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Tuesday, October 9, 2012

A Few Reasons To Use Outsourced Medical Billing Services

By Allien H. Zapata


Contracting medical billing services help physicians and their staff to concentrate on taking care of their patients, which is why outsourcing billing is becoming more common among healthcare providers. There are many ways that they do this, and the four most prevalent are listed below.

Insurance carriers and compliance and regulatory agencies are continually changing and updating billing rules, which makes staying current with the latest billing requirements an immense task that requires a lot of staff member time, energy, and effort. Outside medical billing services can free up staff to perform other important tasks that sometimes are put on the backburner, making sure they get the attention they deserve.

The fact that insurance laws and regulations are constantly changing require that in-house billing staff have to buy correspondingly changing and costly software updates. Billing services remove the need to buy, install, troubleshoot, and maintain these expensive (and sometime frustrating) software systems.

Billing services also have a tendency to have fewer claim rejections than internal departments. Part of the reason behind this is the fact that their paycheck is directly connected to how many accepted claims you get, providing them with the incentive needed to make sure claims are filed quickly. An in-house biller, on the other hand, may not have as much of a tendency to make sure they are filed on time, since their paycheck will not change with your claim rejection ratio. Because they only deal with billing, these agencies are also better able to focus on the details involved with filing insurance claims, which saves time and increases your accepted claims ratio.

An additional aspect that many don't immediately think of is in-house theft. There are thousands of dollars of unauthorized and fraudulent claims made every year by billing employees. Using outsourced medical billing services reduce this threat, creating a check and balance system that makes it easier to see where claim funds are coming and going, and make it easier to spot any financial inconsistencies that might surface.

Bringing all this information together, outsourcing your medical billing takes staying up to date on changes in claim requirements and regulations off the table, saves you resources you would otherwise spend on the manpower and software to do this, possibly lower claim rejections, and helps avoid and identify any employee theft. These are considerable reasons to consider using one of the many medical billing companies that are out there to take care of your billing needs. So, look at your options, research them, and choose the one that best suits you needs and requirements - that way you and your staff will be able to devote your time and attention to the practical aspect of medical care.




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