In-House vs. Outsourced Medical Billing

By: Michael Tetrick Dec 27, 2021

In-House vs. Outsourced Medical Billing. In the healthcare industry, it's crucial that billing is done accurately and quickly. Medical billing or Revenue Cycle Management is a challenging task in the best of circumstances.

Physicians and Health Care Providers can benefit from Outsourced Medical Billing to save time and money. The professionals at Rely Services provide world-class expertise to healthcare providers with their constant training and the latest technological innovation. Medical Billing And Coding is a complex task that involves the continual updating of skills and procedures. The increased pressure on healthcare providers to recover revenue in tight finances often results in burnout or a mounting error rate for in-house coding and billing staff. Thus doctors are Looking To Outsource Billing and save money by taking advantage of the lower Cost Of Outsourcing Medical Billing.

In-House vs Outsourced Medical Billing. Are You Getting Your Money's Worth?

For some healthcare providers, keeping all of the codings and billing in-house is a security blanket. You can see and touch the process of coding and billing. But it's a faulty business model. Surveys have revealed that the security blanket costs a lot in terms of time and accuracy. Here are some of the positive benefits:

  • Control Of Operations – as stated earlier, SEEING the operation feels suitable to most people and gives the process visibility that many find comfortable. But the reality is, YOU don't do the work or stand over the staff 8 hours each day.
  • Return On Investment – many healthcare providers are under the mistaken impression that having in-house staff handling these functions saves them money. But it's precisely the opposite. The regulations and methods required by payers – mostly insurance companies – change so often that the training alone drives down the ROI.
  • Accessibility – there's also a myth about the feel-good value of being able to be in contact with your team physically. While that may feel good, it is not efficient, profitable, or fast. Maybe it's time to re-think the desirability of in-house staff for this function.
  • Maintaining Patient Confidentiality – another primary concern is keeping private patient information, well, private. And of course, this is a crucial concern when any information leaves your possession. A very big deal. So to address these concerns, many providers literally don't let the information out the door.

But each of these "advantages" also carries a penalty.

  • High Expenses – finding, training, retraining, and retaining staff up to date on coding and billing is costly. And keeping them current on correct procedures is an ongoing cost. Coders are in high demand, and it's likely more expensive than any of your office staff.
  • Staff Support Issues – along with a coders' increased costs comes the usual expenses for any employee: Insurance, Training, Vacation time, Profit sharing, retirement contributions, the list goes on. You need to ask yourself: is this profitable? Is the comfort I get from having this operation in-house costing too much?
  • High Chances of Liabilities – HIPPA violations come with hefty fines or sanctions. And a very real risk of bad publicity that may drive patients away. And the HIPPA regulations and guidelines are complicated. Why run the risk with a badly-trained staff member that feels overworked and constantly stressed?

You've Got Questions. Rely Services Has Answers.

In-house vs Outsourced Medical Billing? When you Outsource Medical Billing Services, you quickly install accurate, professional billing procedures whose goal is to bill your clients rapidly and error-free.

Some advantages of Revenue Cycle Management from Rely Services that Physicians and the Healthcare Industry can utilize:

  • Low Expenses: Streamline billing by creating a central point for all billing and accounts receivable. Take the burden of these tasks and assign them to a team that does coding and billing full time and stays up to date on industry changes.
  • Consistency: Our team stays up to date on changes in Private Insurance, Medicare, Medicaid, Supplemental, Government Plans, and The Affordable Care Act policies and practices. Your office doesn't have to monitor the changes in the Insurance Industry.
  • Transparency: As there are constant changes in the medical billing industry, following the rules would be time-consuming for any medical firm. So billing requirements should be handled by outsourcing services as these services keep themselves updated with the latest trends and operations in the marketplace.
  • Reduce Billing Errors: Taking these processes out of your office and into ours will reduce your staff and employment overhead. The resources you once spent on billing information flow can be used on training and staying up to date on the latest technologies and practices.
  • More Focus on Patient Care: Not having to spend any time coding and billing makes your staff concentrate on the core mission: providing care and improving the quality of life for all of your patients. Isn't that why you got into the profession in the first place?

Now that we've outlined some of the reasons that Outsourcing Medical Billing makes sense let's look at the answers to the reservations you might have.

  • Less Control? Transparency and accountability between the third party outsourcing and the medical firm should be front of mind for all involved. This will help the organization in having more control over their company and gain benefits from outsourcing.
  • HIPPA Privacy and Security Breaches? Rely Services maintains a safe and secure network. We use only the latest hardware, software, and protocols. We have continuous training for our teams, so they are current in all best practices. We've never had a random or targeted breach.
  • Hidden Costs? We are entirely upfront about all of our costs and fees. And we offer top to bottom flexibility so you can scale our services to fit your needs. If you need to adjust the size of your team, just let us know, and we'll take care of it ASAP.
  • Contractual Misunderstandings? Not a problem. Rely Services has no ambiguity in our contract language, and it's very straightforward and plain-spoken. You are hiring us to do a service at a disclosed price, and we always meet our responsibilities. Or you don't pay.

In-House vs Outsourced Medical Billing. Rely Services. The Ultimate Outsource Machine.

Rely Services is here to allow you and your staff to concentrate on delivering quality healthcare! We'll take care of the rest. We guarantee you'll be happy with our work, or you don't pay. Contact us and see what a difference we can make for you!

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