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PMRNC:
In Florida providers are prohibited from entering into a contract basis of fee splitting.

kristin:
In theory, you could do claim follow-up and insurance verification after hours, using IVR's and by signing up with Navinet, Availity, Medicare, Medicaid, and other individual insurance websites to check claim status, benefits, and eligibility. But there will always be those instances where you need to talk to a human to solve a claims issue, and that is potentially where a problem could arise, if you aren't available to make those calls. And, if you are sending out patient statements, you need to be available to take calls from patients asking questions about their bill. Because there are always questions.

I guess what I am trying to say is that while you could do this while also having a full time job, you would need to have some way to handle these things when you aren't available.

Michelle1965:
Linda do you mean you can't charge a percentage of what is collected? The only legal way for me to charge in Florida would be a flat rate, right?

Kristin thank you for your advice.  I will have to just try calling insurance companies on my lunch hour, and maybe patient's after 5 pm, because I have done that here before when I have had to work until 6pm.

roxdione:
Hi Michelle..

The obstacle I am running into is when working full time and trying to market your services gets complicated as the follow up process tends to get neglected.  I've been marketing and have had a few clients reach out about consulting services rather than billing services, which is fine, as I also am wanting to do consulting.  Follow up with the physicians/office managers that you've sent information to needs to correlate with their work schedule which when working full time it becomes complicated, dependent on the job you're currently doing.  I too am working full time and trying to get myself off of the ground so I can quit my current position and be a stand alone.  I've had several bouts of being discouraged but am staying focused on what I am striving for.  I also am funding my current marketing myself with the hope of gaining some clientele, which I find can become costly, when utilizing a printing company.  I'm looking at working on producing my own marketing materials, but I want them to look professional, as this could be a make or break when sending to physicians/office managers.

I find this site to be very resourceful and creative when doing one's own marketing, cost effective, that is. 

Roxanne

PMRNC:

--- Quote ---Linda do you mean you can't charge a percentage of what is collected? The only legal way for me to charge in Florida would be a flat rate, right?
--- End quote ---

There are states where it is illegal for a physician/healthcare provider to enter into any fee-splitting arrangement/contract, I'm in NY which is one of them, Florida is another. You'll find many billing companies do it anyway with total disregard for protecting the clients medical license  ::)
You can price your services in any way that doesn't emulate a "fee/revenue" splitting. Flat fee, hourly rate, per claim, per service is a few. Michele and Alice have a book that goes over the various types of pricing your services. http://www.medicalbillinglive.com/pricing-your-medical-billing-service.shtml

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