We only bill a percentage of the amount paid on the claims we submit.
Quote from: DrHayser on September 27, 2016, 10:50:47 PM We only bill a percentage of the amount paid on the claims we submit.I'm confused. If you don't know what was paid, how do you bill a percent of an unknown?
Hello DrHayser,If I have understood your question right, I think you only submit the complicated claims and the rest of the charges are submitted by someone else using the practice's billing software. Also, I think you don't post any payments even to the charges that you submitted.If I got it right, here are my questions.1. You have access to clearinghouse portals where you can review the remittances. But how about the EOBs that were mailed to the practice?2. What if the practice does not share information about the paper remittances with you? You will end up sending an invoice for a lesser amount.When you don't do all of the billing and don't have access to payments, it is not advisable to go with a "% of what was paid" Model. Your invoice will always be wrong. In fact, for you to arrive at an invoice amount, it involves a cross verification process which again is an added work. So, MHO is to revisit your contract with your customer so that you can bill for a flat fee per every complicated charge that you handle. This should be calculated based on the time taken for each complicated charge vs. the hourly rate one can charge in your locality. Hope this helps. Please let us know if I have not got your question right.RegardsSriram
Thanks Michele, What I meant was a flat fee for every complicated charge irrespective of whether or not it is paid. When DrHayser does not have any control over the payments portion, I think he should not charge by what was paid. Instead, by how many he submits will make more sense to me. What do you say?RegardsSriram
I know there are people out there billing percentages of only what is paid, so I am hoping this finds their attention.