Bill Sample / December 8, 2018 / Daphne Pope
To help the medical community first you have to set up a medical reimbursement consultancy and which is equipped with all infrastructure facilities to handle diverse medical administrative functions. Medical billing business plans help you get an overview of the entire medical billing business. They assist you in selecting the best course of action for the success of your business. Medical billing business plans also enable you to set priorities and choose the best alternatives out of a situation. A lot of sample medical billing business plans with financial forecasting ideas required by lenders investors and banks are available on the Internet. These sample ready-made plans can be used to effectively set up and monitor medical billing businesses. You can also make use of the medical billing business plans software that is available on the Internet.
Days in Accounts Receivable (DAR) A growing number of days in accounts receivable are symptomatic of a faulty billing process. One way to determine DAR is to count days from the date of service to the date of payment for every claim and then average across all claims. A simpler way to compute average number of days in accounts receivable by taking a ratio of accounts receivable to average daily charges or Number of days in accounts receivable = (Accounts Receivable / Average Charge) x 365 This metric too depends on medical specialty patient demographics payer mix and CPT sample. Another downside is that this metric is sensitive to provider as it counts the lag time of unsubmitted claims for services already delivered.
You want to imagine a symbiotic relationship with your providers and then list the reasons this relationship works and put those actions in your contract as responsibilities of yourself or the provider. You need a list of everything that you have ever heard of going wrong in a medical billing business between the provider and the biller. You need to decide how you would avoid those situations if possible and cover how it would best be handled in your contract if unavoidable. What you are charging your provider and how you will get paid is a fairly important part of your contract. Are you charging a percentage a flat rate or a per claim fee? Is it clearly defined how you are charging? Is the percentage on what is billed out or what is received? Are patient payments included? If charging per claim what constitutes a claim? Is it a line on a claim form or is it per page? You also need to take into account what will happen when the relationship ends.