Medical Billing/ Revenue Cycle Management

Often times solo practitioners ask us if they can do their own billing? Yes, you can as long as you are very familiar with medical billing procedures, ICD/CPT code terminology, adding modifiers, familiar with EDI/ERA/EFT enrollment, have adequate time to do the billing and constantly follow the insurance updates every year. Most people (but not all) are not familiar with these rules so we strongly recommend all small to medium practices to outsource their medical billing. Working with the insurance payors can be tricky and frustrating often times. The only time you may consider bringing billing inhouse is when your high collections can support a team of over 7-8 FTE billers in your office. However for large practices, a low fee will still remain economical from a business stand point to outsource your billing.

Revenue Cycle Management is a professional name for Medical Billing Services that encompasses a cycle of additional billing services along with the process of submitting claims to the insurance payors to receive reimbursement for the services you provided to your patients.