Outsource Medical Billing
Outsource Medical Billing Stop Leaving Revenue on the Table
The average in house billing department costs 13.7% of collections to operate. Outsourcing runs 5% to 9%. That gap is real money your practice is spending on overhead instead of growth.
Clean claim first pass rate
Average revenue increase within 90 days
Claim submission turnaround
Denial worked and resubmitted
The Real Cost
Why In-House Billing Costs More Than You Think
In house billing fails not because the staff is incapable. It fails because billing is a full time specialty competing with every other task in the office. When claim volume rises, follow-up falls behind. When staff turns over, institutional knowledge walks out the door.
Denial Blindspot
When a payer changes its rules, nobody in the office finds out until the denials start piling up. By then you have 60 days of affected claims to rework.
Medicare and Medicaid Enrollment
Each time a biller leaves, their knowledge of your payer mix, common denial patterns, and workflow goes with them. Training a replacement takes 3 to 6 months.
Silent Undercoding
Undercoded encounters rarely trigger a rejection. They just pay less than they should. A year of consistent undercoding can represent tens of thousands in foregone revenue.
AR Aging
When staff capacity gets stretched, follow-up is the first thing that slips. Claims age past 90 days and then past 120 days, which is when recovery rates drop sharply.
What outsourcing actually fixes: Not just the submission. The follow-up. The denial root cause. The coding accuracy audit. The re-attestation calendar. The aging AR that has been sitting since last quarter. Outsourcing the whole cycle is what moves the revenue number.
What We Handle
What Outsourced Medical Billing Cover
When you outsource medical billing to Docscare, one dedicated specialist handles your entire billing cycle. Here is exactly what that covers.
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Charge Capture and Entry
We review every encounter for coding accuracy before a claim goes out. Undercoded encounters are the single biggest source of silent revenue loss in small practices.
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Medical Coding (AAPC Certified)
Our AAPC certified coders assign correct CPT, ICD-10, and HCPCS codes for every service. We code for your specialty. A family medicine encounter and a cardiology encounter require different expertise.
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Insurance Eligibility Verification
We verify every patient’s active coverage before the appointment. Claims that hit an inactive policy fail at the clearinghouse. We stop that before it happens.
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Claim Submission (99% First Pass)
We submit to payers within 24 hours of charge entry using a clean claim scrubbing process. Our 99% first pass acceptance rate reflects that process working as designed, every time.
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Denial Management
Every denied claim gets worked within 72 hours. We identify the root cause, fix it at the source, and resubmit. Denial patterns get reported back to you monthly. See our denial management page.
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Payment Posting
We post every payment, adjustment, and patient balance the week it arrives. Unposted payments create false AR aging reports that make practices think they are healthier than they are.
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AR Follow-Up
Any claim older than 30 days gets a follow-up. Claims older than 60 days get escalated. We do not let aging AR sit. See our AR recovery services.
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Patient Billing and Collections
We generate patient statements, manage the billing portal, and handle patient balance inquiries so your front desk focuses on patients, not billing calls.
How It Works
From Audit to Active Billing in Four Weeks
Five steps. One dedicated specialist. No disruption to your current cash flow.
Free Revenue Audit
Week 1. We pull your full billing health picture at no cost.
EHR Integration
Week 2. We connect to your existing system. No migration.
Claim Handoff
Week 3. We take over open claims and aging AR in parallel.
Active Operations
Week 4+. 24hr submission, 72hr denial work, daily posting.
Monthly Review
Full performance report plus a 30-minute review call each month.
In-House vs. Outsourced
The Real Comparison
Most practices underestimate what in house billing actually costs when you add up salaries, benefits, software, turnover, and lost collections from unworked denials.
| Factor | In-House Billing | Outsourced to Docscare |
|---|---|---|
| Annual staff cost | $45,000–$75,000 per biller plus benefits | Flat percentage of collections only |
| Denial follow-up | Inconsistent; depends on staff capacity | Worked within 72 hours on every claim |
| Coding accuracy | Depends on training and tenure | AAPC certified coders for your specialty |
| Claim turnaround | 2 to 5 business days | Within 24 hours of charge entry |
| AR follow-up | Reactive; claims age past 90 days | Proactive at 30, 60, and 90 day marks |
| Staff turnover risk | High; knowledge leaves with each hire | No disruption to billing continuity |
| Monthly reporting | Manual spreadsheets or none | Structured monthly performance dashboard |
| HIPAA compliance | Your responsibility to maintain | Maintained and audited by Docscare |
Why Docscare
Why Practices Choose Docscare Over Larger Billing Companies
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Dedicated Specialist
You get one specialist who knows your payer mix, your providers, and your specialty. Not a support queue. Not a new contact every call.
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99% Clean Claim Rate
The industry average first pass acceptance rate is 85% to 91%. The gap between 91% and 99% is the volume of denials your team never has to chase.
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30% Revenue Increase
From catching undercoded encounters, reducing denials, and working aged AR. Our clients see this within 90 days. Not a projection — a pattern.
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Austin, Texas Based
US time zones, US payer portals, direct experience with Texas Medicaid. No offshore component. Someone picks up the phone who knows your account.
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EHR Agnostic
Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, Modernizing Medicine. We connect to your system. We have never asked a practice to change their EHR.
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All Specialties
Family medicine, cardiology, mental health, orthopedics, dermatology, OB/GYN, and every specialty in between. We staff for yours specifically.
Every Specialty
Specialties We Bill For
Each specialty has distinct CPT code structures, modifier rules, and payer-specific denial patterns. We bill for yours, not a generic version of it.
Common Questions
Physicians Credentialing : Common Questions
If your question is not answered here, contact our Credentialing team directly. Most questions
get a same-day response.
What does it mean to outsource medical billing?
Outsourcing medical billing means contracting a specialized third party company to handle your practice’s full billing cycle — charge entry, coding, claim submission, denial management, payment posting, and AR follow-up — instead of managing those tasks in house. The outsourced team operates as your billing department, typically at a lower cost per dollar collected than maintaining internal staff.
How much does outsourced medical billing cost?
Most outsourced medical billing companies charge between 4% and 9% of monthly collected revenue. Docscare charges a percentage of collections with no setup fee, no onboarding fee, and no minimum. MGMA data shows in house billing costs an average of 13.7% of collections when you factor in staff salaries, benefits, software, and training. Most practices save from day one.
How long does it take to switch to outsourced billing?
Most practices are fully transitioned within two to three weeks. We run a parallel period during weeks two and three where we operate alongside your current system to ensure no claims fall through. By week four, your billing operations run entirely through Docscare with no disruption to cash flow.
Will outsourcing billing disrupt my current cash flow?
No. We take over open claims, work the aging AR, and begin submitting new charges simultaneously. The transition maintains or improves cash flow continuity. In most cases, practices see faster payment turnaround within 30 days of switching because denials get worked immediately rather than sitting in a queue.
Does Docscare work with my EHR software?
Yes. We integrate with Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, Modernizing Medicine, and every major practice management platform. We do not require you to change your existing software.
How does Docscare handle claim denials?
Every denied claim gets worked within 72 hours. We identify the denial reason, fix the underlying issue at the source, and resubmit. We track denial patterns across your payer mix and report them monthly. Repeat denials from the same payer on the same code category get escalated and addressed before they compound.
Is outsourced billing HIPAA compliant?
Yes. Docscare maintains full HIPAA compliance across all billing operations. We sign a Business Associate Agreement with every practice before accessing any patient data. All transmissions use encrypted channels and all stored information sits in HIPAA compliant systems.
What specialties does Docscare bill for?
We bill for all major specialties including family medicine, internal medicine, cardiology, orthopedics, mental health and behavioral health, dermatology, OB/GYN, pediatrics, physical therapy, psychiatry, urgent care, neurology, gastroenterology, and more.
How do I know if my practice needs to outsource billing?
Your practice is likely losing revenue to billing inefficiencies if your denial rate is above 5%, your days in AR exceed 35, your net collection rate is below 95%, or your staff spends more than 20% of their time on billing tasks. The free revenue cycle audit we offer will show you exactly where your leakage is within one week.
