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VTX-RN

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  1. I guess it all depends on your case load. I carry about 20 files but also have a lot of travel time because of where I live. Of course I can bill for travel time (easiest billing there is by the way), mileage and so forth. It also depends on how thouroughly you work your files. I tend to be very detailed in working my files so billing for me is not a problem. Here in NC, there are certain billing rates that are standards for the industry and are widely accepted by the insurance carriers. Examples would be phone calls and letters. The standard for voice mail messages left or received is 0.1 hours. The previous company I worked for directed that we bill a minimum of a 0.2 if we made contact with our intended party. Even a short reminder phone call to the injured worker to remind them of their appointment the next day called for billing a 0.2, even if you only talked for a minute. This was not questioned by the carriers, but I was a little uncomfortable with it. I don't do that with the company I'm with now and like it much better even though it is not generating as much income for me or the company. It is honest. However, if I have a conversation that lasts 7-8 minutes and I document in detail, I will bill a 0.2. If I have a lenghty conversation, then I will bill a 0.3 or higher depending upon the length of the call, content of the conversation and the amount of detail in the documentation. There are also billing standards for reports that your employer would have. In response to your original question, I billed 56.5 hours this past week. I usually wind up working/being in my office right at about the same amount of time that I bill, which I did this last week. Hope this helps.
  2. As a field WC CM, I have to bill for my time in increments of 1/6 of a minute, i.e. a 6 minute call would be 0.1, 12 minute call 0.2 etc. It becomes second nature once you get used to it. Your employer should have some guidelines for you regarding billing. Hope this helps.
  3. VTX-RN replied to Mijourney's topic in Case Management
    Case loads can vary depending upon your job title/duties. I know some CM's at WC insurance carriers have upwards of a 100 cases, however all their work is either telephonic or they out source to field CM's like me. I do field CM in Workers' Comp. My comfortable case load is only 20-25, but you have to take into consideration that I have a lot of travel time in there. At that level, I am easily billing 10-12 hours per day. Also, I find that if the case load gets too high, then I am not able to provide the same high standard of services. Hope this helps.

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