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A Detailed Guide on Medical Billing
Outsourcing
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
Gone are the days when the organizations used to rely on their in-house employees as
the people driving the business’s success, and the same is the story for medical practices.
Despite their talent, capability, and skills, they often fall short in managing the time and
keeping up-to-date with the frequent changes in the healthcare industry, mainly the
medical billing and coding system. Hence, a comprehensive plan for the practice must
be put in place to warrant the successful financial growth of the organization. One of
the best ways to ensure that efficient and effective medical billing processing is done
with the assurance of 100% reimbursement is by outsourcing medical billing and
coding.
However, the idea of giving the responsibility by the practices of such an integral part of
the healthcare system to an off-shore medical billing and coding company can be pretty
daunting. But if you follow this detailed guide on why and how to outsource medical
billing properly to a third party, you can definitely ensure the financial health of your
practice with other benefits
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
Medical Billing Outsourcing – A Percentage
Pricing Model
When a medical practice considers outsource medical billing and collection, the
percentage pricing model becomes an area of concern.
The core reason behind such concern is that the practice is already dependent on their in-
house staff for all the medical billing and collection activities; they often fail to
understand the model of ‘success fee’ and its benefits.
The other concern that plagues the practice when considering the percentage pricing
model is the knowledge of the covered services for medical billing and coding.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
The model is also referred as the ‘success fee’ model because the outsourced company gets a
percentage from the successful collection they have made. The collection generally includes a
portion from the gross collection of payments received from payers, patients, and self-pay
categories.
This model is one of the best in the healthcare industry since the outsourced medical billing
company gets paid only for successful collection. Hence the onus is on the outsourced billing
and coding company to increase their collection rate for the practice to enjoy better revenue
for their business.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
What Is the Percentage Pricing Model?
Services Covered
Revenue cycle management, under which the following services will be processed
 Demographic entry
 Coding
 Charge entry
 Claims transmission
 Taking care of transmission rejection
 Payment posting
 Denials management
 AR follow-up
 Credentialing
 Insurance benefit verification
 Patient calling
However, the services can also include an extra fee or within the scope of service:
 Patient statement charges
 Software purchase
 Software set-up
 Document management
 EHR/PMS
Contact negotiation with payers
The percentage fee can change since none of these services are set in stone and can be customized as
per the practice and the outsourced billing company. As a result, there are no standard rate cards
since the pricing percentage also changes based on specialties, software provided, and collection.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
Why Outsource The Medical Billing?
A successful medical practice can only happen when you offer the best patient care. In addition, it is
possible when you have a healthy cash flow. Unfortunately, many medical practices fail to provide
the best patient satisfaction because of the failure to have a comprehensive revenue management
system. Also, the other factor that impedes success is changes like ICD-10 implementation, the need
to upgrade the software and technology, and regular staff training. All of these eventually eat into
the revenue of the practice.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
Latest Technology & Software
Most outsourced medical billing makes their name in the market by offering the latest
state-of-the-art software and technology. Since most of these constantly get upgrades to
suit the changing environment of the healthcare system, the cost involved in buying and
upgrading it can be quite a lot. On the other hand, when you outsource the billing
system, you can enjoy all these latest technologies much more cost-effectively. This is
because most third-party companies charge for the software and the technology for once
and then offer their service and up-gradation for a minimal cost, which is way less than
installing your software.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
Claim Denial Reduction
Often the in-house staff members fail to get regular and adequate training regarding the
continuous healthcare billing and compliance updates. However, when you partner with a
reputed billing and collection organization, you do not have to worry about training your
staff to follow the current standards. Instead, the outsourced organization brings in its
pool of well-trained staff, which are up-to-date with the latest technology, software, and
billing procedures to ensure no claim denials.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
Integrating with EHR
Any in-house medical billing team will tell that electronic health records (EHR) are
frustrating and nightmarish and a time-consuming process. However, when you
outsource the service to a reputed partner, they have experience working with major EHR
systems and can integrate easily. You no longer have to worry about the technical issues
that often arise on the HER system’s billing side
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
How to Select Your Outsourced Medical
Billing Partner?
As mentioned above, there are quite a few reasons you should consider outsourcing the
medical billing system. But you can only reap the benefits when the provider is equipped
enough to warrant your need, irrespective of the size of the practice.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
How fast will they process the insurance
claims once they partner with you?
Generally, a company should be able to begin the service within a couple of months.
However, it is not a hard and fast rule since the timeline can change depending on your
requirement. For example, if there is a need to overhaul the practice management
software and the partner is well-versed with it, the transition should be quick.
But if the practice management is not the same and the data needs to be exported,
manually entered, or imported, then the turnaround time can change. Also, a partner will
need time to set up the required electronic connection, leading to a longer
implementation time.
The best way to ensure you are getting a good deal is by asking for references and the
reviews the customers offer.
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
24/7 Medical Billing Services- The Expert in
Medical Billing!
24/7 Medical Billing Services has to spend 14+ years tailoring the medical billing and
coding services with a pool of talented and experienced teams. We ensure that our experts
can assist in outsourcing medical billing and maximize the potential of the management
while retaining more revenue.
As a medical billing outsourced company with work with most EHR and provide a holistic
billing service. Moreover, depending on the practice and the requirement, we offer our
services, ranging from complete revenue cycle management to putting the practice on
track or helping them with contract management and credentialing.
24/7 Medical Billing Services is dedicated to empowering your medical practice no
matter what the service is, so why not benefit from our knowledge and scale your business
and make it future-ready. To know more, contact us today.
Read more: Medical Billing Outsourcing – Common Myths Busted
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
• We are a medical billing company that offers ‘24/7 Medical Billing Services’ and
support physicians, hospitals, medical institutions and group practices with our
end to end medical billing solutions. We help you earn more revenue with our
quick and affordable services. Our customized Revenue Cycle Management (RCM)
solutions allow physicians to attract additional revenue and reduce administrative
burden or losses.
• Our company was founded in 2005 and is now a leading organization of highly
motivated and certified coders & billers in the US medical billing industry. Our
current employee strength is 500+ and we have ambitious plans to grow more
rapidly.
• As a leading Medical Billing Outsourcing Company we take care of the complete
setup & enrolment in about one to four weeks time depending on the complexity
of the project. We have certified trainers with 10+ years of experience to train the
newcomers so they can get acquainted with the specialty jargons & stay updated
with the recent coding developments.
About us
info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537
24/7 Medical Billing Services
16192 Coastal Hwy,
Lewes, DE – 19958
USA
Phone no :
+1 888-502-0537
Email Address :
info@247medicalbillingservices.com
Contact us

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A Detailed Guide on Medical Billing Outsourcing.pptx

  • 1. A Detailed Guide on Medical Billing Outsourcing info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 Gone are the days when the organizations used to rely on their in-house employees as the people driving the business’s success, and the same is the story for medical practices. Despite their talent, capability, and skills, they often fall short in managing the time and keeping up-to-date with the frequent changes in the healthcare industry, mainly the medical billing and coding system. Hence, a comprehensive plan for the practice must be put in place to warrant the successful financial growth of the organization. One of the best ways to ensure that efficient and effective medical billing processing is done with the assurance of 100% reimbursement is by outsourcing medical billing and coding. However, the idea of giving the responsibility by the practices of such an integral part of the healthcare system to an off-shore medical billing and coding company can be pretty daunting. But if you follow this detailed guide on why and how to outsource medical billing properly to a third party, you can definitely ensure the financial health of your practice with other benefits
  • 2. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 Medical Billing Outsourcing – A Percentage Pricing Model When a medical practice considers outsource medical billing and collection, the percentage pricing model becomes an area of concern. The core reason behind such concern is that the practice is already dependent on their in- house staff for all the medical billing and collection activities; they often fail to understand the model of ‘success fee’ and its benefits. The other concern that plagues the practice when considering the percentage pricing model is the knowledge of the covered services for medical billing and coding.
  • 4. The model is also referred as the ‘success fee’ model because the outsourced company gets a percentage from the successful collection they have made. The collection generally includes a portion from the gross collection of payments received from payers, patients, and self-pay categories. This model is one of the best in the healthcare industry since the outsourced medical billing company gets paid only for successful collection. Hence the onus is on the outsourced billing and coding company to increase their collection rate for the practice to enjoy better revenue for their business. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 What Is the Percentage Pricing Model?
  • 5. Services Covered Revenue cycle management, under which the following services will be processed  Demographic entry  Coding  Charge entry  Claims transmission  Taking care of transmission rejection  Payment posting  Denials management  AR follow-up  Credentialing  Insurance benefit verification  Patient calling However, the services can also include an extra fee or within the scope of service:  Patient statement charges  Software purchase  Software set-up  Document management  EHR/PMS Contact negotiation with payers The percentage fee can change since none of these services are set in stone and can be customized as per the practice and the outsourced billing company. As a result, there are no standard rate cards since the pricing percentage also changes based on specialties, software provided, and collection.
  • 6. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 Why Outsource The Medical Billing? A successful medical practice can only happen when you offer the best patient care. In addition, it is possible when you have a healthy cash flow. Unfortunately, many medical practices fail to provide the best patient satisfaction because of the failure to have a comprehensive revenue management system. Also, the other factor that impedes success is changes like ICD-10 implementation, the need to upgrade the software and technology, and regular staff training. All of these eventually eat into the revenue of the practice.
  • 7. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 Latest Technology & Software Most outsourced medical billing makes their name in the market by offering the latest state-of-the-art software and technology. Since most of these constantly get upgrades to suit the changing environment of the healthcare system, the cost involved in buying and upgrading it can be quite a lot. On the other hand, when you outsource the billing system, you can enjoy all these latest technologies much more cost-effectively. This is because most third-party companies charge for the software and the technology for once and then offer their service and up-gradation for a minimal cost, which is way less than installing your software.
  • 8. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 Claim Denial Reduction Often the in-house staff members fail to get regular and adequate training regarding the continuous healthcare billing and compliance updates. However, when you partner with a reputed billing and collection organization, you do not have to worry about training your staff to follow the current standards. Instead, the outsourced organization brings in its pool of well-trained staff, which are up-to-date with the latest technology, software, and billing procedures to ensure no claim denials.
  • 9. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 Integrating with EHR Any in-house medical billing team will tell that electronic health records (EHR) are frustrating and nightmarish and a time-consuming process. However, when you outsource the service to a reputed partner, they have experience working with major EHR systems and can integrate easily. You no longer have to worry about the technical issues that often arise on the HER system’s billing side
  • 10. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 How to Select Your Outsourced Medical Billing Partner? As mentioned above, there are quite a few reasons you should consider outsourcing the medical billing system. But you can only reap the benefits when the provider is equipped enough to warrant your need, irrespective of the size of the practice.
  • 11. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 How fast will they process the insurance claims once they partner with you? Generally, a company should be able to begin the service within a couple of months. However, it is not a hard and fast rule since the timeline can change depending on your requirement. For example, if there is a need to overhaul the practice management software and the partner is well-versed with it, the transition should be quick. But if the practice management is not the same and the data needs to be exported, manually entered, or imported, then the turnaround time can change. Also, a partner will need time to set up the required electronic connection, leading to a longer implementation time. The best way to ensure you are getting a good deal is by asking for references and the reviews the customers offer.
  • 12. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 24/7 Medical Billing Services- The Expert in Medical Billing! 24/7 Medical Billing Services has to spend 14+ years tailoring the medical billing and coding services with a pool of talented and experienced teams. We ensure that our experts can assist in outsourcing medical billing and maximize the potential of the management while retaining more revenue. As a medical billing outsourced company with work with most EHR and provide a holistic billing service. Moreover, depending on the practice and the requirement, we offer our services, ranging from complete revenue cycle management to putting the practice on track or helping them with contract management and credentialing. 24/7 Medical Billing Services is dedicated to empowering your medical practice no matter what the service is, so why not benefit from our knowledge and scale your business and make it future-ready. To know more, contact us today. Read more: Medical Billing Outsourcing – Common Myths Busted
  • 13. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 • We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. • Our company was founded in 2005 and is now a leading organization of highly motivated and certified coders & billers in the US medical billing industry. Our current employee strength is 500+ and we have ambitious plans to grow more rapidly. • As a leading Medical Billing Outsourcing Company we take care of the complete setup & enrolment in about one to four weeks time depending on the complexity of the project. We have certified trainers with 10+ years of experience to train the newcomers so they can get acquainted with the specialty jargons & stay updated with the recent coding developments. About us
  • 14. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537 24/7 Medical Billing Services 16192 Coastal Hwy, Lewes, DE – 19958 USA Phone no : +1 888-502-0537 Email Address : info@247medicalbillingservices.com Contact us