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RichardP:

--- Quote from: cflorez on January 28, 2014, 07:49:37 PM ---Yes. The amount charged.
--- End quote ---

If, as a biller, you charge a percent for your services - you will get paid a percent of what is paid to the doctor, not a percent of what is charged.

Most of our clients get paid from 50% to 70% of what they charge - consistently.  The rest gets written off.  They could charge more in line with what they know they will get paid by the Insurance Carriers, but they don't.  Ego?  Who knows.

Michele:

--- Quote from: cflorez on January 28, 2014, 07:49:37 PM --- I heard of many medical billers say that mental health industry (as an example)  was a pain for them. To much work for so little reimbursement.  As a new medical  biller how do I know what provider specialty is the better ones to be in.

--- End quote ---


Personally I don't agree.  Mental health to me is easy billing.  Very few codes, repeat patients.  I don't agree that reimbursement is little.  We have many mental health providers from LCSWs to MDs (psychiatrists) that make very good money both full and part time.  I wouldn't limit yourself to mental health but I certainly wouldn't avoid it.  In fact we have often targeted mental health providers when we've marketed.

rdmoore2003:
I agree with Michelle.   I have billed for pediatrics, infectious disease, urgent care, etc.   Mental health is by far the easiest and the reimbursements are better than in some other areas I have billed for.

tallmanusa:
Mental Health is best specialty.
Some times you can get a group of 20 or more providers; that sure would keep you busy.

PMRNC:
A lot of billers starting out waste so much time figuring which specialty is best, what to price.. bottom line is to not go crazy with those until you start talking to practices and you have an idea of what that practice is bringing in, what their ratio is for managed care, etc.. like everyone said, there's too many variables to know these numbers before you even talk to the potential client. Also you have to remember that experience is a part of knowing what to charge. If you have no experience you will not be able to provide a justified higher rate as someone with experience can. Everyone starts somewhere. Don't look at specialists, let the specialty find you, there's no way to really pick a specialty when your first starting or you'll wait twice as long to get that first client. I let my specialties find me after a while.. only one specialty I won't touch is chiropractic. No amount of money will get me to touch that specialty.  Mental health can be a bit "tedious" but it's not harder. There's more phone time and more paper and sometimes patients can be a bit tricky to deal with over patient balances, but all in all it's a pretty easy specialty.

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