Why Outsourcing Medical Billing Is the Right for Your Practice

In an ideal healthcare scenario, the patient care experience should be direct, seamless, and entirely focused on the patient’s immediate needs — without the added burden of medical billing.

In today’s rapidly changing healthcare environment, however, administrative hurdles like billing can create costly bottlenecks that siphon valuable time and resources from delivering quality care. This challenge is magnified as practices grow, with expanding patient volumes, increasingly complex billing regulations, and the constant pressure to do more with less.

Enter outsourcing — a strategic solution that enables healthcare providers to streamline operations, eliminate costly errors, and focus on what they do best: caring for patients.

By partnering with a specialized business process outsourcing (BPO) provider like Enshored, medical practices gain access to a dedicated team of experts equipped to handle billing tasks with unparalleled accuracy and efficiency, all while ensuring compliance with ever-changing regulations.

Imagine accessing a dedicated team of specialists whose core mission is to ensure insurance submissions are handled with unparalleled accuracy, while your in-house staff focuses solely on patient care. Not only does this model prevent costly mistakes like delayed payments or denied claims, but it also provides a scalable solution to meet the demands of a growing practice — without the strain of hiring, onboarding, or managing new staff.

With the right outsourcing partner for your practice, you can expect precision, promptness, and proficiency throughout the process so you can prioritize patient care. If you’re considering whether outsourcing medical billing is the right fit for your practice, here’s why it’s a decision that pays off both operationally and financially.

The Growing Case for Outsourcing

Today’s healthcare statistics highlight why outsourcing has become a lifeline for many practices:

• Time-Saving, Patient-Serving Potential: Physicians spend about 4.5 hours per day on electronic health records (EHR), which equates to nearly 50% of their workday. Outsourcing these tasks frees up this time, allowing providers to focus on their patients instead of paperwork.
• The Cost of Billing Errors: Inaccurate billing accounts for approximately $125 billion in uncollected revenue annually across the U.S. healthcare industry. Partnering with an experienced BPO provider ensures accurate claims submission, reducing denied claims and expediting payments.
• Rising Regulatory Complexity: As of 2024, there have been over 40 major updates to medical billing regulations in just the past three years since the pandemic. Keeping up with these changes is challenging for in-house teams but a core competency for specialized BPO partners like Enshored.

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Key Benefits of Outsourcing Medical Billing

There are several business benefits that can be accessed almost immediately with outsourcing:

• Less Coding, More Caring: Administrative duties like medical coding and billing are notorious for stealing time away from patient care. By working with a BPO partner, providers can dedicate 100% of their focus to patients. Meanwhile, insurance claims are processed swiftly, with accuracy rates often exceeding 98%, drastically reducing denied claims. This ensures cash flow remains consistent while allowing staff to deliver personalized, patient-centered care.
• Scalable Support for Growing Practices: As your practice grows, so will your administrative demands. Without outsourcing, scaling your billing operations can mean hiring, training, and managing additional staff — a costly and time-consuming process. Outsourced solutions provide a fully scalable model that grows with your practice, ensuring constant support, even during surges in patient volume or staff shortages.
• Expertise That Can Avoid Costly Errors: Mistakes in medical billing can be costly. In fact, one recent study found that 30% of medical claims are either delayed or denied due to errors. Outsourced BPO teams are not only trained in the latest regulations but are also well-versed in diverse EHR systems. Their expertise reduces errors, accelerates claim approvals, and protects your reputation.
• Enhanced Financial Stability: The financial benefits of outsourcing extend beyond just avoiding errors. With an optimized and outsourced billing process, practices experience a 20% – 30% reduction in overhead costs and faster reimbursements, improving overall cash flow. This efficiency is particularly crucial for smaller practices where revenue fluctuations can pose significant challenges.

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Core Considerations Before Choosing an Outsourcing Partner

Outsourcing medical billing is a strategic decision, but choosing the right partner is essential.

Here’s what to look for:

Healthcare Industry Experience: Ensure your BPO provider has extensive experience working with practices of your size and specialty. Ask for specific examples or case studies from other healthcare clients that reflect results within your use case.

Data Security & Compliance Expertise: In the healthcare universe, patient privacy is paramount. Be sure to choose a BPO partner that is compliant with HIPAA regulations and equipped with state-of-the-art data security measures.

Transparent Pricing & Flexible Contract: Opt for the BPO provider that offers clear pricing models without hidden fees while leaving space for flexibility and customization in the scope of work and contract.

Ultimately, the goal is to spend less time on paperwork and more time with your patients, which Enshored can help you achieve. We specialize in delivering tailored medical billing solutions that align with the unique needs of a medical practice and have extensive experience working with healthcare organizations like yours. Whether you’re looking to reduce denied claims, scale your operations, or streamline compliance with ever-changing regulations, our expert teams can provide the precision, promptness, and proficiency to help your practice thrive.

Contact Enshored today to learn how outsourcing can transform your practice today.