Content provided by Advanced Data Systems Corporation
The Complete Guide to Medical Billing Services
Is your practice better off keeping medical billing in-house or handing it to a revenue cycle management company? This guide from Advanced Data Systems compares both approaches. It explains when in-house billing makes sense for smaller practices and why larger groups may benefit from a full-service RCM partner that actually manages the revenue cycle, not just submits claims. It outlines what a solid RCM company should provide, from first-pass clearinghouse claim success and denial management to eligibility checks, patient statements and 24x7 data access. You also get four must-have evaluation criteria covering software ownership, specialty expertise, technology and transparency. A closing set of do's and don'ts addresses data ownership, exit costs and fees based on amounts collected rather than billed.
- In-house vs. outsourced
- RCM vendor criteria
- Contract do's and don'ts
What you'll get
A practical framework for deciding between in-house and outsourced medical billing, and for evaluating any RCM company before you sign.
-
In-House vs. Outsourced
When practice size, provider count and coding volume favor keeping billing in-house or moving to RCM.
-
Core RCM Services
What to expect on claim submission, denials, eligibility, authorizations, patient statements and patient calls.
-
Four Selection Criteria
Questions on software ownership, specialty and location expertise, cloud technology and transparency to ask every vendor.
-
Contract Do's and Don'ts
How to protect data ownership, understand exit fees and confirm you pay on collections, not billings.
Guide preview
Guide to choosing medical billing services