decisionhealth Newsletters, Part B News - 2019 Issue 1 (January)
Look for motivated managers, ‘secret sauce’ when you outsource your billing
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Article Overview
This article discusses the business and operational factors medical practices should review when evaluating outsourced billing vendors. It focuses on how practices compare performance, assess transition costs, understand specialty and payer experience, and evaluate staffing, incentives, and service scope. The piece is aimed at practice administrators, billing leaders, and physicians weighing outsourcing decisions.
Why This Topic Matters
Choosing a billing vendor affects revenue performance, workflow, and the transition burden on a practice. The article helps readers identify non-price factors that can influence whether outsourcing improves collections and supports long-term practice goals.
Article Sections
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Outsourcing billing: initial considerations
Introduces the decision to move billing from in-house operations to an outside vendor and frames the discussion around performance, cost, and practice fit.
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Hidden costs
Covers transition-related expenses and other charges that may not be obvious from an initial quote. It also addresses temporary disruption during setup.
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3 questions to ask billing companies
Outlines the major areas practices should evaluate when comparing billing vendors, including specialty experience, service scope, staffing approach, and operational capabilities.
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Do they understand your business?
Focuses on the importance of specialty familiarity, payer knowledge, and claim workflow support when selecting a billing partner.
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Will they do what you want?
Discusses the need to clarify which related services a vendor will perform and how those responsibilities will be handled.
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Is the biller incentivized and equipped to get you better results?
Reviews staffing structure, account management, and operational capabilities that may affect a vendor’s performance.
What You Will Learn
- How to evaluate outsourced billing vendors beyond basic fee comparisons.
- What operational and transition factors can affect a billing outsourcing arrangement.
- Which broad areas of specialty, payer, staffing, and technology experience are relevant in vendor selection.
- How practices can think about billing vendor fit in relation to growth, collections, and workflow support.
Who Should Read This
- Medical practice administrators
- Physicians considering outsourcing
- Revenue cycle management staff
- Billing managers
- Practice owners
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