Orthopedic Billing- In-House Vs. Outsourcing

1. Orthopedic Billing: In-House Vs. Outsourcing Medical Billers and Coders

2. Unlike any other practices, billing is a very crucial factor, even to orthopedic practices that are looking out for steady cash flow and decent revenues. It is a major decision that medical practices need to make whether to handle the billing in-house itself or to outsource it to a professional orthopedic billing company? You will need to make the decision based on several factors depending on your specific practice, the resources at your disposal, and your style of operation. You need to consider every single option carefully before coming to a decision.

3. In-House Orthopedic Billing • As the term itself implies, in-house billing signifies a situation where the practice employs staff on the payroll to handle all the orthopedic billing requirements. Of course, when you have a person working directly under your supervision, you can have full control over the entire billing process, provided you have the time to spare, and can surmount the inherent difficulties like: • Cost factor • Problems with personnel • Added responsibilities

4. Outsourced Orthopedic Billing • While you outsource your orthopedic billing to a professional billing and coding company, you need to pay a percentage of the total revenues that they bill on your behalf. This way, you ensure that you are paying only for the work executed, though the percentage of the commission has to be agreed upon mutually. You will be handing over all controls to the company you are outsourcing to, though there are several benefits you enjoy while doing so like: • Expertise and Experience • Less responsibility • Better Patient Care

5. Conclusion: While in-house billing gives you more control over the process, the associated stress and responsibility are probably not worth the trouble. Outsourcing is the proven way to success in any practice, especially orthopedic billing, which calls for use of proper codes and detailed billing, lest the reimbursement is delayed or denied.

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