The Guidelines You Must Keep In Mind Before Outsourcing Medical Billing Services

What Is Mean By Outsourcing Medical Billing?

Outsourcing medical billing means a healthcare center, hospital, clinic, or private practice. Allows a third party or partner to handle all or a portion of the back-end billing. It includes everything to process like a claim submission, payment posting, fixing the claim rejection and denials, account receivable management, etc.

Outsourcing medical billing services focus on obtaining timely reimbursement for medical services as quickly as possible. Their main goal is to maximize your practice’s overall revenue cycle performance. Global outsourcing medical billing services are expanding at an annual growth rate of 11.08%.

The Guidelines You Must Keep In Mind Before Outsourcing Medical Billing?

Outsourcing medical billing providers are getting a lot of benefits. Here are some precautions a provider should take care of if he is going for outsourcing medical billing.

• Hidden fees in contracts with medical billing companies are one of the main things that may affect the revenue of your practice. Providers must check carefully the contract if they are going for outsourcing billing.
• Some practices do not earn as they pay in outsourcing medical billing. For example, in acupuncture billing, your contract with the medical billing company is not on a percentage basis but at a fixed cost and your revenue is not more than the cost of your outsourcing medical billing.
• In revenue generation, process clinics or practices must perform their other duties, especially those related to finance like daily expenditure, daily productivity, etc.
• Lack of autonomy over the revenue cycle management process may reduce your revenue.

Providers often need medical billers who are professionals and have advanced knowledge about the whole process. If they taking services from an ordinary medical billing company that is not advanced in knowledge about medical billing, CPT-codes, and ICD-codes then it will be the main cause of denial and rejection of claims. It may reduce your revenue.

Outsourcing medical billing means trusting on third-party and accepting their rules rather than putting your own rules on them.

In-House Medical Billing Vs Outsourced Medical Billing:-

In some healthcare centers, clinics, hospitals, and practices, medical billing outsourcing is considered not a good thing. Because they think that they have trained staff that handles their whole revenue cycle management process. But they still have headaches about their reimbursement. Because they face a lot of problems in this process.

The cost of the salaries of the employees, office space, computer costs, etc. affects their revenue cycle. They paid a lot of money in order to train their staff. If their business is not grown they have only a few claims for reimbursement then it is a great burden on them.

In this scenario, they do not give proper attention to patient care because their main focus is on the revenue cycle rather than patient care. If providers want to give proper attention to their patients and want to focus on their clinic progress rather than the revenue cycle management process then they should go for outsourced medical billing.

It is not a myth, it is a reality that a man can give proper attention to only one thing at a time. This thing is not good for any business that a person is a jack of all trades and master of none. Outsourced medical billing services are very helpful for clinics especially for small practices because they help them to reduce costs, increase revenue, and save time.

These are some other important facts about in-house medical billing and outsourced medical billing.

If we compare both in-house medical billing and outsourced medical billing then we can say that outsourced medical billing has a lot of advantages over in-house medical billing.

What Are The Fees Structures For Outsourced Medical Billing?

Medical billing companies mostly charge a percentage of whole collections and get paid after practices get paid. There is no disturbance in results software system produces a report for monthly reimbursement received then the medical billing company applies different percentage fees to the net amount and invoices monthly. Fees range is mostly depended on specialty, software systems, and volume of the whole billing.