My Medical Billing Community
February 04, 2012, 04:50:37 PM *
Welcome, Guest. Please login or register.
Did you miss your activation email?

Login with username, password and session length
News: WELCOME GUESTS and MEMBERS: Our Medical Billers Lounge is open! Talk about anything that pertains to the medical billing profession in general.
 
   Home   Help Search Calendar Login Register  
Pages: [1]   Go Down
  Print  
Author Topic: Re: Charges to Clients  (Read 4858 times) Bookmark and Share
0 Members and 2 Guests are viewing this topic.
Steve Verno
Global Moderator
Hero Member
*****

Kudos: +203/-0
Offline Offline

Gender: Male
Posts: 1561



« Reply #11 on: July 18, 2009, 03:04:15 AM »

When I turned 21, I was in Colorado,alone and just came back from a month long exercise in the boonies field maneuvers.  I had $1.00 to my name.  I went to the on base liquor store.  It was Colt 45, MD 2020 or Boonesfarm Grape.  Beer was 3.2 coors and I hate coors.  I got the grape, went to my room and celebrated my birthday alone.  I still like BF grape.  They sell no wine before its time - 1pm. 
Logged

I AM NOT A LAWYER. I DONT GIVE LEGAL ADVICE. THIS IS FOR TRAINING ONLY.  THE READER CAN SEEK LEGAL ADVICE AT THEIR OWN EXPENSE. I ALSO DONT DO FREE RESEARCH OR CONSULTATON.
Pay_My_Claims
VIP
Hero Member
*****

Kudos: +76/-0
Offline Offline

Gender: Female
Posts: 599


Trust Reliability Integrity


« Reply #10 on: July 17, 2009, 09:57:53 PM »

Yes..its 3.99 now...uh I think  Grin
Logged

"Faith isn't a jump into the darkness, but rather a walk into the light"
www.trimedbillingsolutions.com
Charlene Hargrove CPMB
My Medical Billing Community
« Reply #10 on: July 17, 2009, 09:57:53 PM »

 Logged
Pay_My_Claims
VIP
Hero Member
*****

Kudos: +76/-0
Offline Offline

Gender: Female
Posts: 599


Trust Reliability Integrity


« Reply #9 on: July 17, 2009, 08:37:22 PM »

BoonFarm I think.... Shocked
Logged

"Faith isn't a jump into the darkness, but rather a walk into the light"
www.trimedbillingsolutions.com
Charlene Hargrove CPMB
My Medical Billing Community
« Reply #9 on: July 17, 2009, 08:37:22 PM »

 Logged
Pay_My_Claims
VIP
Hero Member
*****

Kudos: +76/-0
Offline Offline

Gender: Female
Posts: 599


Trust Reliability Integrity


« Reply #8 on: July 17, 2009, 05:00:04 PM »

This is just my opinion but I could never take a client who was doing all the work and charge them to transmit. I also think it's best not to get into menu invoicing. I think it's more professional to charge based on an individual client's needs, specialty and financial picture.

JMO

OMG....I agree...LOL
Logged

"Faith isn't a jump into the darkness, but rather a walk into the light"
www.trimedbillingsolutions.com
Charlene Hargrove CPMB
Danni R.
Forum Owner
Administrator
Hero Member
*****

Kudos: +57/-0
Offline Offline

Gender: Female
Posts: 1164


The big, fat MOTTO!


« Reply #7 on: July 03, 2009, 08:20:53 PM »

When a prospect contacts you (via email) and asks:

"What are your rates?" or, "What do you charge for that?"

The best way to convert that prospect into a client is NOT by sending a rate sheet right back.

But rather, call to find out exactly what they need!

Because when you are promoting services and someone asks for a price list right off the bat, you just don't know enough to give it yet.
 
Logged

I am not a lawyer:  Any legal questions should be answered by a lawyer.  I am not a doctor:  Any medical questions should be answered by a doctor. I am not a psychic:  I don't know which schools are better or worse.  I am not a medical coding instructor: I don't answer homework questions. Also visit http://www.medicalcodingandbilling.com.
Steve Verno
Global Moderator
Hero Member
*****

Kudos: +203/-0
Offline Offline

Gender: Male
Posts: 1561



« Reply #6 on: July 02, 2009, 09:01:01 PM »

Years ago, I dealt with one of those kinds of hot dog vendors.  It was nickle and dime the doctor for everything.  They were fired when they wanted to start charging for every patient phone call. 

The doctor sued them successfully when he showed the court how much he lost when using them.  He hired me to so a CSI act on them. That meant months of going over reports, medical records, eobs and everything else.  They were what i call a code it bill it and forget it company. 

I''ll take two with chili,and onions and a nice cold Zirndorferor Killians Irish Red if you dont carry Zirndorfer. 
Logged

I AM NOT A LAWYER. I DONT GIVE LEGAL ADVICE. THIS IS FOR TRAINING ONLY.  THE READER CAN SEEK LEGAL ADVICE AT THEIR OWN EXPENSE. I ALSO DONT DO FREE RESEARCH OR CONSULTATON.
Danni R.
Forum Owner
Administrator
Hero Member
*****

Kudos: +57/-0
Offline Offline

Gender: Female
Posts: 1164


The big, fat MOTTO!


« Reply #5 on: July 02, 2009, 09:17:36 AM »

Really, what you charge is based upon the type of provider, geographic location and the average "ticket" (average charge).

For instance, generally speaking, if you are billing for an anesthesiologist whose average charge is $700, your percentage will be lower than billing for a chiropractor whose average charge might be $70. 

Tammy, you are right... Adding your points, this is what my list looks like. Although, this is how I determine my fees in web design, I believe it holds true for any other consultant, or freelancer.

These are the things I take into consideration:

 - type of provider (you are right, Tammy!)
 - urgency and complexity of the project
 - my experience and qualifications
 - long-term, or short-term contract
 - going rate in your location
 - my own financial goals and thresholds
 - my own workload and deadlines
 - client comfort zone, eg. flat rate per project, hourly rate, or percentage
 - and the average "ticket" (average charge) (as suggested by Tammy).

On the other hand, my shooting rate may be higher than the going rate because I have a greater overhead, or I may be in a more expensive region than they do. I also may have more, or fewer billing days per year than others.
Logged

I am not a lawyer:  Any legal questions should be answered by a lawyer.  I am not a doctor:  Any medical questions should be answered by a doctor. I am not a psychic:  I don't know which schools are better or worse.  I am not a medical coding instructor: I don't answer homework questions. Also visit http://www.medicalcodingandbilling.com.
Steve Verno
Global Moderator
Hero Member
*****

Kudos: +203/-0
Offline Offline

Gender: Male
Posts: 1561



« Reply #4 on: July 01, 2009, 05:56:17 PM »

as they said in the movie "Airplane"

Chump dont want de help, chump dont get de help

Logged

I AM NOT A LAWYER. I DONT GIVE LEGAL ADVICE. THIS IS FOR TRAINING ONLY.  THE READER CAN SEEK LEGAL ADVICE AT THEIR OWN EXPENSE. I ALSO DONT DO FREE RESEARCH OR CONSULTATON.
Danni R.
Forum Owner
Administrator
Hero Member
*****

Kudos: +57/-0
Offline Offline

Gender: Female
Posts: 1164


The big, fat MOTTO!


« Reply #3 on: July 01, 2009, 03:59:27 PM »

to me 7% is a bargain

to add my own statement

you get what you pay for 

he sees my fee, he'll have a heart attack.

Mine are high because I get the real dirty work from cheap doctors who tried to save a buck but got someone who couldnt find their fanny if they had an electron microscope and a map. When showed pictures they didnt know the difference between sh*t and shineola.  MY work usually takes me about 2-3 years to clean up.   

Ditto, Steve! Exactly my stance. If the rate was fair and fine when discussed, it should have been fine when agreed to, and the goods delivered.

A lot of work and time goes into determining a fair rate – many personal questions need to be answered and a significant amount of research within the industry, and specific to the client needs to be done before hand.

Also, over the years I have learned that here is a "psychology" to your rates, and how you conduct business.  It is a fine art to determine a new client's needs, as well as meeting everyone’s comfort level. It is smart business to always leave some negotiating room – but then stick to the agreement. To me, reducing your rate simply because a client has "buyer's remorse" is a sign of weakness. You are giving in. From then on, chances are you will never meet your own goals with that client, and it will never truly be win-win ever again.

Make your proposal, and let the client at that point make the decision. Of course, if the client requests a fast turn-around, it is inevitable that you can only do it at a higher rate.
Logged

I am not a lawyer:  Any legal questions should be answered by a lawyer.  I am not a doctor:  Any medical questions should be answered by a doctor. I am not a psychic:  I don't know which schools are better or worse.  I am not a medical coding instructor: I don't answer homework questions. Also visit http://www.medicalcodingandbilling.com.
Steve Verno
Global Moderator
Hero Member
*****

Kudos: +203/-0
Offline Offline

Gender: Male
Posts: 1561



« Reply #2 on: July 01, 2009, 10:07:14 AM »

to me 7% is a bargain

to add my own statement

you get what you pay for 

he sees my fee, he'll have a heart attack.

Mine are high because I get the real dirty work from cheap doctors who tried to save a buck but got someone who couldnt find their fanny if they had an electron microscope and a map. When showed pictures they didnt know the difference between sh*t and shineola.  MY work usually takes me about 2-3 years to clean up.   

On time a doctor refused to pay me saying I stole money from him.  I got him a $50,000 check on claims denied 5 times. I quit and hired a lawyer that the doctor had to pay for based on my contract.  he called a couple of days later saying he had my check.  I picked it up and never went back.  It bounced and he had to pay me in cash plus the bank fees.  He still had about $1,000,000 in unpaid claims and receivables.   IN the middle of the project, he decided to change the claims payment address.  I think he tried to hide money.  But calls revealed the checks and the fact that they were cashed.  That caused another call to my lawyer and letters to the OIG under the Qui Tam Act. He has called a few times asking me to come back.   Last I heard, no biller or coder would take him on as a client.  Ive stepped in lots of shineola in my many years.
Logged

I AM NOT A LAWYER. I DONT GIVE LEGAL ADVICE. THIS IS FOR TRAINING ONLY.  THE READER CAN SEEK LEGAL ADVICE AT THEIR OWN EXPENSE. I ALSO DONT DO FREE RESEARCH OR CONSULTATON.
Pay_My_Claims
VIP
Hero Member
*****

Kudos: +76/-0
Offline Offline

Gender: Female
Posts: 599


Trust Reliability Integrity


« Reply #1 on: July 01, 2009, 08:14:08 AM »

My rates vary per client.
Logged

"Faith isn't a jump into the darkness, but rather a walk into the light"
www.trimedbillingsolutions.com
Charlene Hargrove CPMB
Danni R.
Forum Owner
Administrator
Hero Member
*****

Kudos: +57/-0
Offline Offline

Gender: Female
Posts: 1164


The big, fat MOTTO!


« on: July 01, 2009, 08:04:16 AM »

What is the average billing rate for billers? I am charging my clients 7% of what gets paid. One of them is asking for a decrease stating my rates are too high. What do you all charge?  Smiley

Without going into exact figures or percentages, here is my stance... the other option for them is to go elsewhere and get cheaper! Next time this client tells you your rate is too high... have your blurb, and horror stories ready, and scare the willies out of them about "cheap services".

Don't be smart... just have a real conversation that serves as an eye-opener... Tell them stories of business failure, and the cost to fix things, and catch up. Somewhere in there, throw in the phrase "Of course, if you want cheap, you can get cheap; and there is always India!". Also, mention that it they should decide to come back later to fix the mess, your rates will be likely higher, especially since the 7 per cent they are enjoying now is a special rate that was established especially for them as an appreciated customer. Once you painted the picture, I am sure they will be happily staying.

I've used this technique myself in web design. It works. Never ever heard as much as a peep of a complaint ever again, even though over the years my rates still increased a little. My biggest advantage and selling point (hook) is my reliability, accuracy, credibility, productivity, and availability within 1-2 hours, and on weekends, if needed, to help or answer questions. Sadly, I too had to literally convince a couple clients, that my rates are a BARGAIN... and right on target.

I NEVER go back on my rates! They were carefully determined for each individual client before a proposal was forwarded and discussed again before the contract was signed. Agreed, is agreed...  Sometimes, however, if I feel the customer is sincere, and valuable to me, I am willing to sit down and examine the breadth of the current services to determine if we can pin point certain parts of the service that they no longer need; or can take over themselves, and thus, rather than reducing my rates, make every effort to meet their new budget. 

However, if I sense it's simply a case of "buyer's remorse" ... a rate reduction for the services agreed to is not up for discussion. Once agreed, I deliver, and expect to get paid. However, I am speaking of web design rates and contracts, rather than billing services. Nevertheless, I am fairly sure, the situation is similar.
Logged

I am not a lawyer:  Any legal questions should be answered by a lawyer.  I am not a doctor:  Any medical questions should be answered by a doctor. I am not a psychic:  I don't know which schools are better or worse.  I am not a medical coding instructor: I don't answer homework questions. Also visit http://www.medicalcodingandbilling.com.
Pages: [1]   Go Up
  Print  
 
Jump to:  

Powered by MySQL Powered by PHP Powered by SMF 1.1.15 | SMF © 2006, Simple Machines
SMFAds for Free Forums | Sitemap
Valid XHTML 1.0! Valid CSS!
Page created in 0.175 seconds with 25 queries.