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 Outsource Medical Billing Services

The numbers
A. Lets just do the math in a theoretical model.

We'll base our numbers on a practice whose total gross receivables are $100,000 per month. Obviously, this is an overly simplistic model designed to quantify the aggregate cost and or opportunity cost of the medical billing component only.

Current Aggregate Billing Expenses
In-house expense
 
Total gross revenue
$100,000
 
Current billing expense
$4,500
 
(4.5%)
---------------
 
Net Revenue
$95,500
 
Outsourced Billing Expense
 
Total gross revenue
$100.000
 
Current billing service exp.
$7,000
 
(7.0% net collections)
---------------
 
Net Revenue
$93,000
 

Net cost increase with outsourcing = $2,500.00

As you can see in this," all things being equal" theoretical model your practice would incur a $2,500 decrease in net revenue with the implementation of a billing outsource strategy. Keep in mind that this model does not address other less tangible issues such as your reduced payroll, computer expenses, ect. In reality the net cost could be substantially less than $2,500. Many physicians will perceive this as a small price to pay while others will consider it to be cost prohibitive.

5% theoretical increase in gross revenue with outsourced billing
Total gross revenue
$105,000
(5% increase)
Billing service expense
$7,350
 
(7% net collections)
----------------
 
Net revenue
$97,650
 

$95,500 - $97,650 = $2,150.00 increase in net revenue.

As you can see from this model with a 5% increase in collections your net revenue will increase $2,150.00 with the added expense of the billing service. Keep in mind that a 5% increase in gross collections is actually quite conservative and should easily be obtainable by quality billing service.

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