Assess Your Practice
Ask yourself these questions:

  • What are the days in accounts receivable?
  • What percentage of accounts receivable is over 90 days?
  • Has a coding audit been performed for the providers?
  • Has the encounter form been reviewed lately?
  • Has the fee structure been analyzed?
  • Are you charging for all the services rendered?
  • How often are claims processed?
  • Who performs the follow-up on denied claims?
  • Are secondary/tertiary claims processed?
  • Are the providers credentialed with all the payors?
  • Do you know about PECOS?
  • Are you aware of the EMR incentive?
  • Is anyone helping you with ‘Meaningful Use’?
  • Are there sufficient internal controls to prevent embezzlement?

If you cannot answer these and other questions
about your practice,
we can help you identify and resolve issues!


Call us at (716) 651-0911

In-house Billing vs. Outsourcing

The table below compares the cost of
one full-time, in-house billing staff to that of outsourcing.

Annual Revenues
600,000
DESCRIPTION EXPENSES
Wages @ $12/hour for 2080 hours 24,960
Payroll Taxes 2,858
Medical Insurance 3,000
Life, Disability, etc. 645
Payroll Fees 240
Postage (Statements & Claims) 3,000
Technology Costs 1,500
Rent and Utilities 1,500
Training 500
Staff Turnover 2000
Supervision @ $20/hr for 5 hrs/Month 3000
Office Supplies 500
Total In-House Billing Expenses 43,703.00
Cost as % of Revenues 7.3%
Outsourcing Fees
(Depending on services and specialty)
4 - 6.5%
These in-house costs do not account for lack of internal controls,
expertise, motivation to maximize revenue, etc.

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