ljones88
Networker
Hi all,
I'm interested in starting my own medical billing services company. I have extensive experience in Professional coding, billing, insurance/patient overpayments and underpayment projects, A/R, patient collections, and contracting.
I've done some research online and have a few general questions if anyone would like to provide input or feedback I would greatly appreciate it.
The dominant payment methodology seems to be a percentage based off of what the insurance pays on the claim. In my experience, a FESS can cost $10,100+ after contractual adjustments are taken into consideration. Assuming the entire allowed amount has been applied to the patient's deductible, how would a billing service collect their percentage on the claim?
Also, this may be a stupid question, however I never billed a claim without reading the physician's note so do medical billing services have access to EHR?
Lastly, I currently work for a large group ENT practice. Just one of our offices, with one physician can generate $420,000+ in insurance payments alone. From what I'm seeing online medical billing services collect anywhere between 6-10%. Assuming the agreed upon rate is 7.5% that would equate to about $31,500 in billing fees. Does this sound normal at least for specialty practices?
Thank you so much!
I'm interested in starting my own medical billing services company. I have extensive experience in Professional coding, billing, insurance/patient overpayments and underpayment projects, A/R, patient collections, and contracting.
I've done some research online and have a few general questions if anyone would like to provide input or feedback I would greatly appreciate it.
The dominant payment methodology seems to be a percentage based off of what the insurance pays on the claim. In my experience, a FESS can cost $10,100+ after contractual adjustments are taken into consideration. Assuming the entire allowed amount has been applied to the patient's deductible, how would a billing service collect their percentage on the claim?
Also, this may be a stupid question, however I never billed a claim without reading the physician's note so do medical billing services have access to EHR?
Lastly, I currently work for a large group ENT practice. Just one of our offices, with one physician can generate $420,000+ in insurance payments alone. From what I'm seeing online medical billing services collect anywhere between 6-10%. Assuming the agreed upon rate is 7.5% that would equate to about $31,500 in billing fees. Does this sound normal at least for specialty practices?
Thank you so much!