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by Tammy
(Conway Arkansas)
I do independent claims for an MD that does not file claims in her office. The client pays me $5.00 per claim regardless if this is a new patient or an old patient. Is this a fair rate?
Response:
It really depends on your costs and how much effort is necessary. I’ve heard $5 per claim frequently used as sort of a benchmark for paying on a per claim basis.
You may want to do a quick accounting to determine what this client costs you to service them divided by how many claims you process for them. This will determine your cost per claim. Probably the biggest costs I’ve seen are software & hardware, any monthly or annual maintenance, postage, and clearinghouse fees. Postage is primarily in mailing patient statements - and believe me this can add up. I’ve spent several hundred $ a month on patient statements for a busy client before - which was really out of hand but that’s a whole other topic I don’t want to bore you with.
For example if you use a reputable online service, you can serve one provider for about $200/month typically. If you own your own software and server it’s more complicated because you have a big upfront cost and periodic maintenance - like upgrades, back-ups, periodic tech support, etc. But you can probably estimate a monthly cost.
Typical monthly expenses for this example:
Mar 31, 18 09:47 AM
Besides networking .. visiting their offices, how else can you attract their business? When you close the collections month, how do you bill the physicians?
Mar 31, 18 09:36 AM
I have a potential client that is requested claim scrubbing resolutions (only corrections on claims submission errors) and insurance verification on the
Mar 31, 18 09:28 AM
The provider that I bill for just advised that he has a new tax ID. What is the process for this change? Would every insurance company need to be contacted?
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