Receive our Building the Right RCM Operating Model for Your Anesthesia Practice White Paper
For anesthesia practice leaders, deciding how to manage the revenue cycle is rarely as simple as choosing between in-house billing and outsourcing.
Anesthesia brings specialized requirements that complicate either approach. Time-based billing, concurrency, physical status modifiers, medical direction, payer-specific requirements, hospital data dependencies, denials, patient collections, and complex reporting all require specialized knowledge and technology.
At the same time, the needs of an anesthesia organization can change.
A growing practice may initially rely on an experienced billing partner before developing internal revenue cycle capabilities. Another may want to retain an outsourced billing team while gaining greater ownership of its technology and data. A mature organization may choose to bring selected functions in-house while continuing to rely on outside specialists for others.
The question, therefore, is not: Should anesthesia billing be in-house or outsourced?
A better question is: Which operating model gives our organization the right combination of expertise, control, visibility, scalability, and financial performance – and can that model evolve as our needs change?
This white paper examines three common approaches – in-house, outsourced, and hybrid RCM; and provides a framework anesthesia leaders can use to evaluate the right model for their organization.
Underlying all three is an increasingly important consideration: technology ownership and flexibility.
The right RCM technology can give anesthesia organizations greater consistency, transparency, and control regardless of who performs the daily billing work. A configurable platform such as ImagineOne® can provide a common technology foundation that allows an organization to evolve its operating model without necessarily rebuilding its revenue cycle infrastructure every time its strategy changes.
