Medical Billing Best Practices

Why Outsource Your Medical Billing

The business of running an independent medical practice becomes more complex with every passing year. There are new regulations, coding updates, changing payer rules, and performance measures that can significantly affect reimbursement. Organizations put their cash flow and revenue at risk when they are slow to keep up with the updates necessary to keep their revenue cycle running smoothly. This reality often prompts the question “why not outsource your medical billing?”

Deciding to outsource your medical billing simplifies a practice’s administrative process and provides the highest return on investment for their revenue cycle management dollars. Even though the investment is sound, there are still questions to be answered. Here are the top 5 questions that practices ask us

How do we know our revenue will benefit from a change?

If your practice is struggling under the weight of medical claim processing and management, the writing is on the wall – if you fail to act, you will see a decrease in reimbursement. Partnering with a billing company allows you to benefit from the accumulated experience and knowledge gained by working with practices similar to yours. This is particularly true if you are in a specialized practice – such as radiology, pathology or anesthesiology.

Efficient denial management is also a huge plus when using a medical billing company. The billing partner you choose will only get paid if you do – which increases the incentive for the billing company to pursue every dollar you are owed.

I am afraid to lose control over my billing. How will I know what is going on?

Effective medical billing companies will hold themselves accountable for results and produce financial reports on at least a monthly basis. This reporting creates structure in measuring the performance of billing operations.

Many practices that outsource their billing after having an internal department are surprised by the level of reporting produced by their billing company every month. Reporting is customizable to the needs of the practice and is enabled by a software platform that can provide real time metrics.

In-house billing departments that have grown organically over time sometimes don’t absorb the best practices of the industry. Since they only have the time and resources to concentrate on the activities of the moment, they can’t look outward for new strategies and are not guided by billing metrics in making operational changes.

Revenue cycle management companies have a vested interest in continual improvements to maximize cash flow and reimbursements.

How will the new company ensure our office workflows will not be disrupted and our information preserved during the transition?

Most revenue cycle management companies have transition departments to ensure the flow of information runs smoothly, all visits are accounted for, and subsequent claims created. Since your reimbursement is directly tied to their payment, it is in everyone’s best interest to ensure all claims are generated and submitted in a timely fashion.

Another benefit of having to outsource medical billing is that staff in the office can now concentrate solely on the clinical aspects of patient care and the overall experience your practice provides. Time can be devoted to ensuring that quality of care and patient satisfaction benchmarks are met, which is necessary to keep your revenue moving in a positive direction.

Will they treat my patients with the respect they deserve?

Healthcare organizations are correct to be concerned about patient satisfaction. Patients are responsible for an increasing percentage of overall reimbursement and now have a consumer mindset which is a change for the industry.

Reputable billing companies have well-trained staff who are experts at dealing with patient questions and concerns. Every office, both inside and outside healthcare, knows that it is impossible to satisfy each consumer every time. However, billing companies often have tools such as recorded calls that help ensure every patient interaction is handled appropriately and politely.

If I outsource my billing, how do I know it will work for me financially?

Collecting your reimbursement is expensive – a well-run billing department requires technology, space, constant training and experienced personnel. There was a time when offices could make do with medical billers who were little more than data processors. That time is over because of the increasing complexity and ever-changing nature of our healthcare system.

According to Indeed, the average billing specialist stays with an organization for 1 – 3 years. For most medical practices, that means they are continually incurring costs to hire and train new employees. The average biller costs $27/hour, so the money spent hiring and retaining the labor necessary for revenue cycle management adds up fast. Labor costs along with billing performance are undoubtedly the most substantial factors cited when the decision is made to outsource medical billing.

Outsource Your Medical Billing for Financial Peace of Mind

>It’s not a decision to be taken lightly but to outsource your billing is to delegate complicated, ever-changing work to the experts.

 

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