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

% billing

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QueenAlicia:
For those that charge percent do you charge your percent on it based upon what they bill or what they collect?

Michele:
When we used % it was on what was collected, but that was the problem.  Not all is collected but the work is still being done.

PMRNC:
You can do either, the bigger question is how your contract is worded. An entire contract can change meanings with a word or two.  Typically you would charge % of ALL revenue.

I agree with Michele, this model is dead in the water, you never receive fair compensation for the work involved. The only one benefiting from the arrangement is the provider. Further if you are in a state that prohibits this, the provider faces sanctions and your contract is Null / Void.   

QueenAlicia:
I want to do this for everything but the copay.  I don't like percent billing but I am finding them some (such as mental health) may need it if they don't see many patients.  I do agree that you are not getting paid for your time and new billers and providers need to understand this.  It's not about pushing the claims and quantity but it's about the follow up and time.

TammyL:
I just read this post regarding % billing and after reading I'm wondering if I need to redo my contract I have always charged a percent on what's collected but never put into considerations on the ones that I bill and may never get paid on especially like deductibles, ins terminated or pre-exisiting cause not all patients respond to there statements let alone pay the bill. But my concern is will a doctor even agree to paying a percent on what's billed and not collected. To them they may feel they paying more on work that hasn't been done yet.

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