You need to have more information in order to come up with a flat fee. How many patients does he see in a week/month? What is his average charge? Does he do testing or just exams? Will you be doing patient billing? Once you find all of that out you can determine a flat fee. There are a couple of different methods. Some people calculate how much time it should take to do that amount of work, some people calculate an amount that the doctor should collect based on their work and multiply by a % to determine the flat fee. Example:
Dr sees 50 patients per week. Average charges per patient are $200 (he performs testing and exams).
50 pts
x 52 wks per yr
x$200 charges per patient
= $520,000
Then say the dr only collects about 70% of amounts billed (due to contractual adjustments, etc)
$520,000
x 70%
$364,000
x 6% (average billing service charge)
$21840.00
/ 12 months in a year
$1820 Flat fee for billing
Or
Dr sees 50 patients a week. Estimated time to do account is 10 hours per week. (Allow for data entry, aging, appeals, pt billing, etc.)
$40 (hourly fee - keep in mind this is not a fee that someone would be paid to work hourly, but you have to take into consideration all of your other expenses, insurance, office space, software, updates, clearinghouse fees, printing expenses, etc.)
$40
x 43.33 (hours - 10 hours per wk x 52 wks per yr / 12 months to get the average per month of hours)
_________
=$1733 Flat fee
All of the above figures were pulled from midair!
Hope that helps!
Michele