WHY OUTSOURCE CODING?
Get Paid Faster
The struggle between payers and providers over insurance compensation continues to escalate as payers apply more resources toward reducing their cost. Miscoding and errors cause rejected claims and delayed payments. Our proficient coding and billing process ensures accuracy and timely insurance payments.
Reduce Payer Denials
Our collection system includes aggressive, effective denied claims appeal. This sustains and can increases cash flow but also lets the insurance industry know your facility is unwilling to accept denials as a routine cost of doing business. Managed Care in the health care industry has resulted in a staggering increase in the number of payer denials. The estimated number of denied claims has increased to 18% over the last ten years.
We use our 20 plus years of experience in the medical billing industry to implement strategies that reduce denials. While appealing denials is part of our process, we actually help solve denial problems rather than just addressing them.
ENCORE Provides a Cheaper Fixed Cost in the End
Medical billing outsourcing is a variable cost percent that varies directly with your medical billings. With outsourcing, this cost goes up and down with your collections. As your business and revenues grow, so does the medical billing and coding workload. However, your employee costs are fixed, while billings and receivables are not a fixed benefit. Therefore, when you need to add another biller you drastically increase your fixed costs, and now you are usually overstaffed, as the workload volume catches up to your expanded billing capacity.