{"id":1643,"date":"2012-12-19T10:03:39","date_gmt":"2012-12-19T10:03:39","guid":{"rendered":"http:\/\/www.medicalbillersandcodersblog.com\/?p=1643"},"modified":"2025-07-07T15:08:09","modified_gmt":"2025-07-07T15:08:09","slug":"managing-holiday-season-resource-crunch-with-the-help-of-a-medical-billing-company","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/managing-holiday-season-resource-crunch-with-the-help-of-a-medical-billing-company\/","title":{"rendered":"Managing Holiday Season Resource-Crunch with the Help of a Medical Billing Company"},"content":{"rendered":"

Healthcare is perhaps one of those few professions which are exception to the general rule of eight hour-a-day duty \u2013 professionals are required to stretch beyond their usual duty hours, and may even have to be on a 24\u00d77 vigil. As a result work-related fatigue has been more common, which is undesirable from clinical point of view. Fortunately, holidays offer welcome-break from the rigors of work, and help professionals revitalize their mind and body. Generally, holidays in U.S. are season-driven \u2013 most professionals opt for holidays during Christmas.<\/p>\n

While professionals can look forward to a long-awaited break this Christmas season, there is something whose rhythm cannot simply be ignored \u2013 medical billing, processing and claim realization. But, when the majority of resources \u2013 either internal staff or external resources \u2013 are expected to be on leave for a considerable period,\u00a0 a large portion of medical practitioners\u2019 bills may remain unprocessed, unrealized or piled up as account receivables, which are potentially detrimental to financially viable clinical operations.<\/p>\n

During such resource-crunch times, medical billing companies \u2013 with enormous, flexible and agile resource base \u2013 should keep your reimbursements unaffected. While you may have conceded to the idea of outsourcing from medical billing company<\/strong><\/a>, you should still arrive upon the best source among many billing companies offering their services. The following factors should help you determine whether or not the medical billing company in question is credible and competent enough to fit into your requirements:<\/p>\n\n\n\n\n\n\n\n\n\n\n
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  • Is the company open to the idea of risk-sharing?<\/strong>Many companies are open to the idea of operating on a risk-sharing model \u2013 being able to share operational profit or loss equally with their clients, i.e. medical practitioners. Therefore, it is better your prospective medical billing company is comfortable with this clause.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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  • Will the billing company earmark a separate account representative?<\/strong>Medical billing company manages many portfolios, and a single-contact may not be able to answer queries from multiple clients. Therefore, it is better to know if your prospective medical billing company will be able to appoint an account representative exclusively to look after the affairs of your medical billing process.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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  • Will your billing company pursue denials astutely?<\/strong>Denials if not pursued may end up as irrecoverable. Therefore, it is necessary to know in advance whether or not your prospective medical billing company is credited with astute denial management.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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  • Will your filing be on time?<\/strong>Claim submission if not done on time may well get rejected. It is the responsibility of your medical billing company to keep you alerted about filing deadlines, and knowing that your prospective billing partner is sensitive to filing deadlines really helps.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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  • Will it offer customization?<\/strong>Outsourcing an entire range of general solutions may not make sense \u2013 few processes may be irrelevant or may have to be customized to your billing needs. Therefore, it is crucial to know whether or not your prospective billing company can offer the right mix of services to your practice.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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  • What about its success rate with A\/Rs?<\/strong>The credibility and competence of a medically billing company is built around its ability to reduce its clients\u2019 A\/R days to permissible limit. Verify your prospective biller\u2019s credentials in A\/R management before entrusting your billing management.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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