top of page

Why Outsource?

​​

1. Economies of scale

​

A billing service distributes their expenses across the entire client base providing an economy of scale. We can operate at a lower cost than a single practice and those savings are passed on to you. We can afford to hire the best staff possible, so you pay less for the same, or often higher collection percentages. In addition to the direct financial benefit of higher returns and lower costs (overhead, staff, insurance, hardware, etc), you save in the more difficult to quantify areas of time, stress, and office space.

​

2. Dedicated, highly trained specialists

​

We have only one purpose. That is to increase the profitability of your practice. We review and post all payments ensuring that the carriers are paying the correct amount and preventing incorrect adjustments. Every outstanding claim is tracked until it is processed and paid to its fullest. We are not a separate team. We are integrated with your existing staff and have the same goals in mind. If your practice doesn't make money, we don't make money. Your practice also gains access to a knowledge base of billing experts to aid in navigating the ever increasing industry changes.

​

3. Gain control

​

Many people think that outsourcing medical billing means giving up control to someone else. The opposite is true, and for most practices, they feel more in control than ever before. Someone else is taking care of the time consuming work and dealing with the headaches, so the providers have breathing room to review their monthly reports and see at a glance the health of the practice. Monthly and annual comparisons are quickly made and all questions are addressed by our account managers in detail. Things like charge entry errors or payer reimbursement issues can be identified early before they spiral out of control. Transparency and the ability to run any report 24 hours a day gives a sense of control that practices never had before. Adding an expert billing team to the mix utilizes a team approach to progress toward mutual goals.

​

4. A changing industry

​

The healthcare landscape is changing at an unprecedented rate and medical billing is not spared from the upheaval of change. Keeping up with the ever changing rules and requirements is difficult under the best of circumstances. It requires constant education and vigilance. New and deleted CPT codes come out annually, fees change, and carrier rules seem to vary daily. Most people just don’t have the time needed to dedicate to this task.

​

5. Get paid faster

​

Cash flow is key. Your days in AR, or revenue cycle time, has a significant impact on your bottom line. We can submit your claims faster and with fewer errors, so you receive payment from payers in the shortest amount of time. Your payments are posted by professionals who will prevent errors in payment posting, resulting in denials being detected up front. These are worked and resubmitted for timely payment. We will ensure that you are transmitting claims electronically to all possible carriers and are set up to receive ERAs, further reducing turnaround time. Achieving the highest reimbursement possible in the shortest amount of time puts money in the bank and not on the books. Do you know what your average Medicare cycle time is?

​

7. Focus on what you do best

​

You spent all those years in school to become a healthcare provider so that you could enjoy a long career helping people. Doing your billing in house requires a lot of time and effort. Even if you aren’t the one that actually spends 15 minutes trying to contact a carrier to follow up on a single claim, you will still need to deal with the high level management and all of the headaches that come with it. A billing service can free up a substantial amount of time that could be spent with patients or for some much needed R&R. With age comes wisdom and at some point you may ask yourself “what is my time worth to me compared to what I can pay someone else”. A billing service is an ideal way to free up your valuable time while maintaining the same patient volume and potentially increasing your revenue at the same time.

​

8. Less stress, more cash

​

The less money that is erroneously adjusted off or the fewer claims sent out incorrectly means more money in your pocket. We conduct a fee schedule analysis periodically to make sure that you are getting reimbursed at the highest possible rate, scrub claims to ensure that they are submitted correctly and review denials for accuracy. Each EOB is audited for correct payment and steps are taken to ensure that you receive accurate reimbursement for your services. We work hard to improve your collection rate because if you make more, we make more.

​

bottom of page