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

OB & GYN

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SnyderKristine:
Hi All,

Need your help once again with the pricing. I have never done billing for OB&GYN before, but I have a prospective client that is interested in billing services. Here are some details I could gather:

She sees 12-14 patients in a day
Does 1-2 surgeries in a week
Will handle coding and claims submission herself

How much time would I have to spend on her account and how much can I charge her for that? FLAT FEE finally!

P.S.: She is already using a biller and doubt her capabilities, therefore she is looking for an alternative!

PMRNC:

--- Quote ---Will handle coding and claims submission herself
--- End quote ---

If she will be coding and submitting claims what exactly does she want you for?


--- Quote ---How much time would I have to spend on her account and how much can I charge her for that? FLAT FEE finally!
--- End quote ---

Would need to know in more detail what you will be doing if she's doing her own claims.


--- Quote ---P.S.: She is already using a biller and doubt her capabilities, therefore she is looking for an alternative!
--- End quote ---

Always a plus to sell what YOU can do better, just stay out of the contractual relationship between her and the other biller. DO find out what the other biller was doing, how well or not so well she was doing it, and offer alternatives.

Hard to say how much time without knowing exactly what she needs you to do.  HARD to do full practice management with the bulk (claims) being done by the provider, that's sort of the meat in the meat and potatoes. 

SnyderKristine:
She basically wants me to handle insurance claims follow up, ageing and patients collections. Though I have offered her complete billing including claims submission.

kristin:
A lot would depend on her A/R, accuracy of patient demographic info, her coding skills, and how you would be applying payments. If her A/R is pretty current both from patients and insurances, patient demo info is accurate, her coding skills are good, and you can auto-post payments, it shouldn't take you a lot of time to work the account.

If her A/R is bad in either patients or insurance payments or both, patient demo info isn't updated/checked, her coding skills aren't the greatest, and you have to manually apply payments...you could spend a lot of time working her account.

I think you need to gather more information at this point, in order to price the flat fee, and know how much time you will need to work the account. And even if you give yourself what you think is a lot of time to work it, you will always need more time.  ;)

Michele:
I agree.  Is she expecting you to go back and clean up the old A/R?  Or are you just starting from one date of service?  If you are going back that makes a big difference.

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