There are many things to consider when starting a medical billing business, and signing a contract is just one of them. There are a lot of fees for getting started, and most of us don't want to spend a limited amount of investment money on lawyers at first. So what do many of us do? We "Google" sample medical billing contracts and use what we think sounds good and sign a contract for our business. This can be a big mistake.
This is what we did when we opened 16 years ago, except there is no ''Google "then. But we basically search until we find a sample, very simple contract, and modify it for us to use For several years, we told ourselves that this is good, if it doesn't work for the provider, then it doesn't work for us or we should continue to look for new customers. It took us a long time to realize that in some cases we are simple The contract is actually the reason why things are not successful.
When you first start the medical billing business, you don't know what's possible in your relationship with the customer, so you don't know what to include in the contract. Our first contract did not even stipulate the provider or our own responsibility. Surprisingly, we were able to find suppliers who were willing to sign contracts. If you don't include the responsibilities of the parties in the contract, how does it protect the two of you when the relationship begins to fall apart? If both parties don't know their responsibilities, how can you expect this relationship to work?
This is an example. As stated in your contract, the Provider's office representative is obligated to provide you with all payment remittances, but you have not received these remittances, which has led you to contact the insurance company for a significant amount of additional work to check the status of the claims paid. It took three or four hours to call the insurance company to find that the claim was paid but the doctor's office missed the message sent to you, which was offset. When a doctor signs a contract stating that he will design a person responsible for this purpose, you can tell the person in charge that you know that this is such an important issue for you that it is written into the contract, ie the doctor signs You will be provided eobs. You can also include a rule in the contract to specify what you can do if the provider does not provide you with a drawer.
Another important example is the problem you will encounter improperly - your payment. Many people who start this business are used to receiving regular pay. When you become an entrepreneur and have your own business, if your supplier pays you, you can only write a salary for yourself. You need to know with your provider when you need to pay for your service. Doctors are often not the best businessmen, sometimes not paying their bills on time and on time. Especially when you first start a business, your provider must know when you should pay, and if you finally explain the contract language in court, then you have some well-written documents to protect you.
Every year you find other things you need to add to your contract in the business. When something new happens, you realize that it should be covered in the contract. So how do you cover everything you need to cover? You need a list - there are actually a few lists. You need to list what you think the provider's responsibilities are. You need to list the responsibilities you feel are yours. You want to imagine a symbiotic relationship with your provider, then list the reasons why this relationship works and take responsibility for yourself or your provider.
You need to find a list of all the errors you have heard in the medical billing business between the provider and the bill. If possible, you need to decide how to avoid these situations and explain how best to handle the contract if it is unavoidable.
The fees you charge to suppliers and how to get paid are a very important part of the contract. Are you billed as a percentage, a flat rate, or a claim fee? Is your pricing method clearly defined? Is it the fee charged or the percentage of the fee received? Does it include patient payments? If it is charged by claim, what constitutes a claim? Is it a row or a page on the claim form?
You also need to consider what happens when the relationship ends. This can happen, for example, when someone retirees, or may be unexpected but you need to make a plan so that at the end of the relationship. If you have an action plan on how to deal with things, this will be a better way to separate.
The whole reason for the contract is to protect you, but your contract can do much more than protection. You can eliminate potential problem providers that make you crazy. If you disagree with your provider, no matter who you are will contribute to this relationship, the chances of a successful account are very small. Don't mistakenly slap an important part of your business, which may save you from defending yourself in court. Make sure you spend time and experience to get everything covered in the contract.
Orignal From: Medical bill contract sample - my biggest mistake
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