Outsource medical billing · United States
Outsource medical billing without losing control of your revenue
Outsourcing should give you more visibility than you had in-house, not less. You keep your software, your payer relationships and your reports — we take the queue, the appeals and the follow-up nobody has time for.
- 14
- Days to typical go-live
- 3.99%
- Starting service fee
- Month
- To-month agreement
The honest reason practices outsource billing is rarely cost. It is coverage. One biller cannot cover vacation, credentialing changes, a payer policy update and a 90-day aging report in the same week — so the aging report waits, and waits.
This page lays out what outsourcing actually changes: what it costs against an in-house salary, how the transition runs week by week, what stays your decision, and the questions worth asking any vendor before you sign.
In-house vs outsourced: what actually differs
An in-house biller carries salary, benefits, software seats, training and single-person risk. An outsourced team carries a percentage of collections and no fixed cost when volume dips. The real difference, though, is depth: appeals, credentialing and A/R recovery each need someone who does that work daily.
- Fixed salary and benefits replaced by a fee that moves with collections
- Coverage during leave, turnover and volume spikes
- Specialist appeal writing instead of resubmitting the same claim
- Reporting produced monthly by default, not on request
- Credentialing and enrollment tracked alongside billing
The 14-day transition plan
Nothing about a transition should be improvised. We run the same sequence every time so you know what happens on which day, and so claims never stop going out during the change.
- Days 1–3: signed BAA, system access, payer and fee-schedule inventory
- Days 4–7: baseline audit of denials, aging and net collection rate
- Days 8–10: clearinghouse, EFT and ERA routing confirmed
- Days 11–14: parallel billing, first clean-claim batch, reporting agreed
- Week 3 onward: legacy A/R worked as a dated recovery project
What stays your decision
Write-off thresholds, patient collection tone, payer contracts, refund approvals and fee schedules stay with you. We recommend, document and execute — we do not quietly adjust the rules of your revenue.
Questions to ask before you sign anything
Ask any billing partner these five questions, including us. If a vendor cannot answer them in writing, that is the answer.
- Who specifically works my account, and who covers them when away?
- What is your first-pass acceptance rate, measured how?
- Will you sign a BAA, and how is access to PHI limited?
- What happens to my data and reports if I leave?
- Is there any charge beyond the collections percentage?
Services included in this work
Frequently asked questions
- Is outsourcing medical billing cheaper than hiring in-house?
- It depends on collections. A percentage-of-collections fee replaces salary, benefits, software seats and training, and it falls when volume falls. Our cost calculator lets you compare both against your own numbers.
- Will I lose visibility into my revenue?
- No. We work inside your system, so your reports stay yours, and every month closes with written reporting and a review call covering billed, paid, denied and appealed amounts.
- Are we locked into a long contract?
- Engagements are month-to-month. If the work is not earning its fee, you should be able to leave without a penalty clause.
- Who owns the data if we stop working together?
- You do. Records live in your practice-management system, and we hand back documentation of open claims, appeals in flight and A/R status at exit.
- Can you outsource only part of billing?
- Yes. Practices commonly keep front-desk eligibility in-house and outsource coding review, denial management and A/R recovery only.
Calculator
Estimate the impact on your own numbers
Full revenue cycle ROI calculator
Model the combined impact of clean claims, denial recovery and faster A/R.
Average monthly cash collected today.
Share of claims denied on first submission.
Total A/R divided by average daily charges.
Projected annual revenue improvement
$0
Estimated annual cost saving versus your current in-house model
- Monthly collections
- $0
- In-house cost / month
- $0
- Medxcode cost / month
- $0
Estimates use benchmark recovery rates from comparable US practices. Your written analysis replaces these estimates with numbers from your own payer mix.
Local coverage
outsource medical billing in your city and state
Payer mix, Medicaid programme and filing rules change at the state line. Pick your location to see how we handle it, or browse all 51 state pages and 54 specialty pages.
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