What are sign-on fees and why do I have to pay them?
Many, but not all, billing companies charge sign-on fees to help cover the cost of “bringing on a new client.” The billing company will figure the cost of billing for a new physician and double or triple this figure and ask that you pay it as a sign-on fee. Some reputable billing companies charge sign-on fees, however, they should be able to provide you with detailed reasons as to why you must pay the requested fee. You must understand that there is some cost for beginning the process of billing for a physician. The billing company will usually have to buy some additional software or may even buy hardware to help get the process started. A reputable billing company should give you a detailed list of items and additional services that your sign-on fee covers. Keep in mind that your sign-on fee should be used by the billing company to only help cover the cost of beginning the billing process for you. Beware of any company that wants to charge you thousands of dollars just to be your bill
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