Medical Billing Coding - Charge By Percent, Or Per Claim?, cpt, codes
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Thread Topic: Charge By Percent, Or Per Claim?
Topic Originator: John
Post Date November 9, 2005 @ 1:05 AM
Charge By Percent, Or Per Claim?


John
November 9, 2005 @ 1:05 AM Reply  |  Email Friend   |  |Print  |  Top

Hi Y'all! I live in Florida & just received my medical billing-coding degree. What exactly should a biller charge his client when starting out in the business? Should you charge per claim, or by percentage of claims collected amount? My understanding is $3.00 per claim, or 7% of total daily claims processed. What's the scoop?

Linda
November 15, 2005 @ 1:07 AM Reply  |  Email Friend   |  |Print  |  Top

$3 per claim is a little low, I have a document from the AMA that states it is approximately $8 to process a claim counting overhead and supplys and a follow up call, so the 7% is the normal fee, but it is of the "collected receivables" not of billed charges.

Cheri
November 15, 2005 @ 9:24 AM Reply  |  Email Friend   |  |Print  |  Top

In Texas the average rate is 8% of receipts.  I get 10% on one account because I added verifications and preauths to my services.

I prefer this method of charging to a per claim fee.  You are highly motivated to followup on aging and denied claims and the Dr. knows it.  Per claim and all you have to do is file to get paid.

I have never heard of anyone getting $8 a claim around here. Of course, it would depend on what type of practice it is. A chiro who only nets $25 a manipulation certainly would not pay $8 a claim, but a specialist who gets several hundred per vist just might!

Tammy Harlan
November 17, 2005 @ 11:01 AM Reply  |  Email Friend   |  |Print  |  Top

Hi John,

There are factors to be determined when proposing a percentage.  The 3 most common factors are:  type of provider, average patient visit charge, geographic location.

Let's say you have a chiropractor with an average charge of $75..   and on the other hand, you have an anesthesiologist with an average charge of $600.  Depending on location, 7% could work for the chiropractor whereas 7% for the anesthesiologist wouldn't be a competitive quote.

Tammy Harlan
Medical Billing Course
www.medicalbillingcourse.com

Jon
November 17, 2005 @ 4:52 PM Reply  |  Email Friend   |  |Print  |  Top

Most billing companies charge a percentage of clients deposits into the bank as a fee for their services.  I suggest also having a monthly minimum in case the client does not produce as they said they would.  It is my experience that clients that generate less than $1,000 in fees to the billing service each month are not worth it, so you might want to have that as a minimum fee.

When figuring out what to charge a client you need to know exactly what they are doing.  My company, ProClaim Inc. (www.proclaiminc.com), uses a form to ask questions about the practice and uses that information to determine the fee.  It is important to know the practice patient mix and breakdown of CPT codes by frequency to really know what to charge for your services.

For example:  If 2 Psychiatry practices did exactly the same procedures to exactly the same number of patients, BUT.... one was in Beverly Hills CA and catered to a wealthy population with great insurance and the other was in Harlem NY and catered to an indigent population with high medicaid and uninsured patients the fee you would charge would be drastically different.  It would take much more effort as a billing company to collect for the Harlem client who would take in alot less money.  Your fee would need to be much higher!

Another example: If 2 Psychiatry practices collected the same amount of money each month, BUT... one practice did strictly group therapy and billed seperate claims for 6 patients in a group at $35 each and the other practice did only individual therapy and billed each patient $195 the amount of work done by the billing company would be much more for the doc doing group therapy.  That practice needs to charge accordingly.  The difference in rates may range quite a bit. In this example the invidual therapy practice may be 9% and the group may be 12%.

If you would like a copy of our form for determining fees and a copy of an article on national billing rates by specialty which breaks down fees by high, low, typical and breakeven for about 30 medical specialties including chiropractic, psych, orthopedic, cardiology, dental, urology etc....  Respond to this and include your email address in the Comments section of the response.  If you do not put your email in the comments section I will have no way of responding to you.

Regards,

Jon Feins
President
ProClaim Inc.
Tell:  603-735-6060 ext.11
Fax:  603-735-6070
Email: jon@proclaiminc.com
Website:  http://www.ProClaiminc.com
Sign up for our e-newsletter at http://www.proclaiminc.com
(sent every two months to provide the medical billing and coding community with value-added tips and information)

Lisa Paoli
November 21, 2005 @ 1:56 PM Reply  |  Email Friend   |  |Print  |  Top

$3 per claim is low for submitting claims, posting and patient billing.  The average is $7-$10 per claim but you price your prices the way you seem fit for your business.  If it's your first client and you are just getting into medical billing, you probably won't get alot per claim without experience.  

Lisa Paoli, CMRS

John
November 25, 2005 @ 1:54 AM Reply  |  Email Friend   |  |Print  |  Top

These were all great answers to my initial question. Thanks much for replying; I was initially told in the area where I live that $3 each claim was a good place to start, but now I know. Proclaim has the right idea about using a form to find out everything in advance; I'll be emailing Jon to get more information. Thanks everyone!

denisef
December 15, 2005 @ 9:59 PM Reply  |  Email Friend   |  |Print  |  Top

Hi John,
If you still have the following Please email me a copy of that list".f you would like a copy of our form for determining fees and a copy of an article on national billing rates by specialty which breaks down fees by high, low, typical and breakeven for about 30 medical specialties including chiropractic, psych, orthopedic, cardiology, dental, urology etc....

Thanks
DeniseF

Aobilling@comcast.net

Beverly
January 25, 2006 @ 3:28 PM Reply  |  Email Friend   |  |Print  |  Top

Very interested in a copy of your form and also copy of article discussing national billing rates....

Thank you very much....

e-mail:  BeverlyHissam@msn.com

Cham
February 1, 2006 @ 3:08 AM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon.  I'm very much interested with the forms you mentioned and would like to get a copy.

My email address is a_chamina@yahoo.com

Thanks in advance.

Linda Runyan
February 6, 2006 @ 8:16 PM Reply  |  Email Friend   |  |Print  |  Top

Jon,  

If still available I would appreciate a copy of your forms to determine fees as well as a copy of the article on national billing rates by speciality.  

My email address is l.runyan@knology.net



Thank you,

Linda

Erica
February 21, 2006 @ 4:04 PM Reply  |  Email Friend   |  |Print  |  Top

Hi John,
I realize you posted your offer to send the form for determining fees a while ago, but I would like a copy.  Please send to silverbilling@austin.rr.com

Erica
February 21, 2006 @ 4:05 PM Reply  |  Email Friend   |  |Print  |  Top

Hi John,
I realize you posted your offer to send the form for determining fees a while ago, but I would like a copy.  Please send to silverbilling@austin.rr.com

I forgot to say, Thank you!

Jackie
February 21, 2006 @ 7:17 PM Reply  |  Email Friend   |  |Print  |  Top

Denise and Jon, please send me a copy of your forms. Also can you elaborate a little on setting a fee schedule based on Medicare's fee schedule and commercial insurance.  I need to calculate no more than a 35% w/o.  I'm not sre how to start on a guestimation.

Thanks
jackiefowler@comcast.net

Maureen
April 30, 2006 @ 10:52 PM Reply  |  Email Friend   |  |Print  |  Top

Jon - I too would appreciate a copy of the article on national billing rates, as well as a copy of a contract and the form for determining fees. I also wonder if you have any idea on charging an orthopaedic surgeon to do their coding (including a lot of trauma) along with their billing. This physician is definitely not up to speed with coding and I have found several areas where his coder has missed codes that lost him quite a bit of money. Any suggestions? Please email me at mkardy@sbcglobal.net

Thank you so much

Janet F
May 30, 2006 @ 8:43 PM Reply  |  Email Friend   |  |Print  |  Top

I am very interested in receiving any info u may have in regards to your letter.  Thank U So Much!

jon
May 30, 2006 @ 10:31 PM Reply  |  Email Friend   |  |Print  |  Top

I need an email to respond to

tushar
May 31, 2006 @ 2:10 AM Reply  |  Email Friend   |  |Print  |  Top

Hi John
This is Tushar from India. My company BTPI is currently offering BPO services to US Healthcare industry which includes Revenue Cycle Management services specifically tailored for the EMS, Ambulance and Medical Transportation industry and Physicians (Paediatric). We are looking for more work related to Physicians billing. Please let me know how we can work together. My company website www.btp-i.com.

tushar
May 31, 2006 @ 2:13 AM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon
Appreciate if you send me a copy at btpi@btp-i.com

Keoka
May 31, 2006 @ 1:34 PM Reply  |  Email Friend   |  |Print  |  Top

I would really appreciate a copy of those forms and article.  I am also new in the business and I'm not really sure how to charge for my services.  Any help or advice you can offer would be great.

Thanks

jon
May 31, 2006 @ 2:27 PM Reply  |  Email Friend   |  |Print  |  Top

need your email to respond.  You must put the email in the comments section or I do not see it.

jon
May 31, 2006 @ 2:27 PM Reply  |  Email Friend   |  |Print  |  Top

need your email to respond.  You must put the email in the comments section or I do not see it.

Janet F
June 1, 2006 @ 11:23 AM Reply  |  Email Friend   |  |Print  |  Top

jfam48224@yahoo.com

keitha
June 14, 2006 @ 10:49 PM Reply  |  Email Friend   |  |Print  |  Top

Could I get a copy as well???  I would really appreciate it!

sendto: keitha@premiermedicalbilling.net

Brian
June 14, 2006 @ 11:33 PM Reply  |  Email Friend   |  |Print  |  Top

Jon,  

If still available I would appreciate a copy of your forms to determine fees as well as a copy of the article on national billing rates by speciality.  

gradyst@hotmail.com

linda d
July 19, 2006 @ 3:54 PM Reply  |  Email Friend   |  |Print  |  Top

jon,I would like a copy of that form .it willm help alot,my e-mail is lindadyson@comcast.net. thanks

raiko smith
July 20, 2006 @ 1:13 PM Reply  |  Email Friend   |  |Print  |  Top

I work for an u/c facility and I have been having problems with being paid correctly and on time. I am paid by percentage. The problem I have is how do I know exactly how much money is coming in every month? I have to rely on what my paycheck says. I don't wish to stir up problems but is there a way for me to ask for an accounts receivable report based on my billing? I have been working here now for 1year and 6mths. This is a very sticky matter I'm sure, but I need help. Thanks

shan
July 24, 2006 @ 10:10 AM Reply  |  Email Friend   |  |Print  |  Top

could i ahave a copy of the form
shanuniverse@yahoo.com

HMS
August 5, 2006 @ 10:33 AM Reply  |  Email Friend   |  |Print  |  Top

May I please have a copy of the forms and the article?

e-mail: hemamurali@aol.com

Thank you

Lola
August 5, 2006 @ 5:04 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,
I am very interested in a copy of your form and also copy of article on national billing rates....
My e-mail address is Lollibaby@aol.com

Dan
August 10, 2006 @ 12:36 PM Reply  |  Email Friend   |  |Print  |  Top

Hi John,
Please, can I have these forms e-mailed on dejanmi@hotmail.com.
Many thanks.

Jenice
August 10, 2006 @ 1:01 PM Reply  |  Email Friend   |  |Print  |  Top

I am intrested in this information..Thanks..

e-mail: info@jbaccurate.com

Renato Pereira
August 10, 2006 @ 3:45 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,

      Can i have this information. Pl mail me at rperiera@acetera.com

Thanks
Renato Pereira

Sheryl Casey
August 12, 2006 @ 2:59 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon

It seems your forms are in high demand, so let me be yet another person who would like you to share your forms with them.  Thank you in advance.

scaseypassdsl@earthlink.net

michelle
October 5, 2006 @ 4:17 PM Reply  |  Email Friend   |  |Print  |  Top

Heres another request for the form and article. Thanks
kizoom@aol.com

Tiffany
October 10, 2006 @ 7:03 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,
I am very interested in a copy of your form and also copy of article on national billing rates....

My e-mail address is preferredmedicalservices@comcast.net

Donna
October 20, 2006 @ 9:26 AM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,

Could you please send me a copy of your form?  You can email it to WeKAREmedical@aol.com

Thanks,
Donna

Marina
October 22, 2006 @ 1:53 AM Reply  |  Email Friend   |  |Print  |  Top

I also need one to wivine@wivinemedclaimsbilling.com if you don't mind. I am sure were are giving you too much work John and I am sorry ..

Thanks

Wendy Bagley
November 25, 2006 @ 7:21 PM Reply  |  Email Friend   |  |Print  |  Top

Please send me a copy as well.

Thank you!

Wendy
November 25, 2006 @ 7:24 PM Reply  |  Email Friend   |  |Print  |  Top

oops! email didn't come through -

send info to: falcon.medical@yahoo.com

thanks!

Anna Lee Duffie, CMA, CMM
November 30, 2006 @ 4:29 PM Reply  |  Email Friend   |  |Print  |  Top

I would like a copy of your client questionaire and also a copy of the article that you referred to.

Charging a minimum fee is an excellent idea!

Thank you for your time.
Anna Lee Duffie
aduffie@rmsnetwork.com

Betsy
December 14, 2006 @ 9:14 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,

Could you please send me a copy of your form for determining fees and a copy of the article on national billing rates by specialty...

Thank you in advance.

Take Care,

Betsy

Betsy
December 14, 2006 @ 9:17 PM Reply  |  Email Friend   |  |Print  |  Top

Hi again Jon,

I forgot to put my email address in my reply!

MedBillSpec@aol.com

Again, thank you.

Carlese
December 22, 2006 @ 12:14 PM Reply  |  Email Friend   |  |Print  |  Top

Hello everyone, I went to Jon's website and downloaded a copy of the form.  That was easier than placing a request to Jon.  Happy Holidays

Cheryl
December 25, 2006 @ 12:02 AM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,

I would also like to get a copy of the information that you have as well.  My email is candrewsobx@yahoo.com

Marianne
December 31, 2006 @ 4:36 PM Reply  |  Email Friend   |  |Print  |  Top

I am currently charging $5 per procedure code and then add'l fees for add'l services (e.g. follow up calls, statements, appeals).  I know alot of companies charge a percentage but how do you justify 7% when to enter the code for example an appendectomy for $540. or the code for a lumbar fusion for $2550. takes you the same amount of time.  Also, how do you know the client is then sending you all their copies of the EOB's, so you know how much to charge them at the end of the month?

chelsea
January 1, 2007 @ 2:14 AM Reply  |  Email Friend   |  |Print  |  Top

hi Jon was wondering if I could get a copy of your form for determining fees..jsut wanted to see how it works
thanks and happy new year

jon
January 1, 2007 @ 7:08 AM Reply  |  Email Friend   |  |Print  |  Top

Marianne,

Your way of charging is fine.  It sounds like you do not post payments otherwise you would know when a payment did not arrive because during follow-up you would have seen that the provider got the EOB. Most doctors prefer a billing service that does full accounting and most billing services accomodate that.  You also should not look at the fairness of charging a percentage on one claim that was $2550 vs. $540.  You look at the overall charges and estimate the average charge per claim (total charges divided by number of claims) to come up with a fair percentage.  Each method of charging has it's own issues.  For example is it fair to charge a per claim fee on a claim that was resubmitted? If it was resubmitted because of the billing service's error it should not be charged again.  If it was an error from the provider then maybe it should be charged again.  How do you keep track of whose fault it was?  I had an instance where 600 claims had to be resumitted due to the carrier changing a procedure code.  The information about that code was sent to the physicians office.  They never told us about it.  They said they did tell us.  Under that example how would you handle charging the physician for the 600 claims that were rebilled? If you were billing a $7 per claim fee, you had already charged the client $4200.  Do you charge it to them again? Who was at fault?

I hope this helps.

Regards,
Jon

Leah
January 1, 2007 @ 12:24 PM Reply  |  Email Friend   |  |Print  |  Top

Marianne, people justify percentage billing in the example you give by stating (rightly so in most cases) that the $540 appendectomy is a lot easier to collect than that $2250 lumbar fusion.  The higher a charge, the more red flags and edits it's likely to have on it at the payer end.

Mae Teter
January 15, 2007 @ 10:06 PM Reply  |  Email Friend   |  |Print  |  Top

HI Jon,
     Can you please send me your information?

maebewojo@citlink.net

Thanks,
Mae

LaShon Evans
February 10, 2007 @ 3:23 AM Reply  |  Email Friend   |  |Print  |  Top

Jon,
If still available I would appreciate a copy of your forms to determine fees as well as a copy of the article on national billing rates by speciality.
my email address is CHOICESMMS@Yahoo.com

Thanks so much!

Steve Verno
February 10, 2007 @ 11:14 AM Reply  |  Email Friend   |  |Print  |  Top

To add my 2 cents less deductible.

I've experienced the flat fee and the percentage over my many years in this business.  I found the flat fee to be the worst way of doing business.  My providers who selected the flat fee have lost more money than you can imagine.  My current provider has lost about $20,000,000 over the last 7 years due to a flat fee being charged by the biller.

I also found that those who just enter the charges and send the claim without follow up also exacerbate the situation when charging a flat fee.  My current provider's billing company just dropped him and now he has millions of dollars in unpaid and incorrectly paid claims that he needs to get resolved.  The billing company said that to work these accounts would lose them money.  After all, they were paid a flat fee. So, they entered the charges, sent the claims, posted the payments and left the claim high and dry.  I ran some reports and found claims going back to 2003 have yet to receive a payment or a denial and no one at the billing company even followed up on the account.  I found claims unpaid because of inproper data input.  The names of the patient were misspelled, policy numbers were entered incorrectly, claims were sent to incorrect insurance companies, patient addresses were incomplete, balances were written off that should not have been written off and many more problems, all caused by the billing company.

When you charge a flat fee, any work you do takes away from what you have been paid.  So if you charged $5 to enter a CPT code and you never posted a payment or followed up on the claim, who pays for this when the claim was denied for incorrect information sent to them such as misspelled names, incomplete addresses, incomplete policy numbers, etc.?  The provider does and then the provider has to spend more money trying to get the problem fixed.  How much is the doctor going to pay to have the claim resent?  Have the denial appealed?  The biller that charges a flat fee will only do so much, and there is NO incentive to do anything other than enter charges and send a claim, after all why go out of your way to see a claim paid when you have already been paid by the provider?  Following up on a claim takes away from the flat fee.  Appealing a denial takes away from the flat fee.  Checking the A/R takes away from the flat fee.  So, now, as the practice manager, all of these claims have been dumped in my lap and the billing company told the doctor to take a hike.  I already looked at more than 300 workers comp claims and the billing company made so many mistakes it will take hours to correct the problems.

I happened to have found a CD from a long ago billing billing company that also charged a flat fee.  Working this CD was my first thing I had to do when hired 7 years ago.  There was $15,000,000 in A/R on the CD.  The billing company said there was no more money to collect.  I inputted the data into a billing software program and sent out claims.  We had more than $250,000 in unpaid workers comp paid in the first 90 days.  Again, this was money that the billing company said could not be recouped.  $250,000!!!  I didn't mention, the dates of service were 3 years old on these accounts.  More money came in on the commercial, Medicare and Medicaid accounts.  We got more than 70% of the money paid.  What was I so determined to get these paid?  Easy.  I am a medical biller of high integrity.  I am a medical biller that doesn't take no for an answer.  I am a medical biller that demands my doctor be paid.  Last, my salary is based on what I bring in, so when I wanted to be paid, I want to see the claims paid.

When dealing with the percentage side of the house, the billing company only makes money when money comes in.  So, there is an incentive to work the account.  You find the problems you made when you find out why the claim wasn't paid, so you work harder to make sure you don't make the same mistakes the next time.  You work the A/R to ensure the claim is paid.  You appeal until you get paid.  It can take 5 or more appeals to get paid, but you get paid and the doctor gets paid.  I worked for a group that used to make only $400,000 per month on their claims.  Their billing company was in house and when we took over the billing, we allowed the employees to work for us or leave.  They all left.  We went through their desks and found months old EOBs never worked.  Denials never appealed and much more.  The first month we took over, we increased the revenue to $600,000.  We made it our goal to increase this the next month.  Every day we looked at what we brought in and we went to $800,000 the next month.  After 6 months, we started to bring in $1,200,000 every month. We worked self pay on our own time for a percentage of what we brought in, so we worked with patients and offered settlements that were reasonable and acceptable.  Bonuses were given if we set a certain goal on the insurance claims that were paid.  So, it was amazing that we were able to increase the revenue just by doing what medical billers are supposed to do.... see that the doctor is paid for his/her services.  

Now, there is nothing wrong with charging a flat fee.  I just gave you my experience with those that did and simply let the doctor down.  You cannot be a code it, bill it and forget it billing company.  We, as a profession, have an obligation to ensure that the job intrusted to us, is carried out to the end.  We have an obligation to the provider that hires us, to see that what we do is 100%, from entering data correctly, sending a claim that has been verified as being accurate all the way from ensuring that benefits are available, authorizations have been obtained, and the codes being billed are correct, to following up on a claim that is unpaid or incorrectly paid.  

If one of us fails our provider, we all fail.  What you do with your provider affects the rest of us.

Jon Feins
February 10, 2007 @ 12:02 PM Reply  |  Email Friend   |  |Print  |  Top

Mr. Verno,
I do not agree with your last line which states:

"If one of us fails our provider, we all fail.  What you do with your provider affects the rest of us."

I prefer to look at it as "another persons loss is my gain"

Jon

Steve Verno
February 10, 2007 @ 3:33 PM Reply  |  Email Friend   |  |Print  |  Top

Jon,

that is one way to look at it.  

However, doctors that I have been meeting with recently are so fed up with bad medical billers, that they have a huge dislike for us and they are now gunshy about hiring someone that can really do the job.  That is why if one of us fails we all fail.

Then we can add what you said, but it takes 5 times as much work to convince the doctor to use us to help them.

Oh, before I go, I do want to add to what I said.  Regarding flat fees.  I have seen too many excellent billers out there who charge too little for their service and they bust their butts doing a fantastic job and end up losing their shirts.

alhmed
February 17, 2007 @ 11:33 AM Reply  |  Email Friend   |  |Print  |  Top

Hi  I am intereted in the forms to mentioned and also in the national biiling rates per specialty. I owe a small billing services in South florida and i would like to reevaluate my billing agreements. In my business i have some practices with the combiantion of both methods, for instance with capitated claims, i have to file them anyway but i only charge $1.50.  Thank you for sharing with us these important tips in the billing business.
alhmed

ROBIN GUYTON
August 8, 2007 @ 2:36 PM Reply  |  Email Friend   |  |Print  |  Top

I WOULD LIKE TO START MY OWN BILLING BUSINESS AND I WOULD LIKE YOUR HELP ON HOW DO I CHARGE THE CLIENT. I HAVE 18-YEARS IN ONCOLOGY, HEMATOLOGY AND INFECTIOUS DISEASE HANDS ON BILLING EXP. I SEARCHING THROUGH SYNERGY FOR SYSTEM ASSISTANCE.

Rita
August 9, 2007 @ 9:45 AM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,

I would love a copy of your form and the article on national billing rates by speciality. Thanks. Send to oakridgemb@bellsouth.net

Alexis
August 9, 2007 @ 12:03 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,
Can you please provide me with a copy of that information as well?
I would love to have a breakdown of the pricing.

Please send to reliablebcs@yahoo.com

Thank you

shelley
August 9, 2007 @ 2:48 PM Reply  |  Email Friend   |  |Print  |  Top

Jon,
Could I also get a copy of this?
Much appriciated!
Shelley
shelley.fletcher@metrogr.org

Joanne
September 15, 2007 @ 10:49 AM Reply  |  Email Friend   |  |Print  |  Top

I would also like a copy of this form if you still have available.

Thanks!

Joanne

pro-mbs@comcast.net

Christina
September 23, 2007 @ 9:50 PM Reply  |  Email Friend   |  |Print  |  Top

Could you please send me a copy of this information to cgreen@doublecheckmedicalbilling.com

Thank you.

sandy
October 4, 2007 @ 5:16 PM Reply  |  Email Friend   |  |Print  |  Top

like evryone else...i to would like a copy of fee schedules
please?
thanks....beachworshiper@aol.com

Jen
October 4, 2007 @ 8:39 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,
I would appreciate a copy of the fee breakdown
Thanks so much !

jadedlady1970@yahoo.com

Jennifer Tullius
October 17, 2007 @ 12:26 AM Reply  |  Email Friend   |  |Print  |  Top

Joe-

This is a little late but could you e-mail me the form for determining fees and a copy of an article on national billing rates by specialty??  I am new to BC Advantage and would like to figure out a rate for contracting with a client.

Thank you in advance!

Kristen
October 17, 2007 @ 9:06 AM Reply  |  Email Friend   |  |Print  |  Top

Jon,

If you could send me this information as well I would be greatly appreciative.

Thanks!

Kristenlivingston@comcast.net

Brian
October 21, 2007 @ 2:42 PM Reply  |  Email Friend   |  |Print  |  Top

Jon,

Can I get a copy of your form for determining fees and the article on billing rates by specialty and geographic area?

Thank you.

brian@bloggerinastrangeland.com

M
October 22, 2007 @ 12:58 AM Reply  |  Email Friend   |  |Print  |  Top

HI Jon,
     Can you please send me your information?

mihaela.billing@gmail.com
Thanks,
ME

Stephanie
October 22, 2007 @ 3:32 PM Reply  |  Email Friend   |  |Print  |  Top

Jon,

Can you email a copy of the above info to me.

Thanks!!

Stephanie
October 22, 2007 @ 3:35 PM Reply  |  Email Friend   |  |Print  |  Top

My email didn't print the first time......?

momtodom-tony@comcast.net

Thanx!!
Steph

Kimberly Gordon
October 24, 2007 @ 9:10 AM Reply  |  Email Friend   |  |Print  |  Top

I would very much appreciate a copy of your criteria.
Thank you
Kimberky Gordon

Bev Saenz
October 27, 2007 @ 8:57 PM Reply  |  Email Friend   |  |Print  |  Top

Hi Jon,
i have enjoyed reading the forum regarding how and what to charge as a billing company.  I would love to have a copy of the information you offered and the form you use to determine what different practices should be charged.  

I have always determined what to charge each account according to the services they are requesting.  I have recently offered credentialing services, at a higher percentage of course.  I have found that helps us tremendously because many times I find that physicians are seeing patients from certain carriers thinking they are "par" with that company and they are not because their current contracts have long ago expired, or worse, they are on a fee schedule agreed upon 5 years ago and losing money.

Thanks, Bev

Bev Saenz
October 27, 2007 @ 9:03 PM Reply  |  Email Friend   |  |Print  |  Top

Hi again Jon,
I did not put my email in the comments section when asking for your information ........vebmom@aol.com  thanks,  bev

Wendy Walton
October 29, 2007 @ 5:53 PM Reply  |  Email Friend   |  |Print  |  Top

Hoping we can still get a copy of the fees and article. Please email to abc.wwalton@sbcglobal.net.  Thank you,

Wendy Walton, CPC
Advanced Billing & Coding
Redding, CA

Betsy
November 9, 2007 @ 9:55 PM Reply  |  Email Friend   |  |Print  |  Top

Hi John,

In regards to your post on how much to charge: per claim or percentage; although your post was in 2005, would it be possible for you to send me a copy of the form for determining fee's and the article on National Billing Rate by Speciality? I might be signing on a Psychologist and an Internal/Pulmonologist and am stuck as to which way to charge.

Thank you in advance,

Betsy

My e-mail is: MedBillSpec@aol.com

Sandra
December 28, 2007 @ 11:36 AM Reply  |  Email Friend   |  |Print  |  Top

I have been in the med billing for 10 yrs and have decided to change my employment. I currently work for a physician doing billing and would like to change my employment status from employee to contactor.  He is agreeable to the idea and wants me to do the billing from his office.  I know I can earn more being a contractor than an employee.  Any ideas?

Melita
December 30, 2007 @ 2:13 PM Reply  |  Email Friend   |  |Print  |  Top

How can you "be sure" you're going to earn more money?  Why do you think your employer will pay you more just because YOU have "decided" you want to be a "contractor" instead of "employee"?

Answer those questions and I'll help you out.  I'm asking them because I think you've been misguided, and I want to be sure before I go on and on about things you may alreaydy know - and if you do already know them, knowing these answers will help me help you.

Melita
December 30, 2007 @ 2:13 PM Reply  |  Email Friend   |  |Print  |  Top

How can you "be sure" you're going to earn more money?  Why do you think your employer will pay you more just because YOU have "decided" you want to be a "contractor" instead of "employee"?

Answer those questions and I'll help you out.  I'm asking them because I think you've been misguided, and I want to be sure before I go on and on about things you may alreaydy know - and if you do already know them, knowing these answers will help me help you.

Sandra
January 11, 2008 @ 7:42 PM Reply  |  Email Friend   |  |Print  |  Top

I know I can earn more being a contractor becuz my employer pays a very low wage compared to the market.  I have accepted that wage for the last 3 yrs becuz I don't have to work. I want to work and enjoy the medical billing field.  I tried to negotiate an increase in salary but that failed. When trying to discuss salary/benefits with him, he says he needs to think about it. He never comes back to me with a response.  I always follow-up w/him.  He always needs more time.  I don't enjoy working for him anymore.  After finally getting his attention and requiring an answer, he offered to pay the same salary with benefit of a bonus of 1% if monthly deposits were more than $100K, no bonus if deposits were lower. Monthly deposits average 85K.  I earn less that 25K per year.

Brigette Jackson
April 22, 2009 @ 9:32 PM Reply  |  Email Friend   |  |Print  |  Top

I would like a copy of your form determining the fees and the article on national billing rates by specialty.  my e-mail address is
bribri1022@ultimatemedicalmgt.com

Thanks

Joy
May 8, 2009 @ 6:47 PM Reply  |  Email Friend   |  |Print  |  Top

I would additionally like a copy.
hih@htc.net
JOY

Elizabeth Fence
August 25, 2016 @ 6:12 AM Reply  |  Email Friend   |  |Print  |  Top

Hello Jon, I would like to get a copy of the same on my email. It will be kind enough if you send it as soon as possible.
Thank You.

Elizabeth Fence
August 25, 2016 @ 6:14 AM Reply  |  Email Friend   |  |Print  |  Top

Sorry Jon, I forgot to mention my email id. It is: fence.elizabeth@gmail.com
Hope You don't mind. Have a nice day.

Cindy
August 31, 2016 @ 9:01 AM Reply  |  Email Friend   |  |Print  |  Top

If a patient has Aetna as primary and Cigna as secondary and both plans pay.
What happens if the secondary pays over the amount of the primary.
I have contacted both carries to see if we need to refund but both claim according to the COB type no refund is due is that overage kept by the provider?

Marcus Huizar
February 28, 2018 @ 3:23 PM Reply  |  Email Friend   |  |Print  |  Top

I know this post was like a while back... decided to take a leap of faith and go into medical billing and any information i can get my hands on helps. I would a appreciate it if you can send me form. Thanks

marcushuizar@yahoo.com

Marcus Huizar
February 28, 2018 @ 3:21 PM Reply  |  Email Friend   |  |Print  |  Top

I know this post was like a while back... decided to take a leap of faith and go into medical billing and any information i can get my hands on helps. I would a appreciate it if you can send me form. Thanks



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