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charging a %

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PMRNC:

--- Quote ---I agree about what the industry is stuck on, but it doesn't negate what I've experienced, which is how I was answering her question. Some doctors in NY just don't want to work with any other pricing structure. And my response to the original OP is so she doesn't think this is odd (the pushback I mean), because I don't think it is, well not based on my experience and what I hear from fellow billers in my area.
--- End quote ---

Of course I can't dispute what you have run into, but like I said, I think it's the way we are educating our providers that is the key. I think doctors like all other humans just simply think something they know is the way to go (hey that rhymes) and they like many others have  resistance to change.   Perhaps it is the WAY the other billing model is being presented. When I present my flat fee, and the sliding scale, and a provider gets to sleep on it, they quickly realize this is a better deal. I do NOT think providers are thinking the way those billers are marketing .."Yeah.. they don't get paid unless they get me my money". I don't think I could insult physicians intelligence that way, whether they are businessmen or not. They usually can't argue with the information I give them in common sense terms. What if their accountant charged them on a percentage? Yikes.. but hey on a good note, they won't get paid till he gets paid?    MANY times my flat fee comes very close to an average percentage just by happen anyway. And also once they realize if they are not satisfied they get an out.  THAT is my incentive.   

A while back I sent out a newsletter to both current clients and to my marketing database of various providers. In that newsletter I addressed the fee-splitting laws. I included a comment from my attorney, reference to 2 case precedences, and a direct quote from a lady from the NY State Education Department, office of the professions, directly related to the NYS and we cited a quick reference to a couple of case precedences. Incidentally ONE of the cases was a radiologist who contracted with his OWN son based on a percentage of collections to which he charged his father a percentage of collections.  Anyway, the article definitely spiked interest as I remember getting calls for MONTHS about it. The calls were all a bit different. Some wanted to know more and some even wanted proof even though I provided all legal citing s, references and even case precedences. My own attorney got a plug out of it and would you know he only got 2 calls to my MANY?  That told me a LOT about my market at the time. I did not do it to "grab clients" though that ended up happening anyway.  So it was worth the time I put into it. I've been researching this topic for YEARS and I learn more and more about it. Those who continue to do it because "everyone else is" could end up in another newsletter somewhere I guess.   I've decided to do another one of these on a different topic hoping for same results <g>

Bottom line, you may encounter some physicians resistant to change, take the time to educate them and give them something to back it up and show your concern for their well-being. MAYBE they won't hire you right there, but give them enough to remember you for the future. :)

Billergirlnyc:
I think essentially we're saying the same thing. I've said in tons of topics on this forum that educating a potential client is the best move anyone can ever make, but there will still be doctors who are resistant even when you educate them. I doubt anyone on here is in the business of trying to lose business. I'm more than sure that folks are doing their very best to perfect their pitch. Mines is damn good but it isn't foolproof especially on those who are hellbent on believing in the myth of "we don't get paid until you get paid" pitch.

To Richard P, it's not a big deal you don't have to remove your comments, but I edited my comments because I wanted to come back with a link to the article when I got one, as it's a very interesting court case -- one I'll be watching closely.

PMRNC:
NY has the most interesting cases of all states I researched. Florida runs a close second. There are quite a few cases of just fee-splitting but the ones I have found to prove my point best are the ones where there were billing companies involved in the fee-splitting arrangement.


--- Quote ---I think essentially we're saying the same thing. I've said in tons of topics on this forum that educating a potential client is the best move anyone can ever make, but there will still be doctors who are resistant even when you educate them. I doubt anyone on here is in the business of trying to lose business. I'm more than sure that folks are doing their very best to perfect their pitch. Mines is damn good but it isn't foolproof especially on those who are hellbent on believing in the myth of "we don't get paid until you get paid" pitch.
--- End quote ---

I agree. Though it is hard to educate when some have already made up their minds.. because "Everyone is doing it"  ::) ??? :-\

RichardP:
Billergirlnyc said: ... you don't have to remove your comments ...

OK.

Billergirlnyc:

--- Quote from: PMRNC on February 11, 2013, 06:41:42 PM ---NY has the most interesting cases of all states I researched. Florida runs a close second. There are quite a few cases of just fee-splitting but the ones I have found to prove my point best are the ones where there were billing companies involved in the fee-splitting arrangement.
--- End quote ---

Yep. The case I was mentioning was in a trade newsletter for Physicians that one of my clients sent over to me. A NY doctor is suing the Dept of Ed over the wording in their statue about fee splitting. He's actually fighting that medical billers/coders shouldn't be a part of it. I thought it was interesting because here was a doctor who wasn't under any kind of investigation who was challenging the statue. He's hoping that it will be changed like the it was in Illinois ----> http://www.mcdonaldhopkins.com/news.aspx?id=dhm8QN3p4E-cNV1SJUT8KA. He wants special provisions made for medical billing companies and coding companies. That's the gist of the article. As soon as I find a link where anyone can read it, I'll post it.


--- Quote ---I think essentially we're saying the same thing. I've said in tons of topics on this forum that educating a potential client is the best move anyone can ever make, but there will still be doctors who are resistant even when you educate them. I doubt anyone on here is in the business of trying to lose business. I'm more than sure that folks are doing their very best to perfect their pitch. Mines is damn good but it isn't foolproof especially on those who are hellbent on believing in the myth of "we don't get paid until you get paid" pitch.
--- End quote ---


--- Quote ---I agree. Though it is hard to educate when some have already made up their minds.. because "Everyone is doing it"  ::) ??? :-\

--- End quote ---

LOL, so true. So very true!  ;D

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