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RE: Billing - in house or outsource?

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Guest guest

,

I'm actually invesigating this too...I would be

grateful to hear other people's input.

I hear BMS www.bmsreimbursement.com is very good, but

I guess they don't do many start ups from when I

talked to them. I have looked into

venturepractice.com but haven't heard back yet. I've

also been having some luck with local companies that

do it too.

Dan

Olathe, KS

--- wendyposter889 wrote:

> I am getting ready to open my own practice and

> wanted your opinions on

> doing billing in-house versus outsourcing.

>

> Which do you prefer?

>

> If you outsource, do you know a solid company that

> does a lot of PT?

>

> Do any billing companies have

> documentation/scheduling software they

> let you use (like Office Ally does)?

>

> Any advice would be very appreciated.

>

> Thanks,

>

>

> PT

> Tacoma, WA

>

>

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,

There are pro and cons to both.? However, if you learn the billing ( a bit)?its

definitely an asset to your skill set since you'll know it and won't leave

yourself open to unknown factors.? On the other hand, some practices prefer not

to in house bill since it is an additional responsbility in the start-up and one

that can take considerable efforts.? I haven't ever outsourced, but knowing the

billing is valuable in case there is an issue with the billing outsource.? I had

my wife involved from the start and we both learned.? This was key because

billing is a skill that can take a skilled biller little time to get lots done

or an unskilled open to error.? I would do if:

-If you want to know all aspects of your practice, well so you minimize your

long term risks with knowledge

-Have a clear oversite of the area, so you don't can see exactly the how the

money is coming in or not

-Eventually train another to do it, because a good biller in the long run will

be cheaper than a clearinghouse

Don't

If you have another job or less time and want less initial overhead

Don't have someone that you trust in the beginning to get it going

Don;t have the management tools to assure that others can get things done for

you

Vinod Somareddy, DPT

Billing - in house or outsource?

I am getting ready to open my own practice and wanted your opinions on

doing billing in-house versus outsourcing.

Which do you prefer?

If you outsource, do you know a solid company that does a lot of PT?

Do any billing companies have documentation/scheduling software they

let you use (like Office Ally does)?

Any advice would be very appreciated.

Thanks,

PT

Tacoma, WA

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Guest guest

I just started a new clinic two months ago and am currently outscourcing my

billing to a company but it does not give me a warm and fuzzy to have to

constantly be on the phone with them. I just luckly lured the old biller from

my last job to come work with me. It is a great piece of mind to have someone

dedicated just to you who u can speak with face to face about the billing

process for me...

Hope that helps a little,

Peer Himler PT

To: PTManager@...: wendyposter889@...: Mon, 28 Apr

2008 01:47:50 +0000Subject: Billing - in house or outsource?

I am getting ready to open my own practice and wanted your opinions on doing

billing in-house versus outsourcing. Which do you prefer?If you outsource, do

you know a solid company that does a lot of PT?Do any billing companies have

documentation/scheduling software they let you use (like Office Ally does)?Any

advice would be very appreciated.Thanks,PTTacoma, WA

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There are several choices in outsource billing for PT services only. I

happen to run a company like this in Cedar Rapids, IA. There is another

company

in your backyard (Clinicient) that also does only PT.

Jim <///><

**************Need a new ride? Check out the largest site for U.S. used car

listings at AOL Autos.

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Guest guest

Hi,

outscourcing is not the best choice, i prefer doing th billing myself. you will

always be current in your report and you will always catch the mistakes before

the billing co. does. i worked for a billing co. in nyc and it was hard to be on

top of the doctors report.

Peer Himler wrote:

I just started a new clinic two months ago and am currently outscourcing my

billing to a company but it does not give me a warm and fuzzy to have to

constantly be on the phone with them. I just luckly lured the old biller from

my last job to come work with me. It is a great piece of mind to have someone

dedicated just to you who u can speak with face to face about the billing

process for me...

Hope that helps a little,

Peer Himler PT

To: PTManager@...: wendyposter889@...: Mon, 28 Apr

2008 01:47:50 +0000Subject: Billing - in house or outsource?

I am getting ready to open my own practice and wanted your opinions on doing

billing in-house versus outsourcing. Which do you prefer?If you outsource, do

you know a solid company that does a lot of PT?Do any billing companies have

documentation/scheduling software they let you use (like Office Ally does)?Any

advice would be very appreciated.Thanks,PTTacoma, WA

__________________________________________________________

Make i'm yours. Create a custom banner to support your cause.

http://im.live.com/Messenger/IM/Contribute/Default.aspx?source=TXT_TAGHM_MSN_Mak\

e_IM_Yours

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I compare using a Billing Service to an addictive drug. It's really not good

for you but it makes you feel better temporarily. Also the more you use it the

more expensive it gets.

There are many software programs out there that will check claim errors for

you, have all kinds of follow up measures to make sure claims are getting paid

and help you get set up with electronic billing.

Not to say there are not some benefits to using a service, but in my opinion

in-house is definately the way to go.

There are allot of Software Systems that will handle the billing very well and

give you many tools to get paid quickly. I use PT Adavantage Software,

www.Advantagesoftware.com billing is easy, and it is relatively inexpensive.

Specailly when you consider the real costs of using a Billing Service.

Just my two cents.

Jim Briggs, PT

PTinla1@...

JHall49629@... wrote:

There are several choices in outsource billing for PT services only. I

happen to run a company like this in Cedar Rapids, IA. There is another company

in your backyard (Clinicient) that also does only PT.

Jim <///><

**************Need a new ride? Check out the largest site for U.S. used car

listings at AOL Autos.

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Guest guest

We started with in house billing but when it got to be too much to

handle I outsourced it and paid 6% on collections. This worked for a

while but what I noticed was our A/R started increasing and a lot of

small balance where being written off. I eventually brought billing

back in house, hired a billing person and our collection rate went up.

I feel the moral of my story is that an outside service is not going to

put any effort into disputing incorrect contract reimbursements, denied

payments or small balances. They look at the quick turn around and do

not have incentive to go after the small balances or the denials that

can be disputed. Take $25 balance owed, are they going to make several

phone calls on your behalf to get paid $1.50. Some might but my

experience is that it is not cost effective for the agency to work this

hard for such a small payoff. Yes you have to hire someone who is good

at and likes to doing billing and collections and who will not look at

small balances as too much work.

Best of luck.

Poe

Clinic Administrator

New Heights Integrative Therapy

Portland, OR

jim briggs wrote:

>

> I compare using a Billing Service to an addictive drug. It's really

> not good for you but it makes you feel better temporarily. Also the

> more you use it the more expensive it gets.

>

> There are many software programs out there that will check claim

> errors for you, have all kinds of follow up measures to make sure

> claims are getting paid and help you get set up with electronic billing.

>

> Not to say there are not some benefits to using a service, but in my

> opinion in-house is definately the way to go.

>

> There are allot of Software Systems that will handle the billing very

> well and give you many tools to get paid quickly. I use PT Adavantage

> Software, www.Advantagesoftware.com billing is easy, and it is

> relatively inexpensive. Specailly when you consider the real costs of

> using a Billing Service.

>

> Just my two cents.

>

> Jim Briggs, PT

> PTinla1@... <mailto:PTinla1%40yahoo.com>

>

> JHall49629@... <mailto:JHall49629%40aol.com> wrote:

>

>

> There are several choices in outsource billing for PT services only. I

> happen to run a company like this in Cedar Rapids, IA. There is

> another company

> in your backyard (Clinicient) that also does only PT.

>

> Jim <///><

>

> **************Need a new ride? Check out the largest site for U.S.

> used car

> listings at AOL Autos.

> (http://autos.aol.com/used?NCID=aolcmp00300000002851

> <http://autos.aol.com/used?NCID=aolcmp00300000002851>)

>

>

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Guest guest

Outsourcing your billing can be a good option for a start-up clinic.

Just like everything else there are good companies and bad ones. In

general, what you will see with an outsoured company is that the AR

will slowly begin to creep upward. This is because the billing company

will tend to chase the easiest money and will tend to neglect the

accounts with a balance of less than $50 because of the law of

" diminishing returns " it simply becomes cost prohibitive to chase

small money. Unfortunately, that small money tends to add up over time

and you may wish you had it. Clinics who use billing companies will

almost always have higher write-offs than those who collect in house.

Of course bad in house billing can also be costly. Buy generally once

a clinic is seeing more than 90 visits a week, it is time to bring it

in house.

Rob Jordan, PT, MPT, GCS, OCS

Sent from iPhone

On Apr 27, 2008, at 11:15 PM, Peer Himler

wrote:

>

> I just started a new clinic two months ago and am currently

> outscourcing my billing to a company but it does not give me a warm

> and fuzzy to have to constantly be on the phone with them. I just

> luckly lured the old biller from my last job to come work with me.

> It is a great piece of mind to have someone dedicated just to you

> who u can speak with face to face about the billing process for me...

>

> Hope that helps a little,

> Peer Himler PT

>

> To: PTManager@...: wendyposter889@...:

> Mon, 28 Apr 2008 01:47:50 +0000Subject: Billing - in

> house or outsource?

>

> I am getting ready to open my own practice and wanted your opinions

> on doing billing in-house versus outsourcing. Which do you prefer?If

> you outsource, do you know a solid company that does a lot of PT?Do

> any billing companies have documentation/scheduling software they

> let you use (like Office Ally does)?Any advice would be very

> appreciated.Thanks,PTTacoma, WA

>

> __________________________________________________________

> Make i'm yours. Create a custom banner to support your cause.

>

http://im.live.com/Messenger/IM/Contribute/Default.aspx?source=TXT_TAGHM_MSN_Mak\

e_IM_Yours

>

>

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I agree that there are good and bad outside billing companies, just like

there are good and bad in-house billers. However, my PT Benchmark research

has usually shown that locations that outsource generally charge more and

collect more and that even after paying the fees they have more net income.

Write offs are not what count, what counts is the cash in the door.

Many practices do an excellent job of in-house billing. It just means that

someone on staff really needs to get properly trained and stay current on

the issues. Many smaller practices struggle with this.

Chuck

R. Felder, PT, MBA

HCS Consulting, Inc.

1303 E 6th St, Ste 104

Corona, CA 92882

Mobile:

Fax:

Office Phone:

CFelder@...

<http://www.hcsconsulting.com/> www.HCSconsulting.com

This message contains confidential information intended only for the

individual name and is protected from disclosure. If you are not the

intended recipient you should delete this message, not use or disclose it in

any form and contact the sender.

_____

From: PTManager [mailto:PTManager ] On Behalf

Of Jordan

Sent: Monday, April 28, 2008 3:50 PM

To: PTManager

Subject: Re: Billing - in house or outsource?

Outsourcing your billing can be a good option for a start-up clinic.

Just like everything else there are good companies and bad ones. In

general, what you will see with an outsoured company is that the AR

will slowly begin to creep upward. This is because the billing company

will tend to chase the easiest money and will tend to neglect the

accounts with a balance of less than $50 because of the law of

" diminishing returns " it simply becomes cost prohibitive to chase

small money. Unfortunately, that small money tends to add up over time

and you may wish you had it. Clinics who use billing companies will

almost always have higher write-offs than those who collect in house.

Of course bad in house billing can also be costly. Buy generally once

a clinic is seeing more than 90 visits a week, it is time to bring it

in house.

Rob Jordan, PT, MPT, GCS, OCS

Sent from iPhone

On Apr 27, 2008, at 11:15 PM, Peer Himler <peerhimlerhotmail (DOT)

<mailto:peerhimler%40hotmail.com> com>

wrote:

>

> I just started a new clinic two months ago and am currently

> outscourcing my billing to a company but it does not give me a warm

> and fuzzy to have to constantly be on the phone with them. I just

> luckly lured the old biller from my last job to come work with me.

> It is a great piece of mind to have someone dedicated just to you

> who u can speak with face to face about the billing process for me...

>

> Hope that helps a little,

> Peer Himler PT

>

> To: PTManager@yahoogrou <mailto:PTManager%40yahoogroups.comFrom>

ps.comFrom: wendyposter889@ <mailto:wendyposter889%40yahoo.comDate>

yahoo.comDate:

> Mon, 28 Apr 2008 01:47:50 +0000Subject: Billing - in

> house or outsource?

>

> I am getting ready to open my own practice and wanted your opinions

> on doing billing in-house versus outsourcing. Which do you prefer?If

> you outsource, do you know a solid company that does a lot of PT?Do

> any billing companies have documentation/scheduling software they

> let you use (like Office Ally does)?Any advice would be very

> appreciated.Thanks,PTTacoma, WA

>

> __________________________________________________________

> Make i'm yours. Create a custom banner to support your cause.

> http://im.live.

<http://im.live.com/Messenger/IM/Contribute/Default.aspx?source=TXT_TAGHM_MS

N_Make_IM_Yours>

com/Messenger/IM/Contribute/Default.aspx?source=TXT_TAGHM_MSN_Make_IM_Yours

>

>

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Guest guest

After being in private practice for 22 years I finally fired all my billing

staff and have a family member do the billing using Medrium soft ware. My income

has risen with the # of patients still the same and this is becuase being

tenacious and going after every penny. For example: we got paid by a big XYZ

workers comp ins comp on a 3 dates of visits on a patient. They paid E-stim for

2 dates but very conveniently did no pay for one date of service. Now this has

happened before with in-house billing staff and also outside billing, they would

not collect on a small pidley amount e.g E-stim. Now if the XYZ comp did not

pay 1-2 date of services on 1000 patients for that month, and if the complacent

staff of all other PTs did not collect, then they actually rob us in large

amounts. These samll amounts just get me PO'ed. So in the end, bring the billing

in-house and collect on all samll pidley amounts the XYZ comp of the world wants

to rob us of. Little drops make an ocean..

Hiten Dave' PT

--------- Billing - in

> house or outsource?

>

> I am getting ready to open my own practice and wanted your opinions

> on doing billing in-house versus outsourcing. Which do you prefer?If

> you outsource, do you know a solid company that does a lot of PT?Do

> any billing companies have documentation/scheduling software they

> let you use (like Office Ally does)?Any advice would be very

> appreciated.Thanks,PTTacoma, WA

>

> __________________________________________________________

> Make i'm yours. Create a custom banner to support your cause.

> http://im.live.

<http://im.live.com/Messenger/IM/Contribute/Default.aspx?source=TXT_TAGHM_MS

N_Make_IM_Yours>

com/Messenger/IM/Contribute/Default.aspx?source=TXT_TAGHM_MSN_Make_IM_Yours

>

>

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Guest guest

I have been saving your post debating whether I might do any good by posting

a response. Ultimately I have decided that it is better for me to respond

than sit back and let some of your comments go unchallenged.

Being the owner of a billing service, we run into all types of clients. If

you were to ask me if someone like myself should be doing the business that I

am doing, I would be the first to tell you NO (emphasis added). However,

after spending over a decade working with a Medicare Intermediary and two

corporate physical therapy chains, it is apparent to me that Therapy Course

curriculums that are taught in our Colleges and Universities are sadly lacking

in

business/entrepreneurial classes. As the Director of Internal Audit for a

publicly traded therapy chain, I ran across many therapists that knew how to

treat patients, but didn't have a clue as to what it took to run a business (or

business office). In the past 10 years this may have changed(the

curriculums). But to be candid, I think the only way that a therapist learns

these

skills are typical ways that a person learns to swim.

1. Some people learn by taking swimming lessons.

2. Other people learn how to swim from a loved one (i.e., parent).

3. Or, in my case, someone throws you over the side of a rowboat and wishes

you the best. Heck, once I got out of the burlap sack, the swimming part

came easy.

Seriously though, I think many therapists might relate to that third

example. Others may have had the benefit of a mentor take them under their

wing.

However, billing is not the easiest facet of the healthcare experience. And

much like your therapy techniques, billing techniques change with time. Does

that mean that outsourcing is the solution? Not necessarily! If you have

the time and energy to manage your therapy practice and stay on top of the

billing, keep up with the changing regulations, etc., then it will probably

serve

you best to keep it in-house. If you can identify the right

hardware/software combination, hire and retain the right candidates to do the

billing,

finance continued training, etc., you might be best served to keep it in-house.

The observations you share about billing services " cherry picking " the best

accounts is not accurate. Billing services are just like your physical therapy

patients. Do you cherry pick your patients (i.e., this one has Medicaid,

so I won't put as much effort into this one because it will diminish my

paycheck)? Some therapists might be shaking their heads right now that they

do.

The vast majority probably are shaking their heads no. I will say this though

about your observations though. Billing Services are not all the same.

There are some very excellent ones that only provide service to the Therapy

Industry. There are other billing services that will take on any medical

billing

specialty that will hire them. While there is nothing wrong with that

latter group, I can tell you that I would want someone similar to my skill set

working in my company if I took on any other medical specialty. In other

words,

it can be done, but it is very difficult to spread across multiple

specialties.

I suspect that not all billing companies are created equal. And as hard as

my staff tries, not every account and every penny is going to be

collectible. I can always aspire to that goal, but it just never happens.

Even with

billing in house I can promise that the situation will be the same. Chuck

Felder pointed out his research indicated that billing services collected more

for their clients than what in house billing was able to do. I let my clients

decide for themselves whether or not we are doing the job. If I continue to

do a good job for them, they continue to permit me to serve their needs. I

have had clients get to a point in time where they feel that they are large

enough to bring their billing in house. I have had other clients that did

their billing and decided regardless of their size, they prefer to out-source.

Each person has their own preferences. But a good billing service will prove

their worth day in and day out..., same as if the billing were done in-house.

Thank you for allowing me to respond,

Jim Hall, CPA <///><

Rehab Management Services, LLC

Cedar Rapids, IA

319/892-0142

____________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Jordan

Sent: Monday, April 28, 2008 5:50 PM

To: PTManager

Subject: Re: Billing - in house or outsource?

Outsourcing your billing can be a good option for a start-up clinic.

Just like everything else there are good companies and bad ones. In

general, what you will see with an outsoured company is that the AR

will slowly begin to creep upward. This is because the billing company

will tend to chase the easiest money and will tend to neglect the

accounts with a balance of less than $50 because of the law of

" diminishing returns " it simply becomes cost prohibitive to chase

small money. Unfortunately, that small money tends to add up over time

and you may wish you had it. Clinics who use billing companies will

almost always have higher write-offs than those who collect in house.

Of course bad in house billing can also be costly. Buy generally once

a clinic is seeing more than 90 visits a week, it is time to bring it

in house.

Rob Jordan, PT, MPT, GCS, OCS

Sent from iPhone

On Apr 27, 2008, at 11:15 PM, Peer Himler <_peerhimler@..._

(mailto:peerhimler@...) >

wrote:

>

> I just started a new clinic two months ago and am currently

> outscourcing my billing to a company but it does not give me a warm

> and fuzzy to have to constantly be on the phone with them. I just

> luckly lured the old biller from my last job to come work with me.

> It is a great piece of mind to have someone dedicated just to you

> who u can speak with face to face about the billing process for me...

>

> Hope that helps a little,

> Peer Himler PT

>

> To: _PTManager@yahoogrouPTManager@_ (mailto:PTManager@...)

: _wendyposter889@wendyposter88_ (mailto:wendyposter889@...) :

> Mon, 28 Apr 2008 01:47:50 +0000Subject: Billing - in

> house or outsource?

>

> I am getting ready to open my own practice and wanted your opinions

> on doing billing in-house versus outsourcing. Which do you prefer?If

> you outsource, do you know a solid company that does a lot of PT?Do

> any billing companies have documentation/ any billing companies ha

> let you use (like Office Ally does)?Any advice would be very

> appreciated. appreciated.<WBR>Th appreci

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Jim,

Point taken. Apparently, you offer a very good product for clients seeking

to outsource their billing. I only suggest that there is a point in the

natural evolution of a practice when taking the process in-house is both

financially feasible and effective if done correctly. I am sorry if I

offended you on this point. It is certainly not fair to generalize that all

billing agencies operate the same and that was not my intention.

Rob Jordan, PT, MPT, GCS, OCS

_____

From: PTManager [mailto:PTManager ] On Behalf

Of JHall49629@...

Sent: Tuesday, May 06, 2008 7:10 PM

To: PTManager

Subject: Re: Billing - in house or outsource?

I have been saving your post debating whether I might do any good by posting

a response. Ultimately I have decided that it is better for me to respond

than sit back and let some of your comments go unchallenged.

Being the owner of a billing service, we run into all types of clients. If

you were to ask me if someone like myself should be doing the business that

I

am doing, I would be the first to tell you NO (emphasis added). However,

after spending over a decade working with a Medicare Intermediary and two

corporate physical therapy chains, it is apparent to me that Therapy Course

curriculums that are taught in our Colleges and Universities are sadly

lacking in

business/entreprene-urial classes. As the Director of Internal Audit for a

publicly traded therapy chain, I ran across many therapists that knew how to

treat patients, but didn't have a clue as to what it took to run a business

(or

business office). In the past 10 years this may have changed(the

curriculums)-. But to be candid, I think the only way that a therapist

learns these

skills are typical ways that a person learns to swim.

1. Some people learn by taking swimming lessons.

2. Other people learn how to swim from a loved one (i.e., parent).

3. Or, in my case, someone throws you over the side of a rowboat and wishes

you the best. Heck, once I got out of the burlap sack, the swimming part

came easy.

Seriously though, I think many therapists might relate to that third

example. Others may have had the benefit of a mentor take them under their

wing.

However, billing is not the easiest facet of the healthcare experience. And

much like your therapy techniques, billing techniques change with time. Does

that mean that outsourcing is the solution? Not necessarily! If you have

the time and energy to manage your therapy practice and stay on top of the

billing, keep up with the changing regulations, etc., then it will probably

serve

you best to keep it in-house. If you can identify the right

hardware/software combination, hire and retain the right candidates to do

the billing,

finance continued training, etc., you might be best served to keep it

in-house.

The observations you share about billing services " cherry picking " the best

accounts is not accurate. Billing services are just like your physical

therapy

patients. Do you cherry pick your patients (i.e., this one has Medicaid,

so I won't put as much effort into this one because it will diminish my

paycheck)? Some therapists might be shaking their heads right now that they

do.

The vast majority probably are shaking their heads no. I will say this

though

about your observations though. Billing Services are not all the same.

There are some very excellent ones that only provide service to the Therapy

Industry. There are other billing services that will take on any medical

billing

specialty that will hire them. While there is nothing wrong with that

latter group, I can tell you that I would want someone similar to my skill

set

working in my company if I took on any other medical specialty. In other

words,

it can be done, but it is very difficult to spread across multiple

specialties.

I suspect that not all billing companies are created equal. And as hard as

my staff tries, not every account and every penny is going to be

collectible. I can always aspire to that goal, but it just never happens.

Even with

billing in house I can promise that the situation will be the same. Chuck

Felder pointed out his research indicated that billing services collected

more

for their clients than what in house billing was able to do. I let my

clients

decide for themselves whether or not we are doing the job. If I continue to

do a good job for them, they continue to permit me to serve their needs. I

have had clients get to a point in time where they feel that they are large

enough to bring their billing in house. I have had other clients that did

their billing and decided regardless of their size, they prefer to

out-source.

Each person has their own preferences. But a good billing service will prove

their worth day in and day out..., same as if the billing were done

in-house.

Thank you for allowing me to respond,

Jim Hall, CPA <///><

Rehab Management Services, LLC

Cedar Rapids, IA

319/892-0142

____________-_________-_________-______

From: HYPERLINK

" mailto:PTManager%40yahoogroups.com " PTManager@...

[mailto:HYPERLINK

" mailto:PTManager%40yahoogroups.com " PTManager@...] On

Behalf Of Jordan

Sent: Monday, April 28, 2008 5:50 PM

To: HYPERLINK " mailto:PTManager%40yahoogroups.com " PTManager@...

Subject: Re: Billing - in house or outsource?

Outsourcing your billing can be a good option for a start-up clinic.

Just like everything else there are good companies and bad ones. In

general, what you will see with an outsoured company is that the AR

will slowly begin to creep upward. This is because the billing company

will tend to chase the easiest money and will tend to neglect the

accounts with a balance of less than $50 because of the law of

" diminishing returns " it simply becomes cost prohibitive to chase

small money. Unfortunately, that small money tends to add up over time

and you may wish you had it. Clinics who use billing companies will

almost always have higher write-offs than those who collect in house.

Of course bad in house billing can also be costly. Buy generally once

a clinic is seeing more than 90 visits a week, it is time to bring it

in house.

Rob Jordan, PT, MPT, GCS, OCS

Sent from iPhone

On Apr 27, 2008, at 11:15 PM, Peer Himler <HYPERLINK

" mailto:_peerhimler%40hotmail.pee " _peerhimler@-hotmail.pee_

(mailto:HYPERLINK " mailto:peerhimler%40hotmail.com " peerhimlerhotmail (DOT) -com)

>

wrote:

>

> I just started a new clinic two months ago and am currently

> outscourcing my billing to a company but it does not give me a warm

> and fuzzy to have to constantly be on the phone with them. I just

> luckly lured the old biller from my last job to come work with me.

> It is a great piece of mind to have someone dedicated just to you

> who u can speak with face to face about the billing process for me...

>

> Hope that helps a little,

> Peer Himler PT

>

> To: _PTManager@yahoogro-uPTManager@-_ (mailto:HYPERLINK

" mailto:PTManager%40yahoogroups.comFrom " PTManager@...)

: _wendyposter889@-wendyposter88_ (mailto:HYPERLINK

" mailto:wendyposter889%40yahoo.comDate " wendyposter889@-yahoo.comDate) :

> Mon, 28 Apr 2008 01:47:50 +0000Subject: Billing - in

> house or outsource?

>

> I am getting ready to open my own practice and wanted your opinions

> on doing billing in-house versus outsourcing. Which do you prefer?If

> you outsource, do you know a solid company that does a lot of PT?Do

> any billing companies have documentation/ any billing companies ha

> let you use (like Office Ally does)?Any advice would be very

> appreciated. appreciated.-<WBR>Th appreci

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Rob

No offense was taken. But like any other post that goes out, it is read by

30,000+ therapists and it gets easy to stereotype based upon what goes on in

the area where you practice. I just wanted to make sure that I made sure

that not all billing companies practice as you pointed out and that outsourcing

can be a great option regardless of size.

Jim <///><

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