Enterprise Billing Management Solutions

Solutions Tailored For 50+ Patient Practices

Focus On Patient Care + Increase Your Revenue

Accurate medical billing plays a critical role in the success of any medical practice. Even the smallest medical coding errors, missing data fields, data collection errors, discrepancies, inefficient analytics, and inconsistent audits can lead to claim rejections or denials. This can cause drastic inconsistencies in any medical practice’s revenue stream. Though it can be especially detrimental to small practices and solo practitioners who rely on their revenue stream to maintain and grow their practice.

Many Enterprise Agencies and practices, with 40-50 or more staff or clients, have an in-house administrative staff member to handle coding and medical billing. Though most still choose to outsource their medical billing to a third-party vendor like Operant Billing Solutions.

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Successful Practices Outsource Their Therapy Billing Needs

There are a lot of good reasons why most practices outsource their medical billing needs. This starts with reducing the need for in-house administrative staff or freeing administrative staff to focus on more important duties to help grow your practice.

As time goes on a lot of small medical practices that outsource their medical billing to a third-party agency find that they have lower employee expenses as well as more time available to serve more patients or even expand the scale of their clinical services.

  • Accurate coding
  • Claim creation
  • Streamlining the revenue cycle
  • Developing a more consistent revenue stream
  • Easy to interpret reports
  • More efficient audits
  • Analytics that are easier to implement
  • Fewer claim denials
  • Fewer rejected claims
  • A more consistent revenue stream
  • Faster payment from payers and patients with an outstanding balance
  • Lower overhead costs
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Common Drawbacks To In-House Billing

Inefficient Use Of Time

Medical billing eats up a lot of manhours. They end up spending a prohibitive amount of time focused on billing, filing claims, dealing with denials, answering questions, coordinating payment postings, and addressing accounts receivable.

Employee Costs & Risks

Internal billers are employees and are associated with extra employee costs such as employee and payroll taxes, paid time off, paid sick time, cancellations, and other HR issues.

Distracted With Non-Billing Work

Often your team gets involved with various other day to day tasks you pay for that doesn’t involve billing. When you outsource, 100% of the time is focused on billing.

Continuous Learning & Training

The rules, regulations and codes constantly change. Spending time and resources to learn these new rules is exhausting, and often gets missed costing you in lost reimbursements and the time to get, and stay compliant for proper billing of receivables.

Shortcut Errors

Many internal billers find “shortcuts” in their work, or create their own processes, unbeknownst to the owner or admin team. This can create stress, and increased expense to clean up, or fix, after the biller leaves.

Sick, Leave or No-Shows

When time is of the essence to getting your paperwork in order, this is when employees get sick, go on leave or even quit without notice, leaving you scrambling to re-train or pick of the pieces with no one to work on the billing in their absence. This will drastically hinder submitting for your receivables, and even proper bookkeeping needs.

Incorrect Billing Techniques

Submitting incorrect codes, documentation, and other correct procedures is a lot to trust just anyone. How much billing are you missing because of ignorance or lazyness?

Top Benefits To Outsource Therapy Billing Needs

There are many substantial benefits to outsourcing your medical billing services to a third-party agency like Operant Billing Solutions. This starts with freeing up your time to stay focused on serving your patients and expanding the scale of your practice. Many medical practices and solo practitioners also find additional benefits to outsourcing such as:

More Effective Record Keeping

When medical billing documents and claims are correctly coded they can be more easily processed by systems. This leads to more organized records. It also leads to faster analytics, and data that is easier to interpret. It also gives you the ability to quickly recognize inefficient patterns and practices that are hampering your revenue cycle.

Better Organized Audits

When you outsource your medical billing services to a highly trained and experienced agency like Operant Billing Solutions, the data collected is accurate and very easy to interpret. This makes it easier for you to apply analytics and other interpretive audits to ensure a clear understanding of your revenue cycle. It also means you have more reliable access to patient information and can easily access your records to make complying with an audit stress-free

Reduced Operational Costs

When you outsource your medical billing practices, you might also find an overall reduction in operational costs, and employee costs. This includes things like a more efficient use of office space, materials, software, IT, and payroll data.

HIPAA Compliance

Using an Enterprise platform, which is already HIPAA compliant, outsourcing your billing to a third-party vendor, like Operant Billing Solutions, is easy and provides peace of mind that your data and PHI are protected.

Strengthened Cash Flow w/ Faster Claims

We provide each of our clients with a dedicated Account Manager who is completely focused on making sure your billing is being addressed. This also reduces the risk of errors causing the kind of claim denials, delays, and claim rejections that can lead to major inconsistencies in your practice’s revenue stream.When your staff isn’t bogged down with various internal tasks, you will focus on patients care, leaving the repetitive billing tasks to the pros.

No More Coding & Billing Mistakes

Working with a team who’s time is spent 100% on billing ensures your team isn’t spread thin, often creating mistakes that don’t arise until months down the road that can be a costly clean-up process. Using a system of checks and balances, our billers work as a team and stay on top of the latest trends to ensure no shortcuts are being taken.

Improved Patient Satisfaction

Reducing the burden on the front office who may not be qualified billers, allow them to be more productive, friendly with positive morale that speaks volumes to existing patients. 

Adherence to ICD 10

With the ever-changing ICD codes, these will be handled by a company who is well versed in up to the minute changes.

Improved Billing Scheduling

Outsourcing your coding and medical billing practices guarantees your billing gets done promptly and always remains on schedule.

Reduced Staff & Employee Costs

Outsourcing your medical billing needs to a third-party agency reduces employee-related costs. You will no longer need to carry a medical billing staff person, or you can retrain that individual to help serve and expand other important facets of your practice.