Billing Costs are hard costs associated with lost revenue from not being able to bill for charges.  Lost revenue is absorbed by both the facilities and the provider.  In some cases, a facility based practice may pay the provider an “income guarantee” while credentialing is completed, effectively transferring the provider’s lost revenue to the facility.  Below estimations are based on a 182 day average length to complete health plan enrollment, per survey.

The average time to complete health plan enrollment for PPS measured from the date we receive the provider’s information, to the effective date at the plan, is 110 days.  Medicare average is only 55 days due to our contacts within the different Medicare administrators.

How much revenue are you losing?

           SpecialtyLost Facility Revenue

  Lost Physician Revenue

Primary Care$860,830$139,784
OB/GYN$723,600$215,112
General Surgery$1,120,571$259,756
Neurosurgery$1,493,558$462,064