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

Let Go

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TammyL:
To Linda they did not want me to do any cleanup on any of the billing I did and there was not set-up fee because I was going remote billing into there computer.

And to billingandscanning yes you are definately right she was threatened by me for sure because I came in  and I did what was needed to be done to increase the doctor's revenue and cleaned up all the old A/R in the 2 moths I was with them

PMRNC:

--- Quote ---To Linda they did not want me to do any cleanup on any of the billing I did and there was not set-up fee because I was going remote billing into there computer.
--- End quote ---

That's why I think a better and more detailed "out clause" would have been to your benefit.  The setup fee doesn't really have anything to do with whether you are billing remote. I've never NOT charged a setup fee. The setup fee is for your time and it also serves as a great "security" fee to show the seriousness of a client when they begin. It is a standard norm that most providers expect to pay when they begin. Certainly you can discount it as an incentive for faster signing of your contract, but you might want to re-evaluate not charging any setup fee.

billingandscanning:
I going to review my "Out Clause" and see if there are changes that I need to make to secure myself. The sad thing is that if the Office Manager is telling that patient that they do not have time to follow up on a bill, the Provider is going to end up right back in the situation they were in before you came in to do the clean-up Tammy. How sad!

We can learn from our experiences and use that to make the necessary changes so it does not happen again. Thank you Tammy for sharing this experience with us.

Linda, do you charge a setup fee for all your clients? How do you determine how much to charge? Do you go by the size of the practice?

Brenda

Michele:
We had a similar experience.  It's very frustrating.  You do everything you can and actually turn things around.  In our case we doubled this office's income in one month!  No back billing, no extra visits, just billing correctly!  Not only that the OM was STEALING!  She's still there, we are not, they dropped 40% immediately upon letting us go.  There is nothing you can do with a situation like that.  It's a no win.  If it wasn't 11/15 it would have been 12/10 or 1/21.  And the idiots that pay her...........well I've already called them idiots.

Keep your head high, you did your job right.

PMRNC:

--- Quote ---Linda, do you charge a setup fee for all your clients? How do you determine how much to charge? Do you go by the size of the practice?
--- End quote ---
  I have always charged a setup of some amount from $100 to 2000 and yes the size of the practice is taken into account. When I have made my presentation or have spoken with a client that I'm confident enough to leave a contract with, I will tell them something like this: "My normal setup fee is $1000.00, however if you sign my contract by XX/XX  (usually give them 3-7 days) I will discount the setup to $700 (maybe even $500), it depends on my own instincts and again, the size of the practice, amount of work for setup, etc.

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