Outsourced medical billing services, without losing control of your revenue.
Outsourcing your medical billing should remove work, not visibility. ASP-RCM layers in alongside your team, works inside your existing systems, and puts a named senior partner and written SLAs behind the result.
No system change.
Six signs it is time to outsource medical billing.
Practices rarely outsource because billing is easy to hand off. They outsource because the in-house model stopped keeping up. If two or more of these sound familiar, it is worth a conversation.
A/R keeps climbing
Older balances grow every month because follow-up is worked by count, not by dollars.
The same denials repeat
Appeals get filed, but nobody fixes the root cause upstream, so the denial comes back next month.
Coverage gaps
Vacation, sick days and turnover leave claims unworked, and every new hire takes months to ramp.
Specialty rules outpace the team
Authorization-heavy work like ABA and behavioral health punishes generalist billers.
Growth without enrollment
New providers and locations wait on credentialing while claims for their visits sit.
No clear monthly picture
Leadership cannot see clean-claim rate, denial rate or days in A/R without building a spreadsheet.
We take the back office. You keep the keys.
Outsourcing is not all or nothing. Most engagements layer in: your team keeps the work closest to patients, and we run the work that needs depth and consistency. You can also start with a single module, such as denials or A/R cleanup, and expand later.
The work that drives cash.
Coding, claim scrubbing and submission, payment posting, denial management and appeals, A/R follow-up, patient statements, credentialing if you want it, and the monthly CFO scorecard. A dedicated pod with a senior lead, certified coders, an A/R specialist and a denial analyst runs it for you.
Ownership and control.
- Your systems. We work inside your EHR, PM system and clearinghouse. No migration required.
- Your front desk. Commonly intake, registration and charge entry stay with your team.
- Your decisions. Nothing is written off without your sign-off.
- Your data. Source data stays in your PM system and every report reconciles to it.
Onboarding without the chaos.
Most billing transitions go wrong because cash stops while the new vendor learns. Ours runs in phases, with your existing team in place until the pod is ready, and the same senior partner from first call to steady state.
Diagnose
A revenue cycle audit on your own data: claims, remits, denials and A/R aging. Recovery targets agreed in writing.
Stabilize
Aged A/R work-down, denial backlog clearance, eligibility cleanup and payer contract loading.
Transition
Your dedicated pod is named and trained. Workflows are written down and technology is tuned to your payer mix.
Steady state
Written SLAs go live. The CFO scorecard and monthly business review begin.
SLAs in force
Targets are binding. Quarterly reviews with your senior partner keep the plan honest.
The controls your compliance team will ask about.
Handing PHI to an outside company is a real decision. These are the controls already in place, audited by external firms and available for review under NDA. See our security architecture for the technical detail.
Business associate, by contract
We sign a BAA with every client at engagement start, with breach notification protocols in place.
Audited every year
Certified since 2021 and renewed annually by an external firm across security, availability and confidentiality.
Information security management
A certified information security management system, recertified on schedule.
PHI protected at rest and in transit
Encryption at rest and in transit, role-based access, and an append-only log of PHI access in our platform.
Read-only to start
The initial audit uses one read-only data pull. Nothing changes in your systems before you sign.
No long lock-in
A standard 12-month term with a 60-day termination clause, and SLAs written into the contract.
Five questions to ask any outsourced billing company.
Ask every vendor on your shortlist, including us. The answers tell you more than a demo.
Who owns our account after the contract is signed?
Ask for a name, not a team. If the person who sold you disappears after month one, so does accountability.
Which targets will you put in writing?
Activity metrics such as claims sent and calls made are easy to promise. Outcome metrics are not.
Do we have to change systems?
A system change adds months of risk to a billing transition.
Who does the work, and do they know our specialty?
Ask whether staff rotate across clients and specialties, and what credentials the coders hold.
Can we see the paper and leave if it is not working?
Review the contract, the SOW and the termination terms before you talk price.
Outsourced medical billing, plainly answered.
Do not see your question? Email [email protected] and a senior partner will reply directly.
What is outsourced medical billing?
When does it make sense to outsource medical billing?
Will we lose control of our billing if we outsource?
How long does the transition take?
What happens to our current billing staff?
What contract terms should we expect?
See the move before you make it.
Book a free 30-minute call. From one read-only data pull, a senior partner returns a written audit within two weeks, with a recovery estimate and a 90-day plan you keep either way.