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Thread Topic: Charing for Billing Claims
Topic Originator: Judy Hayes
Post Date January 26, 2012 @ 3:36 PM
Charing for Billing Claims

Judy Hayes
January 26, 2012 @ 3:36 PM Reply  |  Email Friend   |  |Print  |  Top

I am new to billing. What percentage do billing companies or billers generally charge for billing claims?

Linda Parker
February 22, 2012 @ 7:18 AM Reply  |  Email Friend   |  |Print  |  Top

It is depend on the companies ... there are different billing provides are there with low price (

Dan Young
March 12, 2012 @ 3:25 PM Reply  |  Email Friend   |  |Print  |  Top

Charges for billing claims depends on several factors.

1.  Biliing on a percentage is the most motivating for the billing company.  You do not get paid until the provider gets paid.
2.  What is the prevailing rate in your area?  
3.  What services do you include?  Such as: credentialing, sending claims through the clearinghouse, software, sending patient statements, soft collections, payment posting, coding or just the billing, education such as LCDs, onsite front desk training, scanner for the front desk, personal account manager for each provider, inhouse training of your employees, chart auditing, baseline audits, education for the  CIA which is the Corporate Inetggrity Agreement that CMS is using when they clobber a provider, compliance training, EHR training, EMR training (these have become synonymous for some software providers and not for some others, followup on denials, balancing to the providers deposits, and so on and on.

If you provide very little, and you are working out of you home, you can get by with 4 to 5 percent.  For an office run billing company, which provides all of the above, and the provider is not yet using the EHR, your costs are going to run in the 7 to 8 percent.  If overhead is low, then 6 percent is still viable.  If you pay for your employees benefits and a good salary that is average or above the national averages, your profit will be small, but you will be happier as a business owner.

Judy Hayes
March 12, 2012 @ 6:21 PM Reply  |  Email Friend   |  |Print  |  Top

Thank you, Dan. This information is very helpful!

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