- Obtain the most equitable compensation possible.
- Get clear of errors and inefficiencies.
- Have customer payments that are smooth and timely (and payer reimbursement)
- Receive detailed revenue cycle data for accurate company evaluation.
- Biller should provide informed and responsive customer support.
- Be able to tailor billing services to meet particular requirements
When researching medical billing businesses on the internet, you'll notice that nearly all of them make the same claims. There are many ambiguous figures and vague platitudes. Even if you know what you're searching for, determining who meets your requirements can be difficult. They all merge together in some ways.
Furthermore, many medical billing businesses use deceptive advertising. Some exaggerate or omit critical facts. Others deliberately mislead. How do you know who to believe?
We've been in the business for a long time. We have a good idea of what companies exist and how they function. In the following sections, we'll go over the three main types of medical billing companies that you can discover online.
We hope this eliminates some of the guesswork and assists you in locating the business you seek. To be explicit, this guide is intended for clinicians and staff seeking medical billing services (i.e. revenue cycle management services).
Medical billing businesses are classified into three types:
1. Organizations that make software
There are numerous EHR/PM software firms that also provide medical billing services these days. They typically provide lower-cost or discounted billing services as part of a package agreement for using their software. Sign-ups are typically motivated by the low cost and convenience of dealing with a single business for all of their needs. The allure is unmistakable. Unfortunately, the outcome is usually disappointing.
If a company that provides billing services also sells software, it is probable that software is their primary business. The truth is that many EHR/PM software firms only provide billing services to attract more clients to their software. Sure, they're happy to differentiate themselves and expand in any way they can, but their primary goal in selling billing services is typically to find a way to lock providers into long-term software contracts (7 years in some cases).
These software companies almost never have legitimate medical billing expertise. More importantly, because their main business and focus is software, they frequently underinvest in their billing services. So, even if they've been doing billing for a while, their work is usually mediocre because it's not a priority for them. In reality, the majority of software companies outsource billing to foreign countries. Furthermore, their services are frequently insufficient, implying that they do not handle various aspects of the revenue cycle, such as coding, charge entry, rejected claims appeals, patient statements, and so on.
While there are many excellent software businesses, it can be risky to entrust them with non-software-related work, particularly revenue cycle management. Their RCM rates may be lower, but the expenses of poor billing almost always outweigh any price savings.
2.Offshore Businesses
There are several methods to identify an offshore company. The first step is to search for the company's address and location. Is there a branch of the business in the United States? Does the location appear to be genuine? Has Google confirmed it? Navigate to Google Maps. Take a look at the street perspective. Does it appear to be a business-friendly environment?
Some offshore businesses either do not give an address or list a false address in order to appear to be a US company. Some businesses even mention multiple locations and phone numbers without providing real addresses for those locations. The aim is to persuade providers that they are a large national corporation, regardless of whether they are.
The second item to look for in a company is its leadership. Is there a "Bios" tab on the company's website? Do they disclose details about their leadership? If not, proceed with caution. Some billing businesses are not forthcoming about their business practices. If they do not provide details about their management team, it is possible that they are outsourcing the majority or all of their operations.
Some businesses only provide details about one or two employees, and they rarely provide photographs of those employees. In reality, some companies fail to include any pictures of their employees and/or offices on their website. What motivates them to do this? The most frequent reason for such evasive behaviour is that their billing work is being outsourced.
Some billing businesses employ only one or two Americans and outsource the rest of their work to other countries. There are a few unpleasant facts that come with these types of businesses. They frequently fall short in terms of customer care. Because billing is done abroad, your US contact is unlikely to be familiar with the details of your revenue cycle. This means they won't be able to respond to your queries in a timely and adequate manner. If your billing contact is located abroad, there may be issues with language barriers and inadequate expertise.
In reality, these businesses frequently attempt to attract customers by offering low prices but fail to provide adequate services, costing their customers far more money in the long run.
3.Companies that provide true revenue cycle management
True medical billing businesses make up the final category. These are the businesses that are dedicated to revenue cycle management. They don't usually offer software. They also usually have completely staffed billing teams in the United States. They may outsource one or two fundamental functions, such as charge-entry, if it meets their requirements and saves their clients money.
They typically have expertise working with a variety of software platforms, allowing their clients to use the systems that they prefer. Credentialing, enrollment, coding, denied-claims appeals, patient statements, patient collections, patient queries, and data analytics are among the services they provide. Furthermore, they make an effort to tailor those services to the specific requirements of each customer.
They provide responsive and articulate customer service that only they can provide because their billing teams are in-house and directly accessible to clients (and patients) with questions or concerns.
Finally, providers must decide what is most essential to them. True billing firms usually charge slightly higher fees. They can't compete in that area with billion-dollar software companies or offshore firms that pay their "billing employees" much less. However, physicians consistently lose money when they take the cheaper path. Simply stated, the costs of poor workmanship are almost always higher than the costs of paying a higher rate for superior workmanship. In other words, accurate, dependable billing from a true revenue cycle management business, rather than low-cost alternatives, is the best way to optimize net income and ROI.
Our sole emphasis is revenue cycle management. We don't offer software, and we don't cut corners on service quality to save money. Instead, we are constantly striving to provide comprehensive, meticulous billing administration that best suits clinicians' interests. We could follow in the footsteps of our software/bargain-biller competitors, but we know that our system enables providers to earn more net profit while also providing greater peace of mind.
To summarize, seek for the following characteristics when searching for a legitimate medical billing company online.
- A Google-verified business address
- Executive Team Information, ideally with photos (and even better if there are other photos of the company on the site)
- Client Testimonials (with real names)
