Thursday, March 10, 2016

Your Medical Billing Costs Are Cheaper If You Outsource

By Fanta Simmons


There comes a time when a physician has to make an important decision about their medical billing. The decision may seem a bit odd to you, but necessary if you are to succeed. For starters, why do you want to outsource to begin with? Is it simply to save money or is it to save money and grow your revenue? There is a big difference there.

A lot of overseas companies will make promises saying that they can get you higher returns and save you lots of money on your investment. However, you may not be aware of the fact that they don't often comply with USA laws. On October 1, 2015, the new codes were released for medical billers. We went from using ICD-9 to using ICD-10. There are over 100,000 codes in ICD-10. ICD-9 only had 14,000. This is a big difference since we have yet to see the full results of how medical billers will handle this.

Giving an overseas company access to your patient's records also puts you in a vulnerable state. You cannot control all that is happening with your client's information overseas. You cannot trust that someone is doing things correctly according to USA law if they are not a United States citizen. If they break the law, then they may not even get in trouble because they are not on USA soil. It will be a lot harder to control your patient activity with using an outsourced company overseas.

ICD-10 certification training is often taught in Universities. Many billers today have their certification and master's degrees in this field. Make sure that you check all of the credentials of the workers that will be working on your claims. You must obey all HIPAA laws. If you choose to work with an overseas company, make sure that you ask them if all of their workers are ICD-10 certified. They may say that some of them are or I think that they are. United States law requires all billers to have their ICD-10 certification if they are working on a USA physicians billing. Check with your attorney before outsourcing your billing. Many countries have their own sets of laws.

The most popular overseas companies are in India. You may receive a phone call at some point of someone offering you savings of 40% to 50%. However, will this come at a price? You must take into fact a lot of important decisions. They will have access to your patient's records and company affairs. You must also see what he international laws are concerning their responsibilities if something should go wrong? Could you sue them? When it comes to medical billing, the laws must be obeyed at all times. Many overseas companies do not care about USA laws since they live under a different set of laws in their own country.




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