Outsource Medical Billing Services
Full-service medical billing handled end to end, without adding staff.
How AccMed RCM Handles Outsource Medical Billing Services
Outsourcing your billing to AccMed RCM means the entire revenue cycle runs under one accountable team: eligibility verification, charge review, claim submission, payment posting, denial management, A/R follow-up, and patient statements. You keep control of your practice management system and your data, and you receive regular reporting on collections, denials, and aging. The work that used to depend on one or two in-house billers continues whether someone is on leave or leaves the practice.
We build the service around your specialty, your payers, and your existing workflows rather than forcing your practice into a template. Claims are scrubbed before submission, denials are worked on a defined cadence, and A/R is followed up by aging bucket with documented notes on every account. Your office has a named contact for questions, and operational issues are raised to you early, with the facts, instead of surfacing at month end.
What Our Outsource Medical Billing Services Cover
End-to-end claim management
Charges are reviewed, scrubbed, submitted, and tracked from creation through final payment.
Eligibility and authorization support
Coverage is verified ahead of visits and authorization needs are flagged to your team.
Denial management
Denials are categorized, corrected, and appealed within payer deadlines on a set schedule.
A/R follow-up
Outstanding claims are worked systematically across all aging buckets, with the oldest dollars prioritized appropriately.
Payment posting and reconciliation
Remittances are posted at line level and reconciled to deposits daily.
Patient billing and statements
Patient balances are billed on a regular statement cycle, with your office’s policies applied.
Performance reporting
You receive recurring reports on collections, denial trends, days in A/R, and outstanding balances.
Why Practices Choose This Service
Continuity without staffing risk
Billing continues through vacations, turnover, and hiring gaps that stall small in-house teams.
One accountable partner
A single team owns the cycle end to end, so issues are not passed between departments.
Consistent follow-up discipline
Denials and aged claims are worked on schedule rather than when time happens to allow.
Clear visibility
Regular reporting shows what was billed, collected, and denied, and what is being done about each.
Scalable capacity
Volume increases from new providers or locations are absorbed without new hires on your side.
In-House vs Outsourced Medical Billing
| In-house billing | Outsourced to AccMed RCM | |
|---|---|---|
| Cost structure | Fixed salaries, taxes, benefits and software | Usually a percentage of collections |
| Coverage | Stops when staff are sick, on leave or quit | A team covers your account |
| Expertise | Depends on one or two people | Coders and billers by specialty |
| Rule updates | Practice must train staff | Included |
| Accountability | Hard to measure | Monthly KPI report |
| Control | Full | Full access to your system and reports |
See how our pricing works to compare costs for your practice.
How the Transition Works
A planned handover keeps claims moving while billing changes hands.
Audit & plan
We review your current A/R, denials and workflows and agree a start date.
Access & BAA
HIPAA Business Associate Agreement signed; access to EHR, PM and clearinghouse set up.
Parallel start
We take over new claims while your team finishes in-flight work.
Full handover
We own billing and work the old A/R, with a monthly review.
How This Fits Your Revenue Cycle
Every service we offer connects to one complete billing workflow, so nothing falls between the cracks:
Insurance Eligibility & Verification
We confirm coverage and benefits before a claim is ever created.
Charge Entry & Medical Coding
Charges are captured and coded accurately with CPT and ICD-10.
Claim Scrubbing & Submission
Every claim is checked for errors, then submitted electronically.
Payment Posting
Payer payments and adjustments are posted accurately from remittance data.
Denial Management & Appeals
Denials are reviewed, corrected, and appealed where appropriate.
A/R Follow-Up
Unpaid claims are tracked and followed up until resolved.
Patient Billing
Patient statements and balances handled with clear, simple workflows.
Reporting & Analytics
Regular reports on claims, payments, denials, and A/R aging.
Outsource Medical Billing Services for Every Specialty
Our workflows adapt to your specialty’s coding rules and payer requirements. See the full list on our specialties page.
Outsource Medical Billing Services Questions, Answered
Do we keep our own billing software?
In most cases, yes. We work inside your existing practice management system, so your data, reports, and history stay in your system under your ownership. If you are changing systems, we can coordinate the billing transition with your timeline.
How is pricing structured for outsourced billing?
Most full-service arrangements are priced as a percentage of collections or a flat monthly rate based on claim volume and scope. We provide a written proposal after reviewing your volume and payer mix, with no obligation.
How do we communicate day to day?
You have a named contact and agreed response times for routine questions. Operational items such as documentation requests, authorization flags, and patient account questions are sent in a consolidated format rather than scattered messages.
What happens during the transition period?
We start with a defined onboarding: system access, payer and fee schedule review, workflow mapping, and a parallel check of early claim batches. Existing A/R can be worked from day one or phased in, depending on what you prefer.
Is outsourcing medical billing HIPAA compliant?
Yes, when it is done properly. We sign a Business Associate Agreement, limit access to what each person needs and use secure systems for any patient data.
What happens to my current billing staff?
Many practices move billing staff to front-desk, scheduling or patient-collection roles. Others keep one person in-house to work with us. We fit around your choice.
Can I go back to in-house billing later?
Yes. Your data stays in your own system, so you can bring billing back in-house at any time under the terms of your agreement.
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