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Invoicing the client

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mbloom:
I do it because it has become the standard in the area I work in. I had one client that I convinced to let me bill a flat rate for. But the only reason it went over was because she was hospice and only kept a certain number of people on her census. The work didn't fluctuate.

Even the larger companies here bill by percentage. I think its because of the fluctuation that comes with certain providers. Truth be told, one month 6% may get me 1500, this moth it got me 2700. I would know how to find an in between in I wanted to. However, I do like the "idea" of regular guaranteed income........

Thats my scenario anyway...

PMRNC:
A flat fee can accommodate a practices fluctuation and growth for sure. I'm in NY so my clients cannot enter into a percentage based contract so that marketing angle is one of my best for the providers who are with other billing companies charging them a %.   The flat fee I use is based on an hourly rate (not disclosed, no need to) and my hourly rate accommodates so many claims per practice I can do in an hour (estimate/average) so when the practice grows, I spend more time and make more as any other business.   The percentage is only the standard because no one ever set out to "correct" the medical profession by pointing to OIG guidelines. There is no question that billing on a % is indeed sharing in the revenue's which does increase the incentives for fraud and abuse. Usually just explaining that to a provider says a lot. Of course another plus is that your getting paid for ALL of your work. Your getting paid to work and not have your income depend on their income.   There's only so many brochure's and websites you can see with the old and tired "We don't get paid till you get paid!" 

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