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Home Health

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mbloom:
What is an ideal percentage to charge a home health agency that bills Medicare primarily?

Michele:
There really is no way to answer that question.  First, even though % billing seems to be the most common method, it really isn't the most ideal method for charging.  Some states % billing is illegal.  I don't know if you are in one of those states. 

Having said that, your fee will depend on what services you are providing.  Are you insurance billing only?  Patient billing?  Filing secondaries? 

The national averages for % billing are from 5% (low in my opinion) to 13% (high in my opinion).

Hope that is helpful.

Sriram_Sub:
Hi Michele,

I would like to gain some idea about the list of States where % billing is illegal. Please share if you have one. Thanks.

Michele:
I am only 100% sure about NY & FL.  I know there are others, but not sure which ones.

Michele

Sriram_Sub:
Thanks Michele!

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