In-House Vs. Outsourced Medical Billing: A Quick Comparison

When deciding how to pay your medical bills, you may come across two options that are frequently discussed by business owners – in-house and outsourced medical billing. Both have their advantages and disadvantages, and it’s important to weigh these carefully before making your decision. The key to figuring out the best option for your business is to understand how each service works, the pros and cons of each, and the cost of each approach to calculate which option will result in the best return on investment for your company.

This article will help you better understand the ins and outs of outsourcing medical billing, and how your business can benefit from doing so.

Pros of Outsourced Medical Billing

  • Consistency in billing:If you have been doing your own billing, whether it’s in-house or through a billing service, you know how difficult and time-consuming it can be. This is not just because of the sheer number of hours involved. You also have to worry about inconsistencies in coding, inefficient filing systems, and other time sinks that take away from seeing patients. When you outsource your medical billing to a third-party agency with expertise in medical coding and legal regulations related to insurance claims, you can quickly turn around these issues to focus on more important tasks.
  • Regularity of billing:Unless you are a medical billing expert yourself, it is likely that you will need to outsource your billing activities. With the frequency of billing, clients don’t have to worry about getting overdue notices and collections calls. Doctors can focus on treating patients and not fret over unpaid bills.
  • Improved billing operations:This can be a difficult process for medical practices to manage in-house, so many practices choose to outsource their billing operations. With full-time staff members focused on analyzing claims, investigating issues, and optimizing payments, practices are able to improve both operational efficiency and revenue collection.

Cons of Outsourced Medical Billing

  • Loss of direct control:If you outsource your medical billing, you will lose direct control of customer service and other important aspects of running a practice. In addition, if your vendor mishandles bills or is slow to pay them, it could have an adverse effect on your practice. Direct access to these functions is critical if there are problems.

Pros of In-house Medical Billing

  • The biller is accessible anytime:Even if your medical billing service is outsourced, they will be available to you whenever you need them. This is a great benefit, especially when you are first starting out in business. The medical biller can be there to support you while still getting all of their work done too.
  • Patient confidentiality:Patient confidentiality is another benefit that comes with using an in-house medical billing solution. When a patient provides their medical records to you, they expect them to be secure and only accessed by you. If you are outsourcing your billing to a third party, it is likely that someone else will be accessing those files. This can make patients uncomfortable and lead them to file complaints if someone accesses their records without permission.

Cons of In-House Medical Billing

  • Billing operations can slow down:In-house medical billing operations are cumbersome and slow down other operations within a practice. If you don’t have enough staff to handle all your practice’s billing functions, you miss out on more profitable opportunities elsewhere.