How much do I charge this Internal Medicine Physician?

[SnyderKristine]

Hi All,

After all your help and God's grace, I have my foot in the door, and luckily sooner than I would start loosing hope.

I have these Internal Medicine physicians who see 35-40 patients a day and get paid $75 on average for every visit. So monthly income is $66000.

How much should I charge this provider, if they do Claims Submission and Coding themselves?

I will handle Claims rejection, AR follow up, Insurance Verification, Patient Collections, ERA/EOB posting, Appointment Reminder, Patient Statements.

They have their software and Clearing house arrangement: Emdeon.

Please advice. I do have a quote in my mind. Linda helped me so well with it. But I want suggestions to  make sure I understand it right and I don't quote some illegal amount. And one last thing, HE WANTS A FLAT FEE every month.

[PMRNC]

If you do a search here in the forum, I have put up a few posts on how to calculate a flat fee. Hard to answer w/out knowing a lot more information.  My flat fee is based upon an hourly rate so that may vary according to where you are and how much experience you have. You can do the flat fee with disclosure of an hourly fee or w/out. Again, there are a few posts within the forum with specific ways to calculate.

[kristin]

As Linda said, that is hard to know without more information. Will you be working the old AR and denials, etc, or just from the point where you sign on with the account, and the office will handle all the old stuff? How are the docs with their coding skills? The person that is submitting the claims, are they up on modifiers, etc? Who is entering the patient demo and insurance info into the computer, and are they accurate with that? The answers to these, and other questions(such as what method you will use to do insurance verification), will determine how much time you will need to work the account. On the one hand, you may only need 20 hours a week to work the account or less, on the other hand, you may need 40 hours or more. If you low ball your flat fee, you could find yourself working like a dog for less than minimum wage.

[SnyderKristine]

 

I finally have a client. This physicians wants me to work on his old ageing claims and do EOB/ERA posting. Once done with the old ageing, I will handle current AR follow up..