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

What should you charge your client?

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kristin:
I am not sure what you are thinking, but my charge for what you are talking about would be $15 an hour.

djk:
I do medical billing part time from my home as a second job for a provider that does a outpaitent clinic one or two days a week for wound care and I get 9% from remits.. then he pays for the clearinghouse fee for sending claims each month,

PMRNC:
This might help http://www.billerswebsite.com/medbillingsetfees.htm

Also Alice and Michelle have a pretty good ebook on pricing your services as well.

Michele:
There is a lot that goes into determining a flat rate fee.  How many providers see patients, how many patients/visits per week/month, how much is the average charge, are they in or out of network, are you doing patient billing too (full service)?  Basically there are a couple of methods you can use.  Determine how much time you think it would take you and calculate based on that, or a flat rate based on how much should be collected, or some type of amount per visit/encounter.  As for the $15 per hour, that is fairly cheap.  It doesn't really allow for the expenses of running your business.  That is just my opinion, not meant to offend kristin.  If I went to work in a medical office where they covered overhead (rent, utilities) and provided me with a computer/software, and paid the employer's portion of my taxes, then $15 would be ok, but when you are self employed you must consider other expenses.  People think they can't charge the provider more than they would pay to have someone in their office, but they save by not having you there as well. 

Michele:

--- Quote from: williamportor on June 06, 2014, 01:43:48 PM ---OK, let us assume about 150-200 claims (dates of service) per month. $ volume at about 15K, follow up on unpaid claims, w/ resubmits when necessary. About 10-20 hrs. per week.

--- End quote ---

Based on this scenario, and this is a very rough quote because there are a lot of variables missing, I would say you are in the $900-$1100 per month ballpark.  (Assuming the $15k is per month)

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