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Group,

Is it a normal practice for a billing service provider to put a clause in a

contract that you cannot leave for a certain amount of time (2 years) and even

then only with a 90 day notification?

Odilia Egbers, PT

Rehab Enterprises

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No. Do they work for you or vice versa. Caution!

>

> Group,

>

> Is it a normal practice for a billing service provider to put a clause in a

contract that you cannot leave for a certain amount of time (2 years) and even

then only with a 90 day notification?

>

> Odilia Egbers, PT

> Rehab Enterprises

>

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Odilia

I don't know what all our agreement has in it, but I tell my clients regardless

of what the agreement says, if a client is not happy, we work with them to get

them with the least amount of harm to where they want to get. An unhappy client

would do us a lot more damage than any damage that leaving earlier than the term

of an agreement could. That said, if a client reads our agreement and isn't

comfortable with it, I work with them on the language until they are

comfortable. If you like the people you are talking with but don't care for the

language, ask them to amend the agreement. Their response will provide more

insight on whether or not you want to business with them.

I typically tell any new client, if you are not happy, all you have to do is

quit submitting information to our company. Regardless of what our agreement

says, you effectively terminate your agreement and we wind your A/R down. Any

chance you want to discuss your business with us?

Jim Hall, CPA <///><

General Manager

Rehab Management Services, LLC

222-3rd Street SE, Suite 610

Cedar Rapids, IA 52401

319/892-0142 X 110

Visit our website at:

www.rehabmgmt.com

Re: billing service

No. Do they work for you or vice versa. Caution!

>

> Group,

>

> Is it a normal practice for a billing service provider to put a clause in a

contract that you cannot leave for a certain amount of time (2 years) and even

then only with a 90 day notification?

>

> Odilia Egbers, PT

> Rehab Enterprises

>

Link to comment
Share on other sites

Odilia

I don't know what all our agreement has in it, but I tell my clients regardless

of what the agreement says, if a client is not happy, we work with them to get

them with the least amount of harm to where they want to get. An unhappy client

would do us a lot more damage than any damage that leaving earlier than the term

of an agreement could. That said, if a client reads our agreement and isn't

comfortable with it, I work with them on the language until they are

comfortable. If you like the people you are talking with but don't care for the

language, ask them to amend the agreement. Their response will provide more

insight on whether or not you want to business with them.

I typically tell any new client, if you are not happy, all you have to do is

quit submitting information to our company. Regardless of what our agreement

says, you effectively terminate your agreement and we wind your A/R down. Any

chance you want to discuss your business with us?

Jim Hall, CPA <///><

General Manager

Rehab Management Services, LLC

222-3rd Street SE, Suite 610

Cedar Rapids, IA 52401

319/892-0142 X 110

Visit our website at:

www.rehabmgmt.com

Re: billing service

No. Do they work for you or vice versa. Caution!

>

> Group,

>

> Is it a normal practice for a billing service provider to put a clause in a

contract that you cannot leave for a certain amount of time (2 years) and even

then only with a 90 day notification?

>

> Odilia Egbers, PT

> Rehab Enterprises

>

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  • 1 month later...

I am getting 95% using Jim Hall's service. That is excluding patient owed

balances, once it gets too billing the patient I am lucky to get my money

at all, but I don't blame that on the blling company.

Odilia

> **

>

>

> I am a contract PT and having problems with my billing service. They are

> only collecting about 50% of what is billed.

>

> Is anyone out there getting better?

>

> Duane

> Mesa, AZ.

>

>

>

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I am getting 95% using Jim Hall's service. That is excluding patient owed

balances, once it gets too billing the patient I am lucky to get my money

at all, but I don't blame that on the blling company.

Odilia

> **

>

>

> I am a contract PT and having problems with my billing service. They are

> only collecting about 50% of what is billed.

>

> Is anyone out there getting better?

>

> Duane

> Mesa, AZ.

>

>

>

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Duane

While I appreciate the compliment that Odilia provided, it is hard to say

whether that is a good collection rate or not without knowing what your gross

charges are, what payers pay in your area and whether or not your billing

service writes off contractuals at the time the service is performed or at the

time a payment is posted (along with some other considerations). Let me do a

brief illustration:

If you charge $50 for a unit of therex and you are doing business with strictly

Medicare patients. For argument sake, let's assume Medicare APPROVES $25 for

therex. If my billing software is setup with this information and allows me to

write off the NON-APPROVED portion at the time I post your charge, your

receivables will indicate a balance of $25 is due. After Medicare pays 80% and

secondary insurance pays their share, the patient gets billed and in ODILIA's

case, 95% of the receivable ($25) gets collected. So her billing service looks

pretty good.

Using the same example, the other billing service places the $50 charge in their

system and their system DOES NOT allow a contractual to be written off at the

time the charge is posted. The payment comes back and they post a $25

contractual, a $20 Medicare payment and then anything else that comes in from

secondaries and patient payments. In this case it appears that you are

collecting less than 50% and that your billing company is doing a poor job and

that may not be the case. They might be just as good Odilia's billing company.

All that said, they should be able to defend the collection job they are doing

for you and be able to explain why their collection rate is 50% (or less).

Duane, if you want to discuss your situation in more detail, I would be happy to

speak with you. But based upon the information provided in your post, there are

too many moving parts for anyone to be able to say whether your present billing

service is doing a good job or not. They would need to know more detail about

what you charge, who your payers are, whether or not you are a participating

provider, etc.

Feel free to contact me if you would like to discuss this further.

Jim Hall, CPA <///><

General Manager

Rehab Management Services, LLC

Cedar Rapids, IA

319/892-0142 X 110

Visit our website at:

www.rehabmgmt.com

Billing Service

I am a contract PT and having problems with my billing service. They are only

collecting about 50% of what is billed.

Is anyone out there getting better?

Duane

Mesa, AZ.

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Duane

While I appreciate the compliment that Odilia provided, it is hard to say

whether that is a good collection rate or not without knowing what your gross

charges are, what payers pay in your area and whether or not your billing

service writes off contractuals at the time the service is performed or at the

time a payment is posted (along with some other considerations). Let me do a

brief illustration:

If you charge $50 for a unit of therex and you are doing business with strictly

Medicare patients. For argument sake, let's assume Medicare APPROVES $25 for

therex. If my billing software is setup with this information and allows me to

write off the NON-APPROVED portion at the time I post your charge, your

receivables will indicate a balance of $25 is due. After Medicare pays 80% and

secondary insurance pays their share, the patient gets billed and in ODILIA's

case, 95% of the receivable ($25) gets collected. So her billing service looks

pretty good.

Using the same example, the other billing service places the $50 charge in their

system and their system DOES NOT allow a contractual to be written off at the

time the charge is posted. The payment comes back and they post a $25

contractual, a $20 Medicare payment and then anything else that comes in from

secondaries and patient payments. In this case it appears that you are

collecting less than 50% and that your billing company is doing a poor job and

that may not be the case. They might be just as good Odilia's billing company.

All that said, they should be able to defend the collection job they are doing

for you and be able to explain why their collection rate is 50% (or less).

Duane, if you want to discuss your situation in more detail, I would be happy to

speak with you. But based upon the information provided in your post, there are

too many moving parts for anyone to be able to say whether your present billing

service is doing a good job or not. They would need to know more detail about

what you charge, who your payers are, whether or not you are a participating

provider, etc.

Feel free to contact me if you would like to discuss this further.

Jim Hall, CPA <///><

General Manager

Rehab Management Services, LLC

Cedar Rapids, IA

319/892-0142 X 110

Visit our website at:

www.rehabmgmt.com

Billing Service

I am a contract PT and having problems with my billing service. They are only

collecting about 50% of what is billed.

Is anyone out there getting better?

Duane

Mesa, AZ.

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When you say 50% of what is billed, are you saying they are only collecting 50%

of your charges or 50% of the allowed amount of what the insurance company

should be paying you?

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> I am a contract PT and having problems with my billing service. They are only

collecting about 50% of what is billed.

>

> Is anyone out there getting better?

>

> Duane

> Mesa, AZ.

>

>

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When you say 50% of what is billed, are you saying they are only collecting 50%

of your charges or 50% of the allowed amount of what the insurance company

should be paying you?

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> I am a contract PT and having problems with my billing service. They are only

collecting about 50% of what is billed.

>

> Is anyone out there getting better?

>

> Duane

> Mesa, AZ.

>

>

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When you say 50% of what is billed, are you saying they are only collecting 50%

of your charges or 50% of the allowed amount of what the insurance company

should be paying you?

Rick Gawenda, PT

President

Gawenda Seminars & Consulting, Inc.

http://www.gawendaseminars.com

> I am a contract PT and having problems with my billing service. They are only

collecting about 50% of what is billed.

>

> Is anyone out there getting better?

>

> Duane

> Mesa, AZ.

>

>

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50% is what we collect on average and that is pretty good when you are comparing

billed charges vs. allowed. It really depends on the billing rate and the

contractual fee schedule. If you are saying 50% of the allowable.....That is a

problem. 50% of the billing charges might be good.....

Heidi

Billing Manager

Re: Billing Service

When you say 50% of what is billed, are you saying they are only collecting 50%

f your charges or 50% of the allowed amount of what the insurance company

hould be paying you?

Rick Gawenda, PT

resident

awenda Seminars & Consulting, Inc.

61.645.1490

ttp://www.gawendaseminars.com

> I am a contract PT and having problems with my billing service. They are only

ollecting about 50% of what is billed.

Is anyone out there getting better?

Duane

Mesa, AZ.

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