Medical Billing Outsourcing – Is It Worth? - PowerPoint PPT Presentation

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Medical Billing Outsourcing – Is It Worth?

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If you work as a medical professional or oversee a healthcare facility, you’ve probably encountered a myriad range of challenges on the surface and deep-rooted ones when it comes to medical billing and collections. Low or delayed payment, organizational complexity, and trouble finding qualified medical billers are all common issues that healthcare professionals face when it comes to medical billing. – PowerPoint PPT presentation

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Updated: 24 April 2023
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Title: Medical Billing Outsourcing – Is It Worth?


1
Medical Billing Outsourcing
Is It Worth?
2
Medical Billing Outsourcing Is It Worth?
If you work as a medical professional or oversee
a healthcare facility, youve probably
encountered a myriad range of challenges on the
surface and deep-rooted ones when it comes to
medical billing and collections. Low or delayed
payment, organizational complexity, and trouble
finding qualified medical billers are all common
issues that healthcare professionals face when it
comes to medical billing. Since billing
procedures are closely related to your medical
settings revenue, these issues only make an
already urgent matter worse. Your medical
billing function can be outsourced, which is a
terrific approach to handle such issues. By
outsourcing, you can give your third-party
service provider control over coding and billing.
You merely provide them with all the relevant
information. They will handle billing and submit
claims to the payer, eliminating the need for
internal staff and extra infrastructure. Lets
dive deep into the details to make a sound
decision, shall we? How Much Does Outsourcing
Medical Billing Cost? When executing the medical
billing task in-house, the majority of healthcare
facilities collect roughly 60 of their claims as
opposed to the 75 obtained when medical billing
is outsourced to a company. Imagine for the
purposes of this straightforward cost estimate
that your clinic sends out 2,000,000,000 in
billed claims in a single year. You would then
have a total of 1,200,000 from internal
collections. In contrast, collections from
outsourced billing can total around 1,400,000
whereas, in-house billing is 200,000 higher than
that.
3
Medical Billing Outsourcing Is It Worth?
Now, lets talk more numbers? Outsourced onshore
billing In the United States, medical billing
services account for 6.5 to 8 of total monthly
revenue. This often results in a minimum monthly
revenue of 40,000. Minimum monthly payments
range from 2,500 to 4,000. However, depending
on your volume and the number of billers the
business would need to recruit to cover the
necessary minimum hours for your billing, this is
readily subject to change. Offshore billing It
is not true that using offshore billing providers
increases your vulnerability to data
breaches. In terms of medical billing, it is
true that certain nations have laxer information
security rules. There are several excellent,
HIPAA-compliant offshore medical billing
providers to pick from. Another excellent
strategy to save money is to use offshore billing
services. They typically provide rates between 2
and 3 of monthly collections, which are cheaper
than those of their onshore competitors. Minimum
fees are typically 500 per month, which is
significantly less expensive than onshore fees.
4
Medical Billing Outsourcing Is It Worth?
Hybrid billing Consider a hybrid style of
medical billing if you want the best of both
worlds in this area. If youre not familiar,
hybrid billing is when a practice uses both
onshore and offshore resources to carry out
different activities. The pricing of hybrid
services might range from 3 to 5.5, depending
on the amount of collections. Minimum fees are
also dependent on the amount collected. They
typically range from 850 to 3,500 a month. Is
it worthwhile to outsource medical billing? We
already highlighted how challenging and urgent
medical billing is. Medical settings are faced
with several challenges especially when it comes
to their in-house staff and resources. Its
unusual to see an independent medical practice
start up and hire staff to handle revenue cycle
management. As a result, the staff frequently
spends time making sure they follow all
applicable laws. As the facility expands, this
poses a serious problem. It takes a lot of time
to stay on top of the revenue cycle management
software. Then theres the issue of having to
update your computer system frequently to keep it
RCM-compatible. You name it and the challenge
pops up!
5
Medical Billing Outsourcing Is It Worth?
  • Additionally, hackers frequently target medical
    billing software, which stores private patient
    information. Sounds scary, doesnt it? Therefore,
    you must regularly update your security
    procedures to ensure the confidentiality of
    patient information. Even if it takes a lot of
    time, this must constantly come first in computer
    operations.
  • With all these things to take into account,
    choosing to outsource medical services for
    billing and collections to outside providers
    makes sense.
  • Whether In-House Billing Is Better Than
    Outsourcing Medical Billing Services?
  • Comparatively speaking, internal billing is not
    more economical than outsourcing. A healthcare
    practitioner can monitor the billing process and
    adjust it appropriately for increased
    productivity with an in-house billing practice.
    However, if you perform in-house billing, you
    must ensure that every member of your staff has
    the knowledge and skills necessary to deal with
    patients questions, handle claims, administer
    the process, and manage the RCM independently. It
    is undoubtedly difficult for anyone to handle
    patients claims while still concentrating on
    their patient care.
  • Most professionals choose outsourcing at this
    point because they realize that by doing so, they
    will have more time for their primary practices
    and may delegate the processing of
    insurance-related tasks to a reputable medical
    billing business. In addition to making the
    procedure smoother overall for the doctors, it
    also helps patients end up satisfied.

6
Medical Billing Outsourcing Is It Worth?
Pros of in-house medical billing More control
over the billing process When medical billing is
handled internally, you have direct control and
oversight over financial processes. You can just
ask questions of your staff down the hall, and
they will answer in real time. Any billing
changes you make will take effect right away. You
might be more accountable and open if you keep
track of your finances in person. Capabilities
for observing and controlling You can have total
control over your financial activities when you
employ in-house billing. The team will answer any
straight inquiries you have regarding any topic
right away. The billing process is mutable.
Workplace transparency and accountability are
helped by internal operations. Keeping patient
information private For the purpose of
protecting patient confidentiality, in-house
billing enables better control over patient
records. If the privacy of the information is not
protected, the patient might be reluctant to
provide more details, and the doctor-patient
relationship might suffer. Pros of outsourcing a
medical billing company Less Expensive In-house
billing requires a committed workforce, office
space, and technological assistance. However,
with the aid of technology, outsourced medical
billing will operate in a different setting.
Bonus It wont break your bank!
7
Medical Billing Outsourcing Is It Worth?
Productivity Many proprietors of medical
practices just lack the time necessary to
recruit, train, and supervise administrative
staff. Taking care of their patients and carrying
out other administrative duties already puts them
under a lot of stress. Furthermore, the patients
demand their doctors undivided attention. Thus,
the billing companies step into the picture, to
take over the complex billing processes and help
the in-house team conquer productivity. Ease of
Record keeping They keep insurance claim
e-reports on a weekly, monthly, and annual basis
when billing is outsourced. This regular updating
guarantees proper billing and paperwork. With the
right medical billing company, you can ensure
simple and easy record keeping! Wrapping
Up While many doctors still prefer to handle
their own billing, the benefits of outsourcing
medical billing are all too clear. Instead of
becoming bogged down in the details of paperwork
and administration, you would be better off
focusing your time and expertise on enhancing
patient care and your practice. The expense
element is particularly difficult to overlook.
Practitioners can save anywhere from a few
thousand to a quarter of a million dollars by
outsourcing the billing services. What are you
waiting for? Medisys Data Solutions is merely one
click away!
8
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