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Medical Billing Outsourcing

Medical Billing Outsourcing That Replaces Overhead with Measurable Revenue Performance

Most physician groups invest heavily in in-house billing and still fall short on collection rates, denial resolution, and AR velocity. Outsourcing transfers the full revenue cycle to a team that exists solely to optimise it.

MBC's medical billing outsourcing covers the complete revenue cycle: charge entry, coding, claim submission, payment posting, denial management, AR follow-up, and credentialing. With $2.4B+ in claims processed annually across 32+ specialties and all 50 states, MBC delivers a 97.4% clean claim rate and a 95% net collection ratio as institutional benchmarks, not aspirational targets.
Outsource My Billing to MBC See What We Cover

What Outsourcing to MBC Delivers

Clean Claim Rate 97.4%
Net Collection Ratio 95%
Days in AR Reduction 16–18 Days
Claims Processed Annually $2.4B+
EHR Platforms Supported 40+
97.4%Clean Claim Rate
$2.4B+Claims Processed Annually
32+Specialties Served
25+Years of RCM Excellence
The In-House Billing Challenge

Where In-House Billing Operations Fall Short

Most practices do not have a volume problem. They have a billing infrastructure problem, where staff turnover, coding gaps, and unworked AR quietly erode collections month after month.

When billing staff turns over, payer contract knowledge and denial history leave with them.

Where In-House Billing Costs You Most

Staff Turnover and Knowledge LossEvery billing staff departure takes institutional knowledge of payer contracts and denial history with it. Recovery time is measured in months, not weeks.
Coding Update GapsAnnual CPT changes, CMS policy revisions, and payer-specific LCD updates require continuous education that most in-house teams cannot maintain across all relevant specialties.
AR Aging Without ResolutionIn-house teams prioritize new claim volume. Older AR buckets accumulate unworked accounts that cross the 120-day threshold, where recovery rates fall below 40%.
Denial Patterns RepeatedWithout a structured denial analysis function, the same coding and documentation errors generate the same denials month after month, with rework costs compounding each cycle.
No Independent Performance BenchmarkIn-house teams assess their own results. Without external benchmarking, practices have no way to determine whether their collection rate, denial rate, and cost to collect are competitive.
The Decision Framework

In-House Billing vs. Medical Billing Outsourcing

The comparison is not about cost alone. It is about what your revenue cycle can actually recover.

Typical In-House Billing Operation

Fixed overhead regardless of claim volume, salaries, software, training, and benefits apply even in low-volume months
Revenue performance tied to staff availability, illness, turnover, and vacations directly affect denial resolution and AR follow-up
Coding and compliance updates require dedicated education investment that most practices cannot sustain across all relevant specialties
No independent benchmark, the team assesses its own performance with no external comparison point
Scaling for new providers or locations requires additional hiring and onboarding time, delaying revenue contribution
Older AR typically deprioritized in favor of new claim volume, allowing accounts to age beyond cost-effective recovery thresholds

MBC Medical Billing Outsourcing

Performance-based engagement, you pay for results, not headcount. Overhead scales with your practice, not against it
Dedicated team continuity, no single-point-of-failure. Institutional knowledge is embedded in systems, not individuals
Continuous coding and compliance updates built into the workflow, CPT changes and CMS revisions apply to your claims before the next submission cycle
Independent performance benchmarking against $2.4B+ in processed claims, you always know how your practice compares to real market performance
New provider onboarding handled by the same team, credentialing, enrollment, and billing activation managed as one integrated process
Dedicated AR follow-up across all aging buckets, older accounts receive the same structured attention as new claim submissions
Complete Revenue Cycle Coverage

What MBC's Medical Billing Outsourcing Covers

Every function in your revenue cycle managed under one engagement, with no gaps between what is billed, what is collected, and what is reported.

01

Charge Entry and Claim Submission

Each charge is validated for CPT accuracy, modifier application, and place of service prior to submission.

Outcome: Higher first-pass acceptance rates and faster payment cycle initiation across all payers.
02

Medical Coding and Compliance

AAPC-certified specialty coders review every encounter for accurate ICD-10-CM, CPT, E/M, and CCI compliance.

Outcome: Code accuracy that maximizes reimbursement at the highest defensible level for every encounter.
03

Payment Posting and Reconciliation

Every remittance is posted, reconciled against contracted rates, and flagged for underpayment.

Outcome: Accurate payment records and proactive identification of underpayments before they compound into structural revenue loss.
04

Denial Management and Appeals

Every denial is root-caused and either corrected for resubmission or escalated through the appropriate appeal pathway.

Outcome: Higher denial recovery rates and a continuously improving clean claim rate as root causes are resolved upstream.
05

Accounts Receivable Follow-Up

AR is followed across all aging buckets. Older accounts are not deprioritized in favor of new claim volume.

Outcome: Reduced AR aging and maximum recovery across all outstanding accounts before they cross the point of diminishing return.
06

Credentialing and Provider Enrollment

Provider credentialing is managed within the same engagement, not handed off to a separate vendor.

Outcome: Faster time from provider onboarding to first clean claim submission, with no credentialing gap in your billing pipeline.
EHR-Agnostic Integration

Works with Your Existing EHR. No Platform Switch Required.

MBC's medical billing outsourcing operates across 40+ EHR platforms. Your existing clinical and practice management software stays in place. No migration, no retraining, no disruption to clinical workflows.

  • Complete RCM coverage: billing, coding, credentialing, denial management, and AR under one engagement
  • 97.4% clean claim rate and 95% net collection ratio as institutional benchmarks
  • AAPC-certified coders by specialty with annual update training built in
  • Denial pattern analysis that corrects root causes, not just individual claims
  • Dedicated AR follow-up across all aging buckets. Older accounts are not deprioritized.
HIPAA Compliant 25+ Years RCM 32+ Specialties

EHR Platforms Supported

EpicFull Integration
CernerFull Integration
AthenahealthFull Integration
eClinicalWorksFull Integration
NextGenFull Integration
AllscriptsFull Integration
+ 34 additional platforms supported across all practice sizes. No migration required.
Client Outcomes

What Provider Groups Say About MBC

Results from practices that transitioned to MBC's revenue cycle services across specialties and practice sizes nationwide.

★★★★★

"Three years of in-house billing left us with a 34-day AR cycle and a denial rate we could not get below 12%. Within two billing cycles with MBC, both numbers moved meaningfully. The difference is the denial root-cause process, not just rework."

WP
CFO, Westside Physician Group Multi-specialty, Phoenix AZ
★★★★★

"MBC's denial pattern analysis identified that one payer had been systematically underpaying our highest-volume CPT code for 14 months."

LC
Dr. L. Chen Cardiology Group, Seattle WA
★★★★★

"Our previous vendor submitted claims and sent a monthly report. MBC gives us weekly visibility by payer, by code, and by aging bucket. We identified a systematic underpayment pattern in the first 60 days that our previous vendor had missed for over a year."

TJ
Practice Administrator, T. Johnson Orthopedic Surgery Group, Nashville TN
Common Questions

Frequently Asked Questions

MBC's end-to-end outsourcing covers the complete revenue cycle: charge entry, medical coding, claim submission, payment posting, denial management and appeals, accounts receivable follow-up, provider credentialing, and weekly performance reporting.
MBC operates at a 97.4% clean claim rate and 95% net collection ratio across its client portfolio.
No. MBC integrates with 40+ EHR and practice management platforms including Epic, Cerner, Athenahealth, eClinicalWorks, NextGen, and Allscripts. Your clinical workflows remain unchanged. No migration is required.
Every denial is categorized by reason code, root-caused to the originating workflow issue, and either corrected for resubmission or escalated through the appropriate appeal pathway.
Most practices complete the billing transition in four to six weeks.
MBC provides weekly performance reports covering clean claim rate, denial rate by payer and reason code, AR aging by bucket, and collection ratio versus prior period.

Your Complete Revenue Cycle, Managed by MBC.

Billing, coding, credentialing, denial management, and AR, fully managed under one engagement.

Outsource My Billing to MBC Learn About Our Coding Services