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  • ruszja

    Member
    September 7, 2023 at 11:12 am

    Quote from OnsiteRad

    What is contracting costs? 

     
    – Negotiating payor contracts so you dont end up getting the 60% medicare they are going to offer you if you just sign whatever they put in front of you.
    – Auditing what you DO get paid to make sure you get paid according to your contract and not some lower rate some insurers will drop back to ‘accidentally’.
    – Negotiate contracts with entities like workmans comp insurers, prison medical contractors and large employers (occ health) etc.
     

    I didn’t include medmal insurance in the expenses. 

     
    Yeah, but that’s part of your overhead.  So is health, disability and general commercial liability, state and local business taxes etc.  The 7% is going to be what a billing company charges you for claims transmission, lockbox service and maybe 1st level appeals/reconsiderations. Unless you do all the other stuff yourself (which you can certainly do for a 1-man shop), you are going to hire someone to do it. So you either pay someone a salary, or you contract with a practice management company to do this. It’s gonna cost more than 7%.