Short answer: Review scope, pricing definitions, term and renewal, data access, service levels, exclusions, security responsibilities and transition assistance before signing.
Define scope line by line
The agreement should state who handles coding, claim edits, denials, underpayments, patient statements, calls, refunds, credentialing, old A/R and reporting.
Understand price and duration
Confirm what revenue or claims are billable, minimums, setup and pass-through charges, price adjustments, initial term, automatic renewal and termination notice.
Protect continuity and access
Document ownership and export of data, record retention, access during disputes, assistance at termination and responsibility for open work. Have qualified counsel review legal terms for the practice.
Continue your medical billing research
Use the medical billing Buyer’s Guide, compare medical billing costs, or review outsourced billing services. When your scope is ready, check medical billing prices.
