Percentage Billing or Per Claim?
Hello, I am just starting out with my home-based medical billing. I need to find out what billers are charging Per Claim & what Percentage they are charging. I have done some investigating on the...
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Congrats and welcome!The going percentage rate is between 7 and 10 percent of net collected.I have seen the per claim rate set between 26 and 37 cents. I live in Pennsylvania. My fees are between 5...
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Viola-What type of specialties correspond with which of your percentage rates? barbara
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Hi Barbara -Specialties such as -*Gastroenterology*Pulmonary*Cardiology*Orthopedics*Urology*Neurology generally require more administrative work overall. I may charge 7 to 8 percent for these...
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Thanks! that's very clear and defines it well. Appreciate it.barbara
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Either my math skills have gotten weak or I am not following this logic. If you bill a 5 to 8 percentage on a claim that is worth 50.00, you would get 2.50 to 4.00 but if you bill per claim you would...
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You have to be careful when you bill Medicaid claims - the state will not allow you to charge a percentage.Viola
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Viola - I am just starting out and in New York, so I know that it is also questionable to charge a percentage for Medicare in NY. But I always thought the going rate for per claim billing was around...
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Hi Eileen -You are not missing a thing. In Pennsylvania, 90% of our Medicaid recipients are part of a managed care plan. The state had a large campaign to get this accomplished.However, there are...
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I think what the poster meant by 29 cents per claim is the clearinghouse fee is about 29 cents per claim. I've heard billers charge around $3-6 per claim, sometimes more depending on the...
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Industry standards are from 5% in the Southwest to 13% in the South Central part of the country or $5.00 in the East to $8.00 in the Southwest.I agree that in some states you cannot charge a...
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Hello All,I am currently trying to start a at home base billing service. I have been billing and collecting for 10 years, can someone please tell me what I need to do to get started and score my first...
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There are 2 Topics in the members only area that are filled with ideas to help you get started. Actually 3 there is some info in New to medical billing even though you are new to billing.
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One reason no one will give a straight answer is if I tell you I charge a percentage and it is 35%, there is nothing stopping you from undercutting me, getting me terminated so the doctor can hire you...
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