Physician practices often opt to outsource their billing processes to alleviate the burden on staff and address issues like aging AR and declining collections. Initially, this decision seemed promising, but soon they encounter challenges such as loss of control, lack of transparency, and suspicions of gaps in the billing process. Consequently, practices may switch billing companies or decide to bring billing functions back in-house. This cycle repeats itself as practices continue to face issues like piling AR and denials, underpayments etc., due to staff overload, changes in payer rules, or staff attrition.

However high maybe be the proficiency of outsourced billing company or in-house team, the core issues of attention to detail, effortless access to critical information, transparency, and accountability within billing teams remain unaddressed, perpetuating this frustrating cycle.