Thinking about outsourcing billing?
Medical billing outsourcing, without moving off your own system
Nothing about your practice management system changes. A named person logs into it through a login you issue and works your queue on United States business hours, for $1,500 to $2,500 a seat, a month, one month minimum. What actually changes, and how the switch happens, is below.
What actually changes, and what does not
The hesitation behind “should we outsource billing” is rarely the price. It is the fear of handing a queue to somebody outside the building and losing the ability to see what is happening to it. So here is exactly what moves and what stays put.
Stays exactly as it is
- Your practice management or EHR system
- Who owns and can revoke the login
- The order the worklist gets worked in, which you set
- Your payer contracts and your Business Associate Agreement as the covered entity
Actually changes
- The queue gets worked every business day, not when staff have a spare hour
- One named person is accountable for it, not whoever picks it up next
- You get a written report on an agreed schedule
- You are billed a flat monthly seat price rather than staff overtime or a percentage
The decision, not just the price
These are the four questions that actually decide whether outsourcing fits, before any number is compared.
| Keep it in-house | Percentage of collections | A dedicated seat | |
|---|---|---|---|
| Who controls the login | Your own staff | The vendor’s team | You do, always |
| Ramp time to full speed | Weeks of hiring, then training | Varies, usually weeks | Fourteen to thirty days |
| If it does not work out | A hire you must manage out | Often a year-long contract | Thirty days notice |
| Cost if volume swings | Fixed salary either way (~$73,162/yr loaded) | Moves with collections (4% to 10% of collections) | Fixed seat price either way |
Neolytix publishes the percentage figure above; full sourcing for every external number on this site is on /compare/.
How the switch actually happens
- You issue one named login in the system you already use
- A Business Associate Agreement is signed before that login is used
- We agree the numbers you will judge the seat on, which you pick
- Unbilled training on your workflow and payer mix, inside the 14-30 day window
- The seat starts working your queue, fourteen to thirty days from the signed agreement
Security while the queue is outside your building
A Business Associate Agreement is signed before anyone has access, and every seat works under a named individual login you control and can revoke without notice. The work is done from our office in Rawalpindi, Pakistan, which some payer and Medicaid contracts restrict, so we check that during qualification rather than after signing. The full posture is on /security/, and the offshore-specific questions are on /is-offshore-medical-billing-safe/.
Questions
What actually changes on our side when we outsource billing?
Very little of your setup. Nobody moves practice management or EHR systems, buys software, or migrates data. A named person logs into what you already run through a login you issue, and works your worklist in your order. What changes is that the queue gets worked every business day rather than whenever your own staff have a spare hour.
Will we lose control of our data or our process?
The login is yours and you can revoke it at any moment, so control of access never leaves your hands. Control of process is a genuine trade: you tell us the order and the numbers you are judging the work by, and we work to that, but you are trusting somebody outside your building with a queue you used to watch directly. That trade is the actual decision here, not a technical risk.
How long does switching to an outsourced seat take?
Fourteen to thirty days from a signed agreement to a trained person working your queue: a few days to agree scope and sign the Business Associate Agreement, then training on your workflow, payer mix and system. You are not charged for the training period.
What if it does not work out?
Thirty days notice, no penalty, no argument, once the one month minimum has passed. That term exists specifically so that testing outsourcing does not require a multi-year commitment before you know whether it fits.
Do we need new software to outsource this way?
No. This is the difference between outsourcing to a platform and outsourcing to a person: there is nothing to buy, connect or migrate. Systems already worked in are listed on /integrations/.
Can we outsource just one part of billing rather than all of it?
Yes. Most practices start with one queue, usually AR calling and denials or prior authorization, and add roles later if it earns its place. 22 roles are priced separately on /pricing/ for exactly that reason.
Related
- How it works, from call to first report
- In-house, percentage and a seat, compared in full
- Put your own numbers in
- AR calling and denial management$1,700 a seat, a month
- Prior authorization$1,900 a seat, a month
- Gastroenterology billing
- Dermatology billing
- Urology billing
- Medical billing in Washington
- Medical billing in Pennsylvania
- Medical billing in Ohio
Three ways to check us before you commit to anything.
Next step
Test outsourcing on one queue for a month
Twenty minutes to size which queue fits first. One month minimum, thirty days notice after that.
Or write to ops@softhomeglobal.com