Outsourcing & Vendors resources

Start with what you are trying to do

A buying decision in five steps: compare the operating models, put a number on each, score a vendor against a fixed standard, read what we actually charge and for what, then plan the move.

• 1. Compare the two operating models The two models side by side on fully loaded cost — salaries, benefits, software, training and turnover, not just the headline rate — and on what each one does to denials. Start here, because the other four steps assume you have already picked a model. Outsourced vs in-house
• 2. Put a number on each model Enter your collections and claim volume and the calculator estimates in-house cost from published salary data, then compares it against either a percentage of collections or a flat per-claim fee. Billing cost calculator
• 3. Score a vendor against a fixed standard Twenty-seven weighted criteria to score before you sign, so two vendors are compared on the same questions rather than on whichever one presented better. Vendor evaluation scorecard
• 4. See our scope and rate before you ask for a pitch 7.0% of collections for solo practices and 6.0% for groups of 2 to 15 providers, with no setup fee, no per-claim charge and EMR/EHR integration included. The full rate card and what each tier covers are on the pricing page. Outsourced billing scope and rate
• 5. Plan the transition without losing revenue What to move, in what order, and where revenue stalls during a handover between billing vendors. Switching guide

Every Outsourcing & Vendors guide, A to Z