Why Outsource?
Benefits of Outsourcing
There are real benefits to outsourcing your claims! You will eliminate extra staff, salaries, taxes, insurance, and benefits. You will also lower the overhead cost of office space, utilities, equipment upkeep, and office supply expenses.
Reasons to outsource with Superior Claims Services:
- Medical Billing is complex and best handled by dedicated experts in the field.
- Your cash flow should almost immediately increase.
- We will reduce your claim denial rate tremendously.
- We will supply you, your staff, and your patients with a skilled team to address your billing needs and/or concerns.
- We follow up on all claims submitted, on a regular basis.
- We are HIPAA compliant.
- We will keep you informed of the Medical code changes for your practice’s encounter form.
- Our State Of The Art Software generates 98.5% clean claims for submittal.
- No extra charge for re-submission of claims.
- Payment from the Insurance Carriers is normally received within 10-14 days.
- We offer toll free phone and fax numbers for our out of the area customers.
- We customize our program according to each Client’s needs and wants.
- We supply monthly reports detailing our clients billing activity.
| BENEFITS OF OUTSOURCING |
IN-HOUSE BILLING
(Based on a sole practice with one biller) |
IN-HOUSE
COST* |
SCS
Average medical
billing cost |
| Employee salary $16 per hour X 40 hours per week = $620 X 4weeks = one month gross pay |
$2,773.33 |
$2,450.00 Based on
$35,000 net receivables monthly deposit. |
| Medical Benefits Employee PPO plan Medical ins. |
$330.00 |
NONE |
| Sick Leave Based on 1/2 day per month = 6 days per year |
$64.00 |
NONE |
| Vacation Leave Based on one week paid vacation per year |
$53.33 |
NONE |
| Retirement Plan Based on a 20% Employer Contribution per month |
Varies |
NONE |
| Deferred Compensation / 401K Employer matched Contribution |
Varies |
NONE |
| Workers Compensation Based on $2.00 per |
$52.00 |
NONE |
| Payroll Taxes Based on 26 pay periods per year |
$93.00 |
NONE |
| Payroll fees Monthly fees may vary |
$20.00 |
NONE |
| Electronic Claims 346 claims @ $0.25 per claim based on 80% of total monthly claims with an average patient volume of 20 patients per day per provider |
$86.50 |
NONE |
| Paper Claims 87 claims @ $0.54 per claim based on 20% of total monthly claims with an average patient volume of 20 patients per day per provider |
$46.98 |
NONE |
| Patient Statements 10 Statements per day @ $0.50 per statement, 20 day billing cycle |
$100.00 |
NONE |
| TOTAL PER MONTH |
$3,619.14
PER
BILLER |
$2,450.00 |
| |
|
|
|
ADDITIONAL COSTS FOR IN-HOUSE
BILLING! |
THIS COULD ADD UP TO THOUSANDS!! |
*Office Space *Office Equipment (Computers) *Phone, *Fax, *Scanner, *Filing System, *Billing Software, *Software upgrades, *Coding Books, *Employee Training, Forms), *Postage, *Statement Forms, (Envelopes) *Clearinghouse Charges
(ex.Electronic remit), *IT Server Maintenance, *Electricity, *Office Supplies |
*Note: In-House costs based on industry averages, actual amounts can vary based on
practice and size. Contact us for a custom Cost Analysis Worksheet. |
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