How to bill for handling denied claims due to errors

What should I charge for handling denied claims because of errors. I will be doing the research and resubmitting them. So should I charge per claim? and if so, what is a reasonable fee to charge?



For this type of work I would suggest charging either an hourly rate or a per claim rate. I usually charge per hour if the provider is agreeable.

If you charge a per claim rate I would suggest estimating how many claims you can process an hour and divide by your desired pay rate plus expenses.

So if you would like to make $16/hour and can reasonably process 4 claims per hour, you would charge $4 per claim. I really don't think I would go below $5 per claim though because as you probably already know, researching denied claims can end up being very time consuming. Especially if you have to go back to the provider (or their staff) to get information needed to re-submit the claims.

Hope this answers your question. Sorry to take so long to respond as we've had quite a backlog of submissions, and we're just getting caught up.


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Jul 19, 2015
Charge for your ability not your time
by: Anonymous

Charge for your ability not your time if you're good at your job and able to process the claims faster the better chance the doctor has her being paid if you're better and faster then why would you want to charge less. It sounds like you're good at doing your job charge accordingly charge for taking care of each case a percentage of the job As long as you get the doctor paid the doctor he pay you

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