Medical Billing Forum

Billing => Billing => : Kinlaw30 March 03, 2019, 11:59:48 PM

: Billing-For Provider -Pay Increase
: Kinlaw30 March 03, 2019, 11:59:48 PM
Could someone help??!! I have a client that see about 5-10 patients per month so the provider is on a sliding scale being charged per patient. I feel like I should be charging the client more due to the workload. Since client is on sliding scale would it be feasible to charge her more due to workload? If so, how could I present to her the increase or extra fee for services?

Also, at what point  should I perform an audit what should it include? What would be a reasonable price for a small office?
: Re: Billing-For Provider -Pay Increase
: Michele March 05, 2019, 10:02:49 AM
When doing a sliding scale you should have a base line.  Accounts no matter how small require a certain amount of work that can't always be considered in the number of patients, at least not when the patients are less than 10 per month.  As for this client, when is the contract up?  It will be difficult to raise them without it being time to renew the contract.  If you are able to I would present it something like "I know you don't have a lot of clients but your account still requires a certain amount of my time.  In order for me to continue to provide the quality service I will need to raise your fee to $xxx.xx." 
: Re: Billing-For Provider -Pay Increase
: Kinlaw30 March 05, 2019, 10:25:59 AM
Hi,

 Contact end July.
: Re: Billing-For Provider -Pay Increase
: Michele March 06, 2019, 05:56:39 PM
Does your contract allow for you to request a fee increase?
: Re: Billing-For Provider -Pay Increase
: BikhamHealthcare March 06, 2019, 08:19:13 PM
its all depend on your contract if its allow then you rest its on client..
: Re: Billing-For Provider -Pay Increase
: Kinlaw30 March 07, 2019, 06:30:23 PM
No. My contract does not state specifically...
: Re: Billing-For Provider -Pay Increase
: Michele March 08, 2019, 09:47:47 PM
If your contract does not state you can't then you can give it a try.
: Re: Billing-For Provider -Pay Increase
: Kinlaw30 March 10, 2019, 12:55:37 AM
Thank you!
: Re: Billing-For Provider -Pay Increase
: PMRNC March 25, 2019, 05:19:43 PM
I agree with others, you have to honor your contract. But i am curious as to how much more workload would 5-10 patients a month be?
It doesn't seem like a lot to me. Actually.. I'm not sure I'd take a client with that volume so low. If you are charging per patient you need to make sure your charges are clear and concise. Personally I wouldn't do per patient as each can be different in terms of work load. I bill flat fee with sliding scale that is based on hours so that I get paid for all time I put in.