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Stephen O'Connor

By: Stephen O'Connor on November 25th, 2020

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10 Ways Outsourcing Your Medical Billing Will Improve Your Medical Practice

Medical Billing / RCM


Who says your medical practice must handle billing operations internally?

The truth is, outsourcing medical billing can significantly enhance the efficiency and financial health of medical practices. Yet, it's not a one-size-fits-all solution, and there are potential drawbacks to consider.

At Advanced Data Systems, our experience spans a diverse range of medical practices, both large and small. We've dedicated ourselves to bolstering healthcare services, witnessing firsthand the successes and challenges of both in-house and outsourced medical billing strategies.

In this article, we'll unveil 10 compelling reasons why outsourcing medical billing should be on every medical practice's radar. Our goal is to empower you with the insights needed to decide if this approach aligns with your organization's needs.

1. Automatically Check on Patient Insurance Eligibility

Relying on temporary staff or hiring part-timers just to verify patient insurance coverage can be an unnecessary drain on your medical practice's resources.

Outsourcing medical billing offers a more streamlined and efficient solution. Medical billing companies specialize in automatically checking patient insurance eligibility, saving you time and effort. This process not only simplifies access to critical patient information—like deductible status, coverage details, and pre-authorization requirements—but also enhances your practice's operational efficiency.

By leveraging the expertise of an outsourced medical billing partner, your practice can focus more on delivering quality healthcare instead of getting bogged down by administrative tasks.

2. Cut Down on Coding and Billing Mistakes

Even the most meticulous medical practices are not immune to the occasional coding and billing error. Acknowledging this isn't a critique of your team's competence but rather an opportunity to explore more efficient solutions. Outsourcing medical billing is a strategic move to minimize these errors significantly.

The rationale is straightforward: specialized medical billing companies dedicate their entire operation to managing codes and billing processes. Their teams possess extensive experience and expertise, leading to a drastic reduction in mistakes. Moreover, these professionals are adept at quickly identifying and rectifying errors, ensuring a smoother billing process. This level of precision and efficiency is challenging to achieve in-house and is a compelling reason to consider outsourcing your medical practice's billing needs.

3. Safeguard Patient Data

The patient information collected by your medical practice is highly valuable and, unfortunately, a target for cybercriminals. Even with a competent IT team, whether it's a full staff or just a part-timer, keeping abreast of the latest security protocols in the healthcare industry is a daunting task.

This is where the expertise of outsourced medical billing companies becomes invaluable. These professionals are not only skilled in handling billing efficiently but are also rigorously trained in adhering to strict privacy regulations to safeguard patient data. By outsourcing medical billing, you allow your IT department to concentrate on ensuring the technological infrastructure of your practice runs smoothly—servers, workstations, and the network—while the billing specialists focus on protecting patient information from unauthorized access.

Outsourcing medical billing thus offers a dual benefit: it not only streamlines your billing processes but also fortifies the privacy and security of sensitive patient data against potential cyber threats.

4. Boost Productivity

Outsourcing medical billing to a specialized third party opens up access to advanced tools and analytics capabilities that most practices can't match internally. These experts employ sophisticated data mining techniques on your patient database to uncover insights that can significantly boost your practice's productivity.

For instance, analyzing patient flow patterns allows for the optimization of staff schedules, ensuring that resources are aligned with demand. Additionally, identifying bottlenecks in your schedule can lead to more effective appointment planning. Discovering that certain patients require more examination time than initially allocated can improve patient care and reduce wait times. Leveraging the nuanced understanding provided by an outsourced medical billing partner can lead to substantial operational improvements.

5. Drive up Patient Engagement and Satisfaction

Patient feedback and satisfaction are critical indicators of a medical practice's success, highlighting areas for improvement and patient engagement strategies. Outsourcing medical billing can play a pivotal role in elevating patient satisfaction levels.

With the billing complexities managed by a dedicated third-party team, your staff can shift their focus entirely to patient care. This shift means patients experience a more attentive and personalized service from the moment they enter your practice. Freed from the pressures of billing inquiries and procedures, your team can provide a calmer, more welcoming environment.

This enhanced patient interaction, starting from the waiting room to the final consultation, significantly contributes to a more positive and reassuring visit, driving up patient engagement and satisfaction.

6. Improve “Customer Service”

Reflect on the current state of your customer service. Imagine the uplift in service quality when your staff is liberated from the time-consuming tasks of verifying patient insurance coverage over the phone or deciphering the correct billing codes. Outsourcing medical billing allows your team to redirect their focus towards providing exceptional patient care, ensuring each patient feels heard and valued.

Patients may not be 'customers' in the traditional retail sense, but adopting a customer service mindset can significantly enhance the patient experience. By entrusting the intricate details of medical billing to experts, your staff can concentrate on what truly matters—improving service quality and patient satisfaction.

7. Stay Compliant With Regulations

Navigating the complex landscape of healthcare regulations is a daunting task for any medical practice. Non-compliance can lead to significant issues, including the risk of losing Medicare and Medicaid reimbursements due to not meeting the latest patient privacy regulations.

Maintaining compliance requires dedicated attention and expertise—akin to the role of a full-time compliance officer. When your staff is stretched thin, juggling patient appointments and compliance documentation, the quality of both tasks can suffer. Outsourcing medical billing to professionals who are well-versed in healthcare regulations alleviates this burden. It ensures that your practice stays compliant without compromising the quality of patient care or administrative responsibilities.

8. Lower Costs of Ensuring Normal Billing Activity

The traditional billing process, from printing and mailing invoices to tracking payments and following up on delinquencies, demands significant resources. By transitioning these tasks to a specialized medical billing service, your practice can achieve considerable cost savings. This efficiency allows you to reallocate funds to more critical areas, such as investing in new medical equipment or technology, enhancing your practice's capabilities.

9. Strengthen Cash Flow With Faster Claims Processing

Delayed patient payments can strain your practice's financial health, necessitating additional staff effort to manage and secure owed funds. Outsourcing medical billing introduces a more efficient claims processing and payment follow-up system. With a dedicated team ensuring the timely issuance of payment reminders and managing receivables, your internal staff is freed from these financial administrative duties. This shift not only improves your cash flow but also allows your team to concentrate on delivering exceptional patient care, further enhancing your practice's operational efficiency.

10. Lower Administrative Requirements

Consider the extensive amount of time and effort your staff invests in routine administrative tasks. This includes everything from undergoing training to stay updated on the latest billing codes, to the meticulous work of entering patient information and preparing claims for submission. These are essential yet time-consuming activities that can be efficiently managed by specialized third-party medical billing services.

Outsourcing these clerical duties not only frees up your staff to focus on higher-value tasks but also ensures these critical billing operations are handled with expertise and speed. By entrusting these responsibilities to professionals, your practice can achieve a higher level of operational efficiency, allowing your team to dedicate their skills and time to what they do best—caring for patients.

Is Outsourcing Medical Billing The Right Solution For You?

Making the decision to outsource medical billing could be one of the most impactful choices for your practice this year. By embracing this strategy, you stand to gain from the myriad of improvements outlined in these 10 key areas, enhancing your medical practice's efficiency, patient satisfaction, and financial health.

However, diving into the world of medical billing requires a solid understanding of its current landscape. To assist you in making an informed decision, we're pleased to offer our latest Guide to Medical Billing Services. This resource is designed to equip you with the knowledge you need to explore the benefits of professional, third-party medical billing solutions. Access our guide now by clicking here and take the first step towards optimizing your practice's operations.

To help you out, we’re happy to provide a new Guide to Medical Billing Services.

The Complete Guide to Medical Billing Services

About Stephen O'Connor

Stephen O'Connor is the Director of Brand and Digital Marketing, responsible for many aspects of Advanced Data Systems Corporation’s (ADS) marketing, including product marketing, customer acquisition, demand generation, brand, brand design, and content marketing.

Stephen has more than 20 years of healthcare industry experience. Prior to ADS, Stephen spent 11 years at Medical Resources Inc. (MRI), most recently as the Manager of Marketing & Internet Services, where he and his teams were responsible for all marketing efforts and the market positioning of MRI’s services.

Stephen spends his day's planning, writing, & designing resources for the modern healthcare professional.