA to include that information. I can't really say about the "Bonding" except to say that unless they will be handling the monies directly or acting as a collection service you wouldn't need them to be bonded.
With all that above, that was why I was wondering if it really is that advantageous to do this vs. hiring an employee?
Michele:
We hire employees, not sub contractors, but we have them sign a non compete clause. We learned the hard way - and I mean hard! Anyway could have been worse. But when we asked our employees to sign it (the existing ones when we decided to implement it) only one gave us a hard time. (Another gave a little of a struggle) The one said "I would never do that!" but wouldn't sign the form. Like Linda said, many times they aren't enforceable. But her not wanted to sign spoke VOLUMES to us. She is no longer employed here. :) When she left we looked at the other employee and said "do you want yours back?" She declined. There's that hind sight again!
Michele
medauthor:
Non-compete clauses by state:
--- Quote ---http://www.beckreedriden.com/wp-content/uploads/2010/12/Noncompetes-50-State-Survey-Chart-12-12-2010.pdf
--- End quote ---
midwifebiller:
Markland--Yes, a contractor can work in your office. My brother is an independent contractor who worked at Boeing for years. Microsoft also hires independent contractors who work in their offices (yes, I'm from Washington). As long as the rules are followed, it works.
Linda--I got very tired of the "time-clock mentality" of some of the workers in my previous business partnership. They felt as long as they were on the clock, they could reorganize their filing cabinet, re-label their folders, clean their desks for three hours, sit on hold for 45 minutes, etc., etc. When I left the partnership, I decided to do things a little differently. So far, everyone is happy to be on the billing end, with that layer of management (me) between them and the providers (we've got some real firecrackers for clients). They appreciate the tax write-offs and having the freedoms a contractor-status brings them. I have found contractors who are certified billers/coders and are self-employed bring more of a sense of pride in their work. I certainly am not doing nearly the baby-sitting that I was before! I do ask for a detailed time card with every invoice. This lets me see which providers are taking up the most time and where problems might be. For example, we had one midwife who would call her biller and take two hours of her time with claims questions. She would do this every week or so. I saw the pattern on the time card, and we nipped that in the bud. (We all work from our home offices.) Having contractors also makes payroll a lot easier. :-)
JYoung65--I do have my own "fee schedule" of what I'm willing to pay a contractor, based on her experience and training. If the contractor does not have her own price, I will make an offer. I also work with interns, but that's a whole different topic.
Markland Medical Billing:
Thanks! You guys ROCK!
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