Author Topic: The age old question of how to set fees for your Billing Service  (Read 52946 times)

ace

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Re: The age old question of how to set fees for your Billing Service
« Reply #15 on: February 04, 2021, 12:21:26 PM »
I am doing cold calling to providers and what i found is that most of the doctors are doing their billing inhouse. Is there a good rebuttal i can pitch to doctors who are doing their billing inhouse?

Michele

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Re: The age old question of how to set fees for your Billing Service
« Reply #16 on: February 04, 2021, 01:04:09 PM »
Are you speaking directly to the dr?  I would be asking if they are having any issues.  Most offices that do the billing in house have some issue.  For many it is turnover of staff.  If that is the case I would come back with it's hard to hire someone with experience, and even when they have experience you really don't know if they are good.  I also state that it saves them on having to find someone, saves on payroll, taxes, etc. 

If they have someone and that person has been there forever, they are less concerned with those issues, but they may have other issues.  That person has other duties that take them away from the billing.  In this case I push the working of the aging report.  Most offices do not get to this, and a lot of money is lost.  If this is the case I tell them that our fee is usually covered by what we collect for them that they are currently missing out on. 

There are other issues with in house billing like keeping up with changes, clearinghouse issues, etc.  Also, the person may be good, but not understand coding.  Or maybe they don't know how to handle denials or don't have time for denials. 

The key is to find out what isn't working and show them how you can fix that problem.

If everything is working perfectly (which it hardly ever is, but sometimes they won't admit it) move on to the next one.  It most likely will not be a good account.
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medwave

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Re: The age old question of how to set fees for your Billing Service
« Reply #17 on: April 15, 2021, 12:21:49 AM »
Hi Everybody!

As a medical billing service, I was asked recently what my charge would be "per claim" and I hadn't heard this term in a verrrrry long time!  I reached out to Linda Walker and Merry Schiff who both gave me some insight but I wondered how others in the field might respond to a request like that.

It's a different concept that was used back in the day when an office might only want someone to enter their claims and submit claim electronically.  I believe it was popular when most offices didn't use computers but wanted the quick turn-around for their reimbursement.  Crazy to believe, but that was only in the last 20 years or so! 

Now that pretty much everyone has a system in place, a "per claim" fee is hard to determine because you have to consider what is involved.  I came up with the following levels and wondered if anyone would like to offer their opinion on what you would charge for each level, and if you think other items should be listed or taken out.

TIER 1: CLAIMS PROCESSING   _____ per claim
•   Submission of primary, secondary or tertiary commercial claims with required attachments when needed. (Each claim is charged individually)
•   Submission of Workers Compensation claims and No Fault claims
•   Posting patient and insurance payments for all claims filed
Analyze explanation of benefits statements from insurance companies and verify accuracy of payments. 
•   Notification to the office when claim(s) are determined to be rejected, denied or paid inaccurately.
•   Claim status review for all claims 35 days past submission date.  (Refiled claims are handled as a new claim submission)
Monthly Patient Statements printed and mailed, office handles patient phone calls

TIER 2: PRACTICE MANAGEMENT    _______ per claim
•   All services as listed in TIER 1
•   Toll-Free number and secure, encrypted email for patients use regarding any and all questions pertaining to billing.
•   Monthly report of claims submitted, payments and adjustments applied.
•   Quarterly review and report of Revenue Cycle Management Process
•   Review and correction of billing errors when claims are rejected, denied or paid inaccurately and/or query to doctor for additional assistance when needed.

TIER 3: COMPREHENSIVE PRACTICE MANAGEMENT  _______ per claim
•   All services as listed in both TIER 1 and TIER 2
•   Certified Coder review of records to verify documentation supports claim, query to physician when addendum is warranted.
•   Customized design of coding and billing forms and reports.
•   Yearly Fee Schedule Review with Coding Updates
•   Monthly Eyecare Professional Newsletter with billing, coding and marketing tips
•   Discounted rate for subscription to Reimbursementplus.com
•   2015 ICD-10-CM Update to System and applicable forms (Training available separately)

ELIGIBILITY AND VERIFICATION OF BENEFITS  ________ per pt/per visit
•   Service available separately or in addition to any of the Tiers listed above. Current demographic and insurance information must be provided.
•   Active coverage is verified online, and then a live call is made to the carrier to obtain details of patient coverage including patient and/or family deductible, out-of-pocket expenses, material allowances and eligibility.
•   Completed EB Form will be sent back to the office prior to the patients scheduled appointment.  Copy should be given to patient when they check-in so they are aware of the full expected payment at check-out.
•   Office will be notified immediately for patients who are found to be ineligible for have terminated coverage so other arrangements can be made or appointment cancelled.

I'm looking forward to seeing what everyone thinks, but please include how long you have been "in the business" with your post.  I think it makes a difference and hope to keep this topic informative and helpful.  :)  Thank so much and have an amazing day!

GREAT!
Lauren L.
Medwave Billing & Credentialing
http://medwave.io

MedlinkJD

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Re: The age old question of how to set fees for your Billing Service
« Reply #18 on: May 26, 2021, 02:33:41 PM »
We typically charge a percentage of what we collect, that way it incentivizes our people to place an emphasis on clean claim submission and working denials.  I do like the Tier Model though, because I'd love to find clients where we could just submit claims for them through their medical records and charge them a fee for that.  I'd be interested to know if many clients would take me up on just offering a "Tier 1" type service?  Anyone have any experience with that?

Michele

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Re: The age old question of how to set fees for your Billing Service
« Reply #19 on: May 27, 2021, 03:44:04 PM »
There are some providers out there that just want what Tier 1 offers in the model below.  However I have been doing this for over 25 years and I find that most providers want more.  We do have a couple of out of network providers who only want the Tier 1 services, but over 95% want payment posting, aging, denials and appeals, and patient billing as well.
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Re: The age old question of how to set fees for your Billing Service
« Reply #19 on: May 27, 2021, 03:44:04 PM »

lux39net

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Re: The age old question of how to set fees for your Billing Service
« Reply #20 on: November 23, 2024, 07:09:47 AM »
Re: The age old question of how to set fees for your Billing Service

medwave

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Re: The age old question of how to set fees for your Billing Service
« Reply #21 on: July 09, 2025, 01:25:12 AM »
I'd run that through either ChatGPT or Anthropic's Claude and ask them to give you their opinion. You'll probably discover something else.
Lauren L.
Medwave Billing & Credentialing
http://medwave.io

rohit2346

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1 dry fruit laddu macros
« Reply #22 on: Today at 07:23:51 AM »
If you’re searching for a wholesome, nutrient-dense snack that satisfies your sweet tooth without derailing your health goals, then this dry fruit laddu is your perfect go-to. Not only is it delicious and easy to make, but it also offers impressive nutritional value. In this post, we’ll cover the step-by-step recipe for the dry fruit laddu and explore the dry fruit laddu macros
so you understand exactly what you’re putting into your body.
Why Choose Dry Fruit Laddu?
Dry fruit laddus are a fantastic option when you want something indulgent yet nourishing. Made with a base of nuts, seeds, and natural sweeteners, they bypass refined sugar and processed ingredients. What makes them even better is the powerful nutritional blend they bring: healthy fats, fibre, protein and essential micronutrients. And of course, knowing the dry fruit laddu macros ensures you’re fully informed about calories, macronutrients and portion control.
Ingredients & Preparation
Here’s what you’ll need to make about 10 laddus:
Mixed nuts (almonds, cashews, pistachios) – roughly 200 g


Seeds (flaxseed, chia, pumpkin) – around 50 g


Medjool dates or other soft dates – about 150 g


Ghee or coconut oil – 1-2 tablespoons


A pinch of cardamom or cinnamon for flavour


Optional: unsweetened shredded coconut for coating


Method:
Lightly roast the nuts and seeds in a dry pan until aromatic.


Let them cool, then transfer to a food processor or mixer.


Add softened dates and process until they come together in a sticky mixture.


Stir in melted ghee or coconut oil and flavourings.


With lightly greased hands, roll into 10 uniform laddus.


If desired, roll each laddu in shredded coconut for a textured outer layer.


Store in an airtight container in the fridge for up to one week.



Nutritional Profile of Dry Fruit Laddu
When it comes to nutrient-dense snacking, few treats can compete with the wholesome goodness of a dry fruit laddu. This simple homemade sweet provides the perfect balance of energy, protein, and essential fats.
Each laddu offers a natural source of quick energy, thanks to dates and nuts that release glucose gradually into your bloodstream. The healthy fats from almonds, cashews, and pistachios provide long-lasting satiety, helping you stay full for longer. These nuts also deliver a steady dose of omega-3 fatty acids and monounsaturated fats that support heart and brain health.
Protein content in dry fruit laddus is moderate but highly beneficial — ideal for muscle recovery, maintaining lean body mass, and preventing cravings between meals. Meanwhile, fibre from seeds and nuts aids digestion and supports gut health.
For those who track their food intake, the dry fruit laddu macros
 are well-balanced for an energy snack — roughly 180–200 kcal per laddu with around 15–18 g carbs, 4–5 g protein, and 11–13 g fat. This perfect mix helps stabilize blood sugar levels and makes these laddus a smart choice for fitness enthusiasts, athletes, or anyone looking for a clean energy source.
What makes the nutritional profile truly stand out is the abundance of vitamins and minerals. You’ll find magnesium, zinc, iron, and vitamin E — nutrients that promote strong immunity, better skin health, and improved metabolism. In short, the dry fruit laddu macros make this snack a powerhouse of balanced nutrition.

Benefits at a Glance
1. Rich in Healthy Fats
Thanks to nuts and seeds, these laddus are high in unsaturated fats, which support heart health, cell function, and nutrient absorption.
2. Natural Sweetness, No Refined Sugar
By using dates and whole ingredients, you eliminate the spike-crash sugar cycle, while still enjoying a sweet treat.
3. Balanced for Active Lifestyles
With the dry fruit laddu macros offering carbs, fat, and protein, these make a perfect pre-workout boost or post-workout snack when you’re aiming to refuel smart.
4. Packed with Micronutrients
Almonds add vitamin E, cashews offer magnesium, pistachios bring lutein, and seeds supply omega-3s — in one compact bite you get a micronutrient punch.

How to Incorporate into Your Diet
Pre-workout: 30 minutes before your session, enjoy one laddu with a glass of water or herbal tea.


Mid-afternoon snack: Rather than reaching for biscuits, one laddu gives steady energy and helps curb cravings.


Dessert: If you’re avoiding heavy sweets after dinner, one laddu satisfies your sweet tooth while staying nutrient-dense.


Part of meal prep: Make a batch at the start of the week — framed by the dry fruit laddu macros, you’ll know exactly what you’re consuming.



Tips for Optimising Your Laddus
If you track macros closely, weigh your ingredients and calculate based on actual weights for accurate dry fruit laddu macros.


For higher protein, add a scoop of flavourless whey or plant-based protein powder into the mix — adjust fat source accordingly.


If you’re reducing fat, swap ghee for a small amount of water or light coconut oil (though this slightly affects texture).


For variety, replace some nuts with roasted sunflower or hemp seeds, or swap cardamom for ginger powder for a twist.


Keep portion sizes consistent. Although nutrient-dense, these laddus are calorie-dense — one is enough to hit your snack target.



Final Thoughts
The recipe shared by Arogyam Nutrition delivers on taste, texture, and nutrient quality. Using whole ingredients and focusing on real food, you get a smart snack option that aligns with health-conscious goals. Keeping the dry fruit laddu macros
 in mind ensures you stay on track whether you’re building muscle, maintaining weight, or just eating responsibly.
So go ahead: whip up this batch, roll your laddus, and enjoy a delicious, smart snack to support your active lifestyle.
Happy snacking!

Medical Billing Forum

1 dry fruit laddu macros
« Reply #22 on: Today at 07:23:51 AM »