Medical Billing Coding - Charging clients, cpt, codes
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Thread Topic: Charging clients
Topic Originator: BOB
Post Date March 14, 2005 @ 12:47 PM
Charging clients

March 14, 2005 @ 12:47 PM Reply  |  Email Friend   |  |Print  |  Top

I am thinking of starting my own billing company from home but would like to know how much should I charge a client.

Do I do it by the hour, by the job or how?

So I can the work out if this will be worth it or not!

Thank you

March 15, 2005 @ 10:33 AM Reply  |  Email Friend   |  |Print  |  Top

Hey Bob,
Most billers working from home charge by a percentage.  And depending on what area you live in and the cost of living, it can vary.  These days anywhere from 6-12% (or more) of all claims that you process that are paid by the insurance company.  Make sure you make up a contract with each client and specify what the work will consist of considering if you will also be following up on any claims not paid, rejects, etc and if you want to include all that in your percentage or also have an hourly rate charge for extra work besides just the claims processing.  There are so many variables and you just have to find what works best for you and your client.  Good Luck.

March 15, 2005 @ 2:10 PM Reply  |  Email Friend   |  |Print  |  Top

Thanks Ron,

Do you know of anywhere that I can get some free contract templates.

6 - 12% sounds very reasonable. Not that I will be billing half the amount for my own company that I do with my current employer.

Thanks BOB

May 4, 2005 @ 8:17 PM Reply  |  Email Friend   |  |Print  |  Top

Keep in mind, depending on your location, it is illegal to charge Medicare Providers based on a %..  I charge a flat rate.

Tammy Harlan
May 5, 2005 @ 11:32 AM Reply  |  Email Friend   |  |Print  |  Top

There are no "laws" per se stating that you cannot bill your client a percentage of collection for Medicare claims (or for any other type of insurance claim for that matter).  Medicare reserves the right to cancel a contract with a provider if it is determined that a third party billing service is charging a percentage of collections in which the money is being sent directly to the third party billing service (and not the physician).  Most third party billers (outsourcing agencies) do not receive money directly from insurance payers, so this scenario doesn't usually pose a problem.  

If you wish to charge your client a percentage of collections on Medicare claims, then just make sure that the money is being sent directly to the physician.


May 5, 2005 @ 1:56 PM Reply  |  Email Friend   |  |Print  |  Top

Hi, basically i m living in india ( next world from USA) . I  am in field of medical billing for 5 years, working for a usa based firm .

NOW I m intrested in startingmy own work , but from india, can u help me in finding some reference OR can we do this in PARTNERSHIP. WILL U  become my partner in USA ( like most of billing companies india have). I have enough exp. on BILLING and A/R . so if are intrested or any of ur known person/physician is intrested then please do  mail me on


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