Medical Insurance Billing Blog

Outsourcing your medical insurance billing enables providers to mitigate their expenses and, at the same time, leverage their remaining resources. Technological advancements are continuously reshaping patient care and how providers perform their business.

Are you noticing that private insurance companies have been decreasing the reimbursement of such clinical and non-clinical services? As a result, many healthcare establishments are having difficulties in supplementing their profit margins for such medical services. Not to mention staffing wanting increased wages. By outsourcing, you will be able to alleviate this challenge.

Outsourcing enables providers to ensure that all patient claims are processed accurately. This mitigates the risk of billing errors and halts the cash flow of hundreds of claims that need to be processed daily if your billing company is doing its job! It is also a good choice to help complete all required insurance claims on time.

FAQ: Why would a provider not just hire an in-house biller?
There are several answers to this question, one of the most common responses is Cost Reduction: Compared to hiring and training in-house employees, outsourcing this role allows you to save money, both from your operational expenses and overhead costs. (Taxes, insurance, benefits, sick/personal time, wage increases) The money that you save can then be allocated to other projects to enhance the growth of your entire business.

Our motto to our clients is "Let us focus on your revenue, so you can focus on your patients". This brings me to FOCUS ON PATIENTS It is quite understandable that you have a very busy and demanding schedule. Apart from being able to save on costs, outsourcing also lets you save more of your precious time.   In turn, you will be able to focus more on your patient’s needs. You will also be able to attend to more patients daily.

Outsourcing the billing process allows your in-house staff to focus on other important matters. On top of that, having extra sets of hands helps you and your team to improve your services and add more to your existing ones.  

•  What percentage of your claims are getting rejected for data-entry errors? 
•  How often does your staff run authorization and referral tracking reports?
•  How often is your staff/third party medical billing company submitting claims? 
•  How often does your front desk staff collects all patient money at the time of service?
• Does your staff enforce your cancel/no-show policy?
• Is your staff/third party medical billing company aware of which insurance companies you are in-network/out-of-network with?
•  Does your staff/billing company stay up to date with all changes to insurance-specific guidelines?
• How often does your staff/billing company work denials?
• What percentage of your accounts receivable (A/R) is over 120 days?
• If you have more than one provider, is your staff individually credentialed?

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